步行联合关节体操提高老年冠脉支架植入患者功能性体适能  

Effect of walking combined with joint exercise on functional fitness of patients after coronary stent implantation

作　　者：丁雪茹[1] 李新琳[2] 林梅花 张慧娜[1] 陈晓琴[1] 董正惠[3] 

机构地区：[1]新疆医科大学第一附属医院心脏中心重症监护室,新疆乌鲁木齐830011 [2]新疆医科大学第一附属医院麻醉科,新疆乌鲁木齐830011 [3]新疆医科大学第一附属医院护理部,新疆乌鲁木齐830011

出　　处：《护理学杂志》2016年第19期84-87,共4页Journal of Nursing Science

摘　　要：目的提高老年冠脉支架植入术后患者功能性体适能,降低运动过程中不良事件发生率。方法将60例老年冠脉支架植入术患者随机分为干预组和对照组各30例。对照组实施常规康复护理;干预组制订个体化运动方案,包括步行及关节体操,专人指导与随访。连续12周后评价效果。结果干预组上肢肌力、下肢肌力、肢体柔韧性及有氧耐力显著优于对照组(P<0.05,P<0.01),肌肉酸痛、心慌胸闷发生率显著低于对照组(均P<0.01)。结论步行联合关节体操运动的实施可有效改善冠脉支架植入患者功能性体适能,降低运动过程中肌肉酸痛、心慌胸闷发生率。Objective To enhance functional fitness of patients after coronary stent implantation and reduce incidence of adverse events during exercise. Methods Sixty patients after coronary stent implantation were assigned into a control group and an intervention group, with 30 in each. The control group received conventional rehabilitation training, while the intervention group was subjected to individualized walking and joint exercise program in which designated nurses provided instructions and follow-ups. The effect was evaluated after 12 weeks of intervention. Results Comparing to the control group, muscle strength of upper and lower limbs, body flexibility and aerobic endurance were significantly better, whereas the incidence rates of muscle soreness, chest tighthess and palpitation were significantly lower in the intervention group （P〈0.01 for all）. Conclusion Walking combined with joint exercise can effectively improve functional fitness of patients after coronary stent implantation, and reduce adverse events such as muscle soreness, chest tightness and palpitation during exercise.

关 键 词：老年患者 冠心病 冠状动脉 支架植入术 功能性体适能 步行 关节操 不良事件 康复护理 

分 类 号：R473.5[医药卫生—护理学] R493[医药卫生—临床医学]