集体运动激励在冠心病患者中的应用价值  

Application value of collective exercise motivation mode in patients with coronary heart disease

作　　者：唐史林 张伟[1] TANG Shi-lin, ZHANG Wei(Department of Cardiology, People＇s Hospital of Haikou City, Haikou, Hainan, 570000, China)

机构地区：[1]海口市人民医院心内科,海南海口570000

出　　处：《心血管康复医学杂志》2018年第3期265-268,共4页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:探讨集体运动激励模式对冠心病(CHD)患者生活质量及预后的影响。方法:选择116例CHD患者,随机分为常规指导组(58例,常规出院指导)和运动激励组(58例,给予集体运动激励模式)。采用西雅图心绞痛调查量表(SAQ)评价生活质量,治疗依从性量表评价治疗依从性,主要心脏不良事件(MACE)评价临床预后。结果:干预后,与常规指导组比较,运动激励组SAQ总评分明显增加[(52.4±4.5)分比(65.9±5.4)分],依从性显著提高(65.5%比82.8%),MACE发生率显著降低(17.2%比5.2%),P<0.05或<0.01。结论:集体运动激励模式可显著提高冠心病患者生活质量及依从性,改善预后,值得临床推广使用。Objective：To explore influence of collective exercise motivation mode on quality of life（QOL）and prognosis in patients with coronary heart disease（CHD）.Methods：A total of 116 CHD patients were randomly and equally divided into routine guidance group（received routine discharge guidance）and exercise motivation group（received collective exercise motivation mode）.Seattle angina questionnaire（SAQ）was used to evaluate QOL,therapeutic compliance scale was used to assess therapeutic compliance,and clinical prognosis was evaluated by major adverse cardiac events（MACE）.Results：Compared with routine guidance group after intervention,there were significant rise in total SAQ score[（52.4±4.5）scores vs.（65.9±5.4）scores]and therapeutic compliance（65.5% vs.82.8%）,and significant reduction in incidence rate of MACE（17.2% vs.5.2%）in exercise motivation group,P〈0.05 or〈0.01.Conclusion：Collective exercise motivation model can significantly improve quality of life,therapeutic compliance and prognosis in patients with coronary heart disease,which is worth extending.

关 键 词：冠心病 运动 生活质量 

分 类 号：R544.109[医药卫生—心血管疾病]