健康教育和运动康复训练在治疗冠心病患者中的应用  

Application of health education in sports rehabilitation training for coronary heart disease and its effect on cardiac function indicators of patients

作　　者：张莹[1] Zhang Ying(Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院,武汉430030

出　　处：《国际护理学杂志》2020年第9期1587-1590,共4页international journal of nursing

基　　金：华中科技大学同济医学院附属同济医院护理部科研立项(2018HL010)。

摘　　要：目的:探讨健康教育和运动康复训练在治疗冠心病患者中的应用。方法:选取华中科技大学同济医学院附属同济医院2017年8月至2018年8月收治的冠心病患者106例,随机分为两组,对照组应用常规护理方式进行干预,研究组在对照组的基础上应用运动康复训练和健康教育方式进行干预,各53例。观察并对比两组干预效果、干预前后左室舒张期内径(LVD)、左室射血分数(LVEF)、6 min步行试验距离以及血浆脑钠肽(BNP)含量、情绪管理评分、生活自理能力评分、健康知识评分以及对其干预方式满意度。结果:研究组患者干预效果好于对照组,差异有统计学意义( P<0.05);两组患者干预前其心功能、6 min步行距离和血浆BNP比较差异无统计学意义( P>0.05),干预后,研究组LVEF和6 min步行距离好于对照组,其LVD和血浆BNP低于对照组,差异有统计学意义( P<0.05);两组患者干预前情绪管理、生活自理能力和健康医学知识评分比较差异无统计学意义( P>0.05),干预后研究组情绪管理、生活自理能力和健康医学知识评分高于对照组,研究组护理满意度高于对照组,差异均有统计学意义(均 P<0.05)。 结论:冠心病患者应用运动康复训练和健康教育方式进行干预,其效果较好,且患者对其满意度较高。Objective To explore the application of health education and exercise rehabilitation training in the treatment of patients with coronary heart disease.Methods A total of 106 patients with coronary heart disease admitted to Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology from August 2017 to August 2018 were randomly divided into two groups.The control group was given routine nursing intervention, while the research group was given exercise rehabilitation training and health education intervention on the basis of the control group.The intervention effects, left ventricular diastolic diameter (LVD), left ventricular ejection fraction (LVEF), 6-minute walking distance, plasma brain natriuretic peptide (BNP), emotional management score, self-care ability score, health knowledge score and satisfaction with the intervention methods were observed and compared between the two groups.Results The intervention effect of the study group was better than that of the control group, and the difference was statistically significant (P<0.05). There was no difference in heart function, 6-minute walking distance and plasma BNP between the two groups before intervention (P>0.05). After intervention, the walking distance of LVEF and 6-minute in the research group was better than that of the control group, and its LVD and plasma BNP were lower than that of the control group, with statistically significant differences(P<0.05). There was no significant difference in the scores of emotion management, self-care ability and medical knowledge before intervention between the two groups (P>0.05). After intervention, scores of emotional management, self-care ability and medical knowledge in the research group were higher than those in the control group, and nursing satisfaction in the research group was higher than that in the control group, with statistically significant differences (P<0.05).Conclusions In the rehabilitation process of patients with coronary heart disease, the effect of exer

关 键 词：健康教育 运动康复训练 冠心病 心功能指标 

分 类 号：R473[医药卫生—护理学]