早期康复干预对冠心病介入治疗术后患者生活质量的影响  

Effect of early rehabilitation intervention on quality of life of patients with coronary heart disease after interventional therapy

作　　者：曾建英 ZENG Jian-ying(Sihui People’s Hospital,Zhaoqing 526200,China)

机构地区：[1]四会市人民医院,526200

出　　处：《中国实用医药》2021年第24期188-191,共4页China Practical Medicine

摘　　要：目的探讨早期康复干预对冠心病介入治疗术后患者生活质量的影响。方法150例冠心病介入治疗患者,按照随机数字表法分为研究组和参照组,各75例。参照组予以常规干预,研究组在常规干预基础上联合早期康复干预,具体如下。比较两组患者满意度,干预前后生活质量评分、6 min步行距离、左心室射血分数及抑郁、焦虑情绪评分,术后并发症发生率。结果研究组满意度为100.00%(75/75),高于参照组的80.00%(60/75),差异有统计学意义(P<0.05)。干预前,两组生活质量评分、左心室射血分数、6 min步行距离及汉密顿焦虑量表(HAMA)评分、汉密顿抑郁量表(HAMD)评分比较,差异无统计学意义(P>0.05);干预后,研究组生活质量评分(94.51±3.45)分、左心室射血分数(61.45±7.75)%、6 min步行距离(371.78±43.21)m及HAMA评分(10.21±1.71)分、HAMD评分(10.01±1.73)分均优于参照组的(86.53±3.24)分、(52.24±5.12)%、(312.12±75.57)m、(14.12±1.21)分、(14.34±1.42)分,差异有统计学意义(P<0.05)。研究组术后并发症发生率低于参照组,差异有统计学意义(P<0.05)。结论冠心病介入治疗患者实施早期康复干预可改善心功能和运动功能,提高患者的满意度及生活质量,且减少并发症。Objective To discuss the effect of early rehabilitation intervention on quality of life of patients with coronary heart disease after interventional therapy.Methods A total of 150 patients with coronary heart disease after interventional therapy were divided into research group and reference group according to random numerical table,with 75 cases in each group.The reference group was treated with conventional intervention,and the research group was treated with early rehabilitation intervention on the basis of the conventional intervention.The satisfaction,quality of life scores,6-min walking distance,left ventricular ejection fraction,depression and anxiety scores before and after intervention,and incidence of postoperative complications were compared between the two groups.Results The satisfaction rate of the research group was 100.00%(75/75),which was higher than 80.00%(60/75)of the reference group,and the difference was statistically significant(P<0.05).Before the intervention,there was no statistically significant difference in quality of life score,left ventricular ejection fraction,6-min walking distance,Hamilton anxiety scale(HAMA)score,and Hamilton depression scale(HAMD)score between the two groups(P>0.05).After the intervention,the quality of life score(94.51±3.45)points,left ventricular ejection fraction(61.45±7.75)%,6-min walking distance(371.78±43.21)m,HAMA score(10.21±1.71)points,HAMD score(10.01±1.73)points of the research group were better than(86.53±3.24)points,(52.24±5.12)%,(312.12±75.57)m,(14.12±1.21)points,(14.34±1.42)points of the reference group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the research group was lower than that in the reference group,and the difference was statistically significant(P<0.05).Conclusion The application of early rehabilitation intervention can improve the cardiac function and moter function of patients with coronary heart disease after interventional therapy,and it can improve the satisfaction

关 键 词：早期康复干预 冠心病介入治疗 心理状态 影响 

分 类 号：R541.4[医药卫生—心血管疾病] R493[医药卫生—内科学]