早期集体心脏康复对冠心病介入治疗术后患者的康复疗效  

Rehabilitation effects of early collective cardiac for patients with coronary heart disease after interventional therapy

作　　者：戴允兰 童露露 孙鹏[1] 张利[1] DAI Yunlan;TONG Lulu;SUN Peng;ZHANG Li(Department of Rehabilitation Medicine,Zhejiang Provincial People′s Hospital,People′s Hospital of Hangzhou Medical College,Hangzhou 310014,China)

机构地区：[1]浙江省人民医院杭州医学院附属人民医院康复医学科,浙江杭州310014

出　　处：《中国现代医生》2021年第26期30-35,共6页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2021KY048)。

摘　　要：目的 探讨早期集体心脏康复对冠心病介入治疗术后患者的康复疗效。方法 将2017年12月至2018年11月我院接诊的56例接受择期介入治疗的冠心病患者作为对照组,将2018年12月至2019年11月接诊的56例接受择期介入治疗的冠心病患者作为观察组,分为14个小组,每小组4例。均实施同样的早期心脏康复方案,对照组进行单独训练,观察组进行集体训练。比较两组干预前后的6 min步行距离(6MWD)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、健康调查简表(SF-36)的评分及患者的治疗依从性,出院1个月后电话随访,用退伍军人专项活动问卷(VSAQ)估测两组患者出院1个月后的运动能力。结果 干预后,与对照组相比,观察组6MWD[(537.03±39.09)m vs.(519.77±42.48)m]、SF-36 [(95.18±3.39)分vs.(92.57±3.89)分]、治疗依从性(85.7%vs.62.5%)均显著提高,观察组SAS[(42.91±4.18)分vs.(44.95±3.96)分]、SDS[(42.66±3.77)分vs.(45.52±4.19)分]得分均显著降低,出院1个月后观察组比对照组运动能力METs值[(7.06±1.41)METs vs.(6.12±1.32)METs]显著提高(P<0.05)。结论 与传统“一对一”的康复干预相比,早期集体心脏康复训练在提高冠心病介入治疗术后患者的运动能力及生活质量,改善心理状态及依从性等方面疗效均更显著,可在临床推广。Objective To explore the effect of early collective cardiac rehbilitation on patients with coronary heart disease after interventional therapy.Methods A total of 56 patients with coronary heart disease who received elective interventional treatment in our hospital from December 2017 to November 2018 were classified as the control group,and 56 patients who received elective interventional treatment from December 2018 to November 2019 were included in the observation group.The patients were divided into 14 groups,with 4 people in each group.Two groups implemented the same early cardiac rehabilitation program.The control group received individual training,and the observation group received collective training.The 6 min walking distance(6MWD),self-rating anxiety scale(SAS),self-rating depression scale(SDS),and health survey brief(SF-36)scores of the two groups before and after the intervention,as well as the patient′s treatment compliance,were compared.They underwent telephone follow-up one month after discharge.The veterans special activity questionnaire(VSAQ)was used to estimate the exercise capacity of the two groups of patients one month after discharge from the hospital.Results After the intervention,compared with the control group,the observation group′s 6-min walking distance[(537.03±39.09)m vs.(519.77±42.48)m],SF-36[(95.18±3.39)vs.(92.57±3.89)points],treatment compliance(85.7%vs.62.5%)was significantly improved;the observation group′s SAS[(42.91±4.18)points vs.(44.95±3.96)points],SDS[(42.66±3.77)points vs.(45.52±4.19)points]scores were significantly reduced.One month after discharge from the hospital,the exercise capacity METs[(7.06±1.41)METs in the observation group the was significantly higher than(6.12±1.32)METs]in the control group(P<0.05).Conclusion Compared with the traditional"one-to-one"rehabilitation intervention,early collective cardiac rehabilitation training has more significant effects in improving the exercise capacity and quality of life of patients after coronary interventional

关 键 词：冠心病 介入治疗术 集体训练 早期心脏康复 

分 类 号：R541.7[医药卫生—心血管疾病]