早期综合康复管理对冠心病PCI术后患者心脏功能、Pender评分及心理状态的影响  

The effect of early comprehensive rehabilitation management on cardiac function,Pender score and mental state in patients with coronary heart disease after PCI

作　　者：李婷[1] 张琳[1] 陈滕[1] 郑璐[1] 黄峥[1] LI Ting;ZHANG Lin;CHEN Teng(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院,郑州450000

出　　处：《国际精神病学杂志》2021年第5期931-934,共4页Journal Of International Psychiatry

基　　金：河南省科技攻关项目(编号:182102310493)。

摘　　要：目的观察在Pender健康促进理论指导下的早期综合康复管理对冠心病PCI术后患者心脏功能、Pender评分及心理状态的影响。方法选取我科2018年10月~2020年7月期间109例冠心病经皮冠状动脉介入术(PCI)术后患者作为研究对象,对照组54例给予术后常规康复护理、健康教育及康复训练,观察组55例给予基于Pender健康促进理论下的早期综合康复管理措施,三个月后对比两组患者的心脏功能、Pender评分及心理状态。结果干预后两组患者心脏功能各指标明显优于干预前(P<0.05),干预后观察组患者心脏功能各指标明显优于对照组(P<0.05)。干预后两组患者健康生活方式各维度评分均明显优于干预前(P<0.05),干预后观察组患者健康生活方式各维度评分均明显优于对照组(P<0.05)。干预后两组患者SAS、SDS评分均明显低于干预前(P<0.05),干预后观察组患者SAS、SDS评分均明显低于对照组(P<0.05)。结论Pender健康促进理论下的早期综合康复管理能够有效提高冠心病PCI术后患者的心脏功能,帮助患者建立健康的生活方式,改善其应对方式,缓解焦虑抑郁等不良情绪,有助于患者疾病恢复。Objective To observe the effect of early comprehensive rehabilitation management guided by Pender's health promotion theory on the cardiac function,Pender score and mental state in patients with coronary heart disease after PCI.Methods From October 2018 to July 2020,109 patients with coronary artery disease after percutaneous coronary intervention(PCI)were selected as the research objects.54 patients in the control group were given postoperative routine rehabilitation care,health education and rehabilitation During training,55 patients in the observation group were given early comprehensive rehabilitation management measures based on the Pender health promotion theory.Three months later,the cardiac function,Pender score and mental status of the two groups were compared.Results After the intervention,the indicators of heart function of the two groups of patients were significantly better than those before the intervention(P<0.05).After the intervention,the indicators of heart function of the observation group were significantly better than those of the control group(P<0.05).After the intervention,the two groups of patients'healthy lifestyle scores were significantly better than those before the intervention(P<0.05).After the intervention,the observation group's health lifestyle scores were significantly better than those of the control group(P<0.05).After the intervention,the SAS and SDS scores of the two groups were significantly lower than those before the intervention(P<0.05).After the intervention,the SAS and SDS scores of the observation group were significantly lower than those of the control group(P<0.05).Conclusion Early comprehensive rehabilitation management based on Pender's health promotion theory can effectively improve the cardiac function of patients with coronary heart disease after PCI,help patients establish a healthy lifestyle,improve their coping styles,relieve anxiety and depression and other negative emotions.

关 键 词：Pender健康促进理论 综合性康复管理 PCI 心脏功能 心理状态 

分 类 号：R749.99[医药卫生—神经病学与精神病学]