院内模拟居家康复结合院外规划居家康复环境在老年冠心病患者中的应用效果  

Application effect of in-hospital simulated home rehabilitation combined with out-of-hospital planning home rehabilitation environment in elderly patients with coronary heart disease

作　　者：熊亚莉 楼娟 王丽君 张熙燕 刘志辉 黄鸣 XIONG Yali;LOU Juan;WANG Lijun;ZHANG Xiyan;LIU Zhihui;HUANG Ming(Department of Cardiovascular Medicine,Jingdezhen First People′s Hospital,Jiangxi Province,Jingdezhen 333000,China)

机构地区：[1]江西省景德镇市第一人民医院心血管内科,江西景德镇333000

出　　处：《中国当代医药》2022年第7期163-167,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(SKJP220200818);江西省景德镇市科技计划项目(20201SFZC028)。

摘　　要：目的探讨院内模拟居家康复结合院外规划居家康复环境在老年冠心病患者中的应用效果。方法选取2019年9月至2020年12月景德镇市第一人民医院收治的100例老年冠心病患者为研究对象,按照入院的先后顺序将2019年9月至2020年4月入院的50例患者设为对照组,将2020年5月至12月入院的50例患者分为试验组。对照组采用电话指导患者居家康复,试验组在对照组干预的基础上予以院内模拟居家康复结合院外规划居家康复环境。比较两组患者干预后的6 min步行试验距离(6MWD)、健康问卷抑郁量表(PHQ9)、广泛性焦虑量表(GAD7)及西雅图心绞痛评分(SAQ评分)。结果干预12周后,试验组的6MWD高于对照组,差异有统计学意义(P<0.05);试验组的PHQ9及GAD7得分均低于对照组,差异有统计学意义(P<0.05);试验组的SAQ各维度得分均高于对照组,差异有统计学意义(P<0.05)。结论院内模拟居家康复结合院外规划居家康复环境能够改善老年冠心病患者的运动耐力和心理状态,提高生活质量。Objective To explore the application effect of in-hospital simulated home rehabilitation combined with planning the out-of-hospital environment of home rehabilitation in elderly patients with coronary heart disease.Methods A total of 100 elderly patients with coronary heart disease treated in Jingdezhen First People′s Hospital from September 2019 to December 2020 were selected as the research object.According to the order of admission,50 patients hospitalized from September 2019 to April 2020 were set as the control group,and 50 patients hospitalized from May to December 2020 were divided into the experimental group.The control group used telephone to guide the patients′home rehabilitation,and the test group gave in-hospital simulated home rehabilitation combined with out-of-hospital planning home rehabilitation on the basis of the intervention of the control group.The 6-minute walking distance(6MWD),health questionnaire depression scale(PHQ 9),generalized anxiety disorder scale(GAD7)and Seattle angina questionnaire score(SAQ)were compared between the two groups.Results After 12 weeks of intervention,the 6MWD in the test group was higher than that of the control group,the difference was statistically significant(P<0.05).The scores of PHQ9 and GAD7 in the test group were lower than those of the control group,the differences were statistically significant(P<0.05).The scores of all dimensions of SAQ in the test group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion In-hospital simulated home rehabilitation combined with out-of-hospital planning home rehabilitation environment can improve the exercise endurance and mental state of elderly patients with coronary heart disease,and improve the quality of life.

关 键 词：居家康复 心脏康复 冠心病 老年 生活质量 

分 类 号：R541.4[医药卫生—心血管疾病]