基于互动达标理论的心脏康复干预方案在Stanford A型主动脉夹层患者术后的应用  

Application of Cardiac Rehabilitation Intervention Program Based on the Theory of Interactive Reaching the Standard in Patients After Stanford Type A Aortic Dissection

作　　者：段海燕 庞静 郭迎春[1] DUAN Haiyan;PANG Jing;GUO Yingchun(Cardiac Surgery Department,Henan Chest Hospital,Zhengzhou 410005,China;Nursing Department,Henan Chest Hospital,Zhengzhou 410005,China)

机构地区：[1]河南省胸科医院心血管外科,河南郑州410005 [2]河南省胸科医院护理部,河南郑州410005

出　　处：《河南医学研究》2023年第14期2647-2652,共6页Henan Medical Research

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20210240)。

摘　　要：目的研究以互动达标理论为基础的心脏康复方案对Stanford A型主动脉夹层(AAD)患者的影响。方法选择106名AAD患者作为研究对象,按照患者入住的病区分成两组。对照组接受常规健康教育和心脏康复指导,观察组接受基于互动达标理论的心脏康复干预方案的训练,分别对不同时间段患者的自我管理能力、心功能评分、血压管理达标率、生活质量进行比较。结果两组患者自我管理各维度中:认知能力、心理状况、行为生活方式、治疗依从性差异具有统计学意义(P<0.05);两组患者心功能评分中左室射血分数(LVEF)差异具有统计学意义(P<0.05);对比两组患者在手术后1、3个月的血压管理达标率,发现两组患者在手术后的1、3个月之间差异具有统计学意义(P<0.05);两组患者术后3、6个月生活质量差异具有统计学意义(P<0.05)。结论AAD术后患者进行以互动达标理论为基础的心脏康复方案可以帮助患者提高自我管理能力,做好血压管理,改善心功能,提高患者的生活质量,进而推动康复目标的达成。Objective To explore the effect of cardiac rehabilitation training based on interactive attainment theory in postoperative patients with Stanford type A aortic dissection(AAD).Methods A total of 106 patients with AAD were selected and divided into observation group(53 cases)and control group(53 cases)by ward.The control group received conventional health education and cardiac rehabilitation instruction,and the observation group received training based on the interactive attainment theory of cardiac rehabilitation intervention program.The patients’self-management ability,cardiac function score,blood pressure management efficiency,quality of life and medication compliance were compared at different time periods,respectively.Results In the self-management dimensions of the two groups:there were statistically significant difference in cognitive ability,psychological status,behavioral lifestyle and treatment compliance(P<0.05).In the cardiac function score,the differences in LVEF were statistically significant(P<0.05).In the blood pressure management efficiency analysis of the two groups,the differences were statistically significant at 1 month and 3 months after surgery(P<0.05).In the two groups quality of life assessment,the differences between the two groups were statistically significant(P<0.05)at 3 months and 6 months after surgery.Conclusion The implementation of cardiac rehabilitation training based on the interactive attainment theory for postoperative patients with AAD can help improve patients’self-management ability,enhance cardiac function,contribute to blood pressure management,and improve patients’quality of life,thus promoting the achievement of rehabilitation goals.

关 键 词：互动达标理论 Stanford A型主动脉夹层 心脏康复 生活质量 

分 类 号：R543.1[医药卫生—心血管疾病]