基于King达标理论的心肺康复训练对高血压合并冠心病患者心肺适能及血压的影响  

Effects of Cardiopulmonary Rehabilitation Training Based on King Goal Attainment Theory on Cardiopulmonary Fitness in Patients with Hypertension and Coronary Heart Disease

作　　者：张妍 沈慧 庞贺心 张云晴 宋长平[1] ZHANG Yan;SHEN Hui;PANG Hexin;ZHANG Yunqing;SONG Changping(School of Nursing,Beihua University,Jilin 132013,China;Xianyang First People’s Hospital of Shanxi,Xianyang 712000,China)

机构地区：[1]北华大学护理学院,吉林吉林132013 [2]陕西省咸阳市第一人民医院,陕西咸阳712000

出　　处：《北华大学学报（自然科学版）》2024年第4期511-515,共5页Journal of Beihua University（Natural Science）

摘　　要：目的 探讨基于King达标理论的心肺康复训练对高血压合并冠心病患者心肺适能及血压的影响。方法 采用随机数字表法将84例高血压合并冠心病患者分为对照组(n=42)和试验组(n=42)。对照组采用常规康复治疗,试验组在常规康复治疗基础上加入心肺康复训练,两组均持续12周。干预后,比较两组干预前后心功能(LVEF、FS、BNP、VO2max、AT、METS)、肺功能(FVC、FEV1/FVC)、血压及运动自我效能的变化。结果 与干预前比较,干预12周后,两组LVEF、FS、VO2max、AT、METS、FVC、FEV1/FVC水平及运动自我效能感得分较干预前升高,且试验组升高幅度均大于对照组(均P<0.001);两组血浆BNP、收缩压、舒张压水平均降低,且试验组降低幅度大于对照组(均P<0.05)。结论 基于King达标理论的心肺康复训练能够显著提高高血压合并冠心病患者的心肺功能,降低患者血压,增强机体运动功能,促进心血管疾病康复。Objective To observe the effects of cardiopulmonary rehabilitation training based on King goal attain-ment theory on cardiopulmonary fitness and blood pressure in patients with hypertension and coronary heart disease.Method A total of 84 patients with hypertension and coronary heart disease were divided into control group(n=42)and experimental group(n=42).The control group received conventional rehabilitation treatment,and the experimental group received cardiopulmonary rehabilitation training on the basis of conventional rehabilitation treatment,both groups lasted for 12 weeks.The changes of cardiopulmonary function(LVEF,FS,BNP,VO 2 max,AT,METS),lung function(FVC,FEV 1/FVC),blood pressure and exercise self-efficacy were compared between two groups before and after intervention.Results Compared with before intervention,the levels of LVEF,FS,VO 2 max,AT,METS,FVC,FEV 1/FVC and the scores of exercise self-efficacy in two groups after 12 weeks interv-ention were higher than those before treatment,and the increasing amplitude in the experimental group was greater than that in the control group(all P<0.001).The levels of plasma BNP,systolic blood pressure and diastolic blood pressure in two groups decreased,and the reduction range of experimental group was greater than that of control group(all P<0.05).Conclusion Cardiopulmonary rehabilitation training based on King goal attainment theory can significantly improve the cardiopulmonary function of patients with hypertension combined with coronary heart disease,reduce blood pressure,enhance the body’s exercise function,promote the rehabilitation of cardiovascular diseases,and maintain cardiovascular health.

关 键 词：KING达标理论 高血压 冠心病 心肺康复训练 

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