基于威廉姆斯生活技能训练的心脏康复运动对急性心肌梗死PCI术后患者双心健康及身体活动指数的影响  

Effects of cardiac rehabilitation exercise based on Williams life skills training on cardio-psychological health and physical activity index in patients with acute myocardial infarction after PCI

作　　者：白杨 沈慧 丁晓娟 BAI Yang;SHEN Hui;DING Xiao-juan(Department of Cardiology,Huai'an Second People's Hospital,Huai'an,Jiangsu,223001,China)

机构地区：[1]淮安市第二人民医院心内科,江苏淮安223001

出　　处：《心血管康复医学杂志》2024年第4期386-391,共6页Chinese Journal of Cardiovascular Rehabilitation Medicine

基　　金：江苏省卫生健康委2019年度医学科研立项项目(H2019030)。

摘　　要：目的:探究基于威廉姆斯生活技能训练的心脏康复运动对急性心肌梗死(AMI)经皮冠状动脉介入术(PCI)后患者双心健康及身体活动指数的效果。方法:选择2019年8月~2021年7月在我院接受PCI治疗的326例AMI患者,采用随机数字表法分为对照组和实验组各163例。对照组进行常规心脏康复,实验组进行基于威廉姆斯生活技能训练的心脏康复,均干预6个月。对比两组干预前后左室射血分数(LVEF)、脑钠肽(BNP)水平、左心室舒张末内径(LVEDd)、6min步行距离(6MWD)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分及身体活动指数。结果:与对照组比较,干预6个月后,实验组LVEF[(43.94±6.64)%比(48.77±7.29)%]、6MWD[(373.66±49.64)m比(455.91±48.18)m]及中等强度体力活动人数比例(32.5%比45.4%)均显著提高(P<0.05或<0.01),BNP[(42.64±9.08)pg/ml比(38.53±8.55)pg/ml]、SAS评分[(47.45±4.48)分比(42.40±4.79)分]、SDS评分[(48.47±4.93)分比(43.90±4.71)分]及低强度体力活动人数比例(55.2%比36.8%)显著降低(P均<0.001)。结论:基于威廉姆斯生活技能训练的心脏康复运动可显著提高急性心肌梗死患者PCI后的心功能和体力活动水平,改善抑郁焦虑状态。Objective:To explore the effect of cardiac rehabilitation exercise based on Williams life skills training(WLST)on cardio-psychological health and physical activity index in patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods:A total of 326 AMI patients undergoing PCI in our hospital from August 2019 to July 2021 were selected.They were divided into control group(n=163)and experiment group(n=163)using random number table method.The control group received conventional cardiac rehabilitation,while the experiment group received cardiac rehabilitation based on WLST.Both groups were intervened for six months.Left ventricular ejection fraction(LVEF),brain natriuretic peptide(BNP)level,left ventricular end-diastolic diameter(LVEDd),6min walking distance(6MWD),scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)and physical activity index were compared between two groups before and after intervention.Results:Compared with the control group,after 6-month intervention,there were significant rise in LVEF[(43.94±6.64)%vs.(48.77±7.29)%],6MWD[(373.66±49.64)m vs.(455.91±48.18)m]and proportion of people taking moderate intensity physical activity(32.5%vs.45.4%)(P<0.05 or<0.01),and significant reductions in BNP level[(42.64±9.08)pg/ml vs.(38.53±8.55)pg/ml],scores of SAS[(47.45±4.48)points vs.(42.40±4.79)points]and SDS[(48.47±4.93)points vs.(43.90±4.71)points],and proportion of people taking low intensity physical activity(55.2%vs.36.8%)in experiment group(P<0.001 all).Conclusion:Cardiac rehabilitation exercise based on Williams life skills training can significantly improve cardiac function and physical activity level,relieve depression and anxiety in patients with acute myocardial infarction after PCI.

关 键 词：心肌梗死 血管成形术 气囊 冠状动脉 康复 

分 类 号：R542.220.9[医药卫生—心血管疾病]