TPB引导下的心脏康复训练结合温针灸在冠心病合并心律失常康复中的应用效果  

Effect of TPB Guided Cardiac Rehabilitation Training Combined with Warm Acupuncture and Moxibustion in the Rehabilitation of Coronary Heart Disease with Arrhythmia

作　　者：潘海粟 芦涛 Pan Haisu;Lu Tao(Intravenous Drug Dispensing Center,Nanyang First People’s Hospital,Nanyang,Henan,473000,China)

机构地区：[1]南阳市第一人民医院静脉用药调配中心,河南南阳473000

出　　处：《黑龙江医学》2024年第16期2001-2003,共3页Heilongjiang Medical Journal

基　　金：河南省医学科技攻关项目(LHGJ2021001421)。

摘　　要：目的:观察计划行为理论(TPB)引导下的心脏康复训练结合温针灸对冠心病合并心律失常康复依从性及心功能改善情况的影响。方法:选取2020年5月—2022年1月南阳市第一人民医院收治的126例冠心病合并心律失常患者作为研究对象,以随机数表法分为观察组(63例)和对照组(63例)。对照组按临床常规予以康复训练,观察组予以基于TPB引导下的心脏康复训练结合温针灸,所有患者均开展为期1年随访,比较两组患者的健康认知水平、康复依从性及心功能改善情况。结果:干预后,观察组的疾病相关知识、自我护理行为意识、自我护理行为等维度评分均高于对照组,差异有统计学意义(t=3.225、3.098、3.183,P<0.05);干预后,观察组的康复依从性优良率高于对照组,差异有统计学意义(χ^(2)=10.119,P<0.05)。干预后,观察组的左室射血分数(LVEF)高于对照组,左室舒张末期内径(LVDD)、B型钠尿肽(BNP)均低于对照组,差异有统计学意义(t=3.321、3.821、3.449,P<0.05)。结论:TPB理论能有效改善冠心病合并心律失常患者的健康认知水平及康复依从性,TPB引导下的心脏康复训练结合温针灸能有效促进患者心功能恢复。Objective:To observe the effect of TPB guided cardiac rehabilitation training combined with warm acupuncture and moxibustion on the rehabilitation compliance of coronary heart disease with arrhythmia,and the improvement of cardiac function.Methods:126 patients with coronary heart disease and arrhythmia in the hospital from May 2020 to January 2022 were included.And they were divided into control group and observation group,with 63 cases in each group.The control group was given conventional cardiac rehabilitation training,and the observation group was given TPB guided cardiac rehabilitation training combined with warm acupuncture and moxibustion.All patients were followed up for one year.The health cognition level,rehabilitation compliance,and improvement of cardiac function between the two groups were compared.Results:After intervention,the scores of disease-related knowledge,self-care behavior awareness and self-care behavior in the observation group were higher than those in the control group,with statistically significant difference(t=3.225,3.098,3.183,P<0.05).After intervention,the rehabilitation compliance rate of the observation group was higher than that of the control group,and the difference was statistically significant(χ^(2)=10.119,P<0.05).After intervention,the left ventricular ejection fraction(LVEF)in the observation group was higher than that in the control group,and the left ventricular end-diastolic diameter(LVDD)and B-type natriuretic peptide(BNP)in the observation group were lower than those in the control group,with statistically significant difference(t=3.321,3.821,3.449;P<0.05).Conclusion:TPB theory can effectively improve the health cognition level and rehabilitation compliance of patients with coronary heart disease and arrhythmia.TPB guided cardiac rehabilitation training combined with warm acupuncture and moxibustion can effectively promote the recovery of patients’cardiac function.

关 键 词：冠心病合并心律失常 计划行为理论 心脏康复训练 温针灸 

分 类 号：R49[医药卫生—康复医学]