术前心脏运动康复配合动机访谈对心脏瓣膜病患者的影响  

Effect of Preoperative Cardiac Exercise Rehabilitation Combined with Motivational Interview on Patients with Heart Valve Disease

作　　者：贾群妹 贺春岳 王秋阳 苏丕雄 JIA Qunmei;HE Chunyue;WANG Qiuyang;SU Pixiong(Heart Centre,Beijing Chao-Yang Hospital,Capital Medical University,Beijing 100020,China)

机构地区：[1]首都医科大学附属北京朝阳医院心脏中心,北京市100020

出　　处：《实用心脑肺血管病杂志》2024年第12期40-43,共4页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：2023年北京朝阳医院临床研究创新团队项目(CYDXK202202)。

摘　　要：目的探讨术前心脏运动康复配合动机访谈对心脏瓣膜病患者的影响。方法选取2022年6月—2023年12月在首都医科大学附属北京朝阳医院心脏中心拟行心脏瓣膜手术患者66例为研究对象,采用随机数字表法将其分为常规护理组和观察组,每组33例。常规护理组患者术前接受常规护理干预,观察组患者术前接受心脏运动康复配合动机访谈。比较两组患者干预前、干预后1个月简易疾病感知问卷(BIPQ)评分、6 min步行距离(6MWD)、心功能指标〔左心室射血分数(LVEF)、左心房容积指数(LAVI)、舒张早期二尖瓣血流速度/二尖瓣环运动速度(E/E')比值〕、世界卫生组织生存质量测定量表(WHOQOL-BREF)评分。结果干预后1个月,观察组患者认知表征、情绪表征、疾病了解维度评分及BIPQ总评分高于常规护理组(P<0.05)。干预后1个月,观察组患者6MWD长于常规护理组,LVEF高于常规护理组,LAVI、E/E'比值低于常规护理组(P<0.05)。干预后1个月,观察组患者心理、环境、生理、社会关系维度评分及WHOQOL-BREF总评分高于常规护理组(P<0.05)。结论术前心脏运动康复配合动机访谈能增强心脏瓣膜病患者对疾病的感知能力,提高患者运动耐量、心功能及生活质量。Objective To explore the effect of preoperative cardiac exercise rehabilitation combined with motivational interview on patients with heart valve disease.Methods A total of 66 patients with heart valve disease admitted to Beijing Chao-Yang Hospital,Capital Medical University from June 2022 to December 2023 were selected as the study subjects and were divided into the conventional nursing group and the observation group by random number table method,with 33 patients in each group.The conventional nursing group received preoperative conventional nursing intervention,while the observation group received preoperative cardiac exercise rehabilitation combined with motivational interview.Brief Illness Perception Questionnaire(BIPQ)scores,6-minute walking distance(6MWD),cardiac function indices[left ventricular ejection fraction(LVEF),left atrial volume index(LAVI),early diastolic mitral inflow velocity/mitral annular motion velocity(E/E')ratio],and World Health Organization Quality of Life Brief Scale(WHOQOL-BREF)score before intervention and at one month after intervention were compared between the two groups.Results At one month after intervention,the cognitive representation,emotional representation and disease understanding dimension scores,and total BIPQ scores of the observation group were higher than those of the conventional nursing group(P<0.05).At one month after intervention,the 6MWD of the observation group was longer than that of the conventional nursing group,the LVEF was higher than that in the conventional nursing group,and the LAVI and E/E'were lower than those in the conventional nursing group(P<0.05).At one month after intervention,the psychological,environmental,physiological,and social relationship dimension scores and total WHOQOL-BREF scores of the observation group were higher than those of the conventional nursing group(P<0.05).Conclusion Preoperative cardiac exercise rehabilitation combined with motivational interview can enhance disease perception of patients with heart valve disease,improve e

关 键 词：心脏瓣膜疾病 心脏瓣膜手术 心脏运动康复 动机访谈 

分 类 号：R542.5[医药卫生—心血管疾病]