八段锦复合七步法在冠状动脉搭桥术后Ⅰ期心脏康复训练中的应用研究  

Research on application of Baduanjin compound seven-step method in the first stage of cardiac rehabilitation training after coronary artery bypass grafting surgery

作　　者：孙倩宇 刘长红 李明辉 刘鸿 王蔚云 刘玉平 高莹莹 SUN Qian-yu;LIU Chang-hong;LI Ming-hui;LIU Hong;WANG Wei-yun;LIU Yu-ping;GAO Ying-ying(Department of Cardiovascular Surgery,Jiangsu Provincial People’s Hospital/The First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]江苏省人民医院/南京医科大学第一附属医院心脏大血管外科,江苏南京210029

出　　处：《实用医院临床杂志》2024年第6期66-69,共4页Practical Journal of Clinical Medicine

基　　金：国家自然科学基金资助项目(编号:82200340,82000305)。

摘　　要：目的探讨八段锦复合七步法Ⅰ期心脏康复训练对冠状动脉搭桥术(CABG)后患者心肺功能及生活质量的影响。方法选择2022年1月至2023年6月行CABG术后患者86例,采用随机数字表法分为观察组和对照组各43例。两组均给予相同的ICU期间心脏康复训练,对照组同时给予病房七步心脏康复训练,观察组同时给予病房八段锦复合七步法心脏康复训练。出院时,比较两组心肺功能、生活质量、心脏康复训练依从性。结果观察组峰值摄氧量、峰值氧脉搏、峰值功率、无氧阈(AT)功率高于对照组(P<0.05);症状控制、躯体功能、心理社会功能、治疗满意度、不良反应控制、总体生活质量评分均高于对照组(P<0.05);运动依从性(93.02%)、危险因素管理依从性(81.40%)、心理管理依从性(90.70%)高于对照组76.74%、60.47%、74.42%(χ^(2)=4.441、4.568、3.957,P<0.05)。结论八段锦复合七步法能够提高CABG术后患者心脏康复训练依从性,改善心肺功能及生活质量。Objective To investigate the effects of Baduanjin compound seven-step method in the first stage of cardiac rehabilitation training on cardiopulmonary function and quality of life of patients after coronary artery bypass grafting(CABG)surgery.Methods Eighty-six patients who underwent CABG surgery from January 2022 to June 2023 were selected as study objects.The patients were divided into an observation group and a control group by using random number table method,43 in each group.Both groups were given the same cardiac rehabilitation training during ICU.The control group was given seven-step cardiac rehabilitation training in ward.The observation group was given Baduanjin compound seven-step cardiac rehabilitation training in ward.Upon discharge,cardiopulmonary function,quality of life and compliance of cardiac rehabilitation training were compared between the two groups.Results The peak oxygen uptake,peak oxygen pulse,peak power and anaerobic threshold(AT)power in the observation group were higher than those in the control group(P<0.05).The scores of symptom control,physical function,psychosocial function,treatment satisfaction,adverse reaction control and overall quality of life in the observation group were higher than those in the control group(P<0.05).Exercise compliance of the observation group was 93.02%,that was higher than 76.74%of the control group(χ^(2)=4.441,P<0.05).Risk factor management compliance of the observation group was 81.40%,that was higher than 60.47%of the control group(χ^(2)=4.568,P<0.05),Psychological management compliance of the observation group was 90.70%,that were higher than 74.42%of the control group(χ^(2)=3.957,P<0.05).Conclusions The Baduanjin compound seven-step method can improve the compliance of cardiac rehabilitation training of patients after CABG surgery.It also can improve the cardiopulmonary function and quality of life of the patients.

关 键 词：冠状动脉搭桥术 八段锦 Ⅰ期心脏康复训练 心肺功能 生活质量 

分 类 号：R473.6[医药卫生—护理学]