King达标理论下分阶段康复运动对冠心病患者PCI后心功能指标及Tei指数的影响  

Effect of Staged Rehabilitation Exercises Based on King's Goal Attainment Scaling on Cardiac Function Indicators and Tei Index in Patients with Coronary Artery Disease after PCI

作　　者：冯丹丹 李春 耿金[1] FENG Dandan;LI Chun;GENG Jin(Department of Cardiology,the Affiliated Huaian No.1 People's Hospital of Nanjing Medical University,Huaian 223300,China)

机构地区：[1]南京医科大学附属淮安第一人民医院心内一科,江苏省淮安市223300

出　　处：《实用心脑肺血管病杂志》2025年第2期119-123,共5页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：2022年度省老年健康科研项目(LKM2022071)。

摘　　要：目的探讨King达标理论下分阶段康复运动对冠心病患者经皮冠状动脉介入治疗(PCI)后心功能指标及Tei指数的影响。方法选取2024年6—10月南京医科大学附属淮安第一人民医院收治的接受PCI的冠心病患者120例为研究对象。采用随机数字表法将患者分为常规康复组和分阶段康复组,每组60例。常规康复组患者接受常规康复干预,分阶段康复组患者接受King达标理论下分阶段康复运动,两组均连续干预12周。比较两组干预前后心功能指标〔左心室射血分数(LVEF)、心排血量(CO)、心率(HR)、左心室舒张末期容积(LVEDV)、左心室舒张末压(LVEDP)〕、最大摄氧量(VO2max)、Tei指数、生活质量(采用SF-36量表评价)及满意度。结果干预后两组LVEF、CO分别较本组干预前升高,LVEDV分别较本组干预前缩小,LVEDP分别较本组干预前降低(P<0.05)。干预后,分阶段康复组LVEF、CO较常规康复组升高,LVEDV较常规康复组缩小,LVEDP较常规康复组降低(P<0.05)。干预后两组VO2max分别较本组干预前升高,Tei指数分别较本组干预前降低(P<0.05)。干预后,分阶段康复组VO2max较常规康复组升高,Tei指数较常规康复组降低(P<0.05)。干预后,两组身体功能、身体角色限制、一般健康、活力、社会功能、情感角色限制、心理健康维度得分分别高于本组干预前,且分阶段康复组高于常规康复组(P<0.05)。分阶段康复组满意度高于常规康复组(P<0.05)。结论King达标理论下分阶段康复运动可改善冠心病患者PCI后心功能,升高VO2max,降低Tei指数,提高生活质量及满意度。Objective To investigate the effect of staged rehabilitation exercises based on King's goal attainment scaling on cardiac function indicators and Tei index in patients with coronary artery disease after percutaneous coronary intervention(PCI).Methods A total of 120 patients with coronary artery disease who underwent PCI in the Affiliated Huaian No.1 People's Hospital of Nanjing Medical University from June to October 2024 were selected as the research subjects,and divided into the conventional rehabilitation group and staged rehabilitation group using a random number table method,with 60 patients in each group.The conventional rehabilitation group received conventional rehabilitation intervention,and the staged rehabilitation group implemented the staged rehabilitation exercises based on King's goal attainment scaling,with an intervention time of 12 weeks for both groups.The cardiac function indicators[left ventricular ejection fraction(LVEF),cardiac output(CO),heart rate(HR),left ventricular end-diastolic volume(LVEDV),left ventricular end-diastolic pressure(LVEDP)],maximum oxygen consumption(VO2max),Tei index and quality of life(assessed by SF-36 Scale)before and after intervention and degree of satisfaction were compared between the two groups.Results After intervention,the LVEF,CO in the two groups were higher than those before intervention,the LVEDV was smaller than that before intervention,the LVEDP was lower than that before intervention,respectively(P<0.05).After intervention,the LVEF,CO in staged rehabilitation group were higher than those in conventional rehabilitation group,the LVEDV was smaller than that in conventional rehabilitation group,the LVEDP was lower than that in conventional rehabilitation group(P<0.05).After intervention,the VO2max in the two groups was higher than that before intervention,the Tei index was lower than that before intervention,respectively(P<0.05).After intervention,the VO_(2max)in staged rehabilitation group was higher than that in conventional rehabilitation group,the Tei

关 键 词：冠心病 心脏康复 经皮冠状动脉介入治疗 KING达标理论 心功能指标 TEI指数 

分 类 号：R541.4[医药卫生—心血管疾病]