Kegel运动训练联合Watson关怀理论对老年CHD患者PCI术后自我效能及康复效果的影响  

Effect of Kegel exercise training combined with Watson's Theory of Human Caring on self-efficacy and rehabilitation effect in elderly CHD patients after PCI

作　　者：肖莉[1] 张羽 XIAO Li;ZHANG Yu(16th Department of Rehabilitation,Changzhou Wujin Traditional Chinese Medicine Hospital,Changzhou,Jiangsu,213161,China)

机构地区：[1]常州市武进中医医院康复十六科,江苏常州213161

出　　处：《心血管康复医学杂志》2025年第1期104-108,共5页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:探讨Kegel运动训练联合Watson关怀理论对老年冠心病(CHD)患者经皮冠状动脉介入(PCI)术后自我效能和康复效果的影响。方法:选择2019年1月-2022年12月常州市武进中医医院收治的110例行PCI治疗的老年冠心病(CHD)患者,根据随机数字表法分为对照组和干预组,各55例。对照组予以常规护理干预,干预组予以Kegel运动训练联合Watson关怀理论干预,两组均干预3个月。对比两组心功能、幸福度、社会支持、抑郁、自我效能、用药依从性及并发症情况。结果:与对照组比较,干预组干预后左室射血分数(LVEF)[(61.34±2.95)%比(53.32±3.18)%]、纽芬兰纪念大学幸福度量表(MUNSH)[(20.35±2.01)分比(14.15±2.09)分]、领悟社会支持量表(PSSS)[(46.09±2.88)分比(37.87±2.72)分]、一般自我效能感量表(GSES)[(32.97±2.77)分比(24.84±3.32)分]、Morisky用药依从性量表(MMAS-8)得分[(6.75±0.73)分比(5.27±0.67)分]均显著升高,左室舒张末内径(LVEDd)[(49.91±2.63)mm比(57.14±3.04)mm]、左室收缩末内径(LVESd)[(26.14±2.76)mm比(33.74±2.88)mm]、抑郁自评量表(SDS)得分[(30.60±3.07)分比(37.69±3.02)分]和并发症总发生率(3.64%比20.00%)显著降低(P均<0.01)。结论:Kegel运动训练联合Watson关怀理论能显著改善老年CHD患者PCI术后心功能、幸福度、社会支持及用药依从性,减轻抑郁症状,增强自我效能,降低并发症发生率。Objective:This study aims to investigate effect of Kegel exercise training combined with Watson's Theory of Human Caring on self-efficacy and rehabilitation effect in elderly patients with coronary heart disease(CHD)after percutaneous coronary intervention(PCI).Methods:This randomized controlled study enrolled 110 elderly CHD patients undergoing PCI in Changzhou Wujin Traditional Chinese Medicine Hospital between January 2019 and December 2022.They were divided into control group(n=55,routine nursing intervention)and intervention group(n=55,Kegel exercise training combined with Watson's Theory of Human Caring intervention),both groups were intervened for 3 months.Cardiac function,degree of happiness,social support,depression,self-efficacy,medication appliance and incidence of complications were compared between two groups.Results:Compared with patients in control group after intervention,those in intervention group had significant higher left ventricular ejection fraction(LVEF)[(61.34±2.95)%vs.(53.32±3.18)%],scores of Memorial University of Newfoundland Scale of Happiness(MUNSH)[(20.35±2.01)points vs.(14.15±2.09)points],Perceived Social Support Scale(PSSS)[(46.09±2.88)points vs.(37.87±2.72)points],General Self-Efficacy Scale(GSES)[(32.97±2.77)points vs.(24.84±3.32)points],Morisky Medication Adherence Scale(MMAS-8)[(6.75±0.73)points vs.(5.27±0.67)points],and significant lower left ventricular end-diastolic diameter(LVEDd)[(49.91±2.63)mm vs.(57.14±3.04)mm],left ventricular end-systolic diameter(LVESd)[(26.14±2.76)mm vs.(33.74±2.88)mm],Self-Rating Depression Scale(SDS)score[(30.60±3.07)points vs.(37.69±3.02)points]and total incidence of complications(3.64%vs.20.00%)(P<0.01 all).Conclusion:Kegel exercise training combined with Watson's Theory of Human Caring could significantly improve cardiac function,degree of happiness,social support and medication compliance,reduce depression symptoms,enhance self-efficacy,and reduce the incidence of complications in elderly CHD patients after PCI.

关 键 词：冠心病 血管成形术 气囊 冠状动脉 运动 康复 

分 类 号：R541.4[医药卫生—心血管疾病]