基于健康促进模式的心肺康复对老年冠心病患者心肺功能、感知控制态度及健康行为的影响  

Effects of cardiopulmonary rehabilitation based on health promotion model on cardiopulmonary function,perception control attitude and health behavior in elderly patients with coronary heart disease

作　　者：郝锦锦 赵智琛 任慧丽 李晨曦 Hao Jin-jin;Zhao Zhi-chen;Ren Hui-li;Li Chen-xi(Department of Cardiovascular Medicine,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学附属郑州中心医院心血管内科,河南郑州450000

出　　处：《四川生理科学杂志》2025年第2期237-239,294,共4页

基　　金：河南省医学科技攻关计划项目(编号:LHGJ20191043)。

摘　　要：目的:探讨在老年冠心病患者心肺康复中应用基于健康促进模式,对其心肺功能、感知控制态度及健康行为的影响。方法:选取我科97例老年冠心病患者,纳入时间为2021年8月-2023年8月,按照乱数表法分为对照组48例给予健康教育与康复指导,观察组49例给予基于健康促进模式的心肺康复,对比两组患者心功能[N末端B型利钠肽前体(N-terminal type B natriuretic peptide precursor,NT-proBNP)、超敏心肌肌钙蛋白T(Hypersensitive cardiac troponin T,hs-cTnT)、左心室舒张末期内径(Left ventricular end diastolic dimension,LVEDD)、左室射血分数(Left ventricular ejection fraction,LVEF)]、肺功能[心肺功能试验峰值功率(Peak power,PP)、无氧阈值(Anaerobic threshold,AT)、峰值摄氧量(Peak oxygen intake,peakVO_(2))]、感知控制态度[控制态度量表(Control attitude scale-Revised,CAS-R)]、健康行为[健康促进生活方式评估量表(Health Promotion Lifestyle profile,HPLP)]。结果:干预前,两组NT-proBNP、hs-cTnT、LVEDD、LVEF水平比较无差异(P>0.05);观察组干预8 w后的hs-cTnT、NT-proBNP、LVEDD水平明显较对照组低,LVEF水平较对照组高(P<0.05)。两组干预前PP、peakVO_(2)、AT水平比较无差异(P>0.05);观察组干预8 w后PP、peakVO_(2)、AT水平较对照组高(P<0.05)。两组干预前CAS-R、HPLP评分比较无差异(P>0.05);观察组干预8 w后CAS-R、HPLP评分较对照组高(P<0.05)。结论:在老年冠心病患者中应用基于健康促进模式的心肺康复,能够有效改善其心、肺功能,促进感知控制态度与健康行为的转变。Objective:To explore the effects of health-promoting model on cardiopulmonary function,perception control attitude and health behavior in elderly patients with coronary heart disease.Methods:97 elderly patients with coronary heart disease were selected from our department from August 2021 to August 2023.According to random number table method,they were divided into control group(48 cases)to receive health education and rehabilitation guidance,and observation group(49 cases)to receive cardiopulmonary rehabilitation based on health promotion mode.The cardiac function[N-terminal B-type natriuretic peptide precursor(NT-proBNP),hypersensitive cardiac troponin T(hs-cTnT),left ventricular end-diastolic inner diameter(LVEDD),left ventricular ejection fraction(LVEF)],lung function[cardiopulmonary function test peak power(PP),anaerobic threshold(AT),peak oxygen intake(peakVO_(2))],perceived Controlling Attitude[Controlling Attitude Scale(Control attitude scale-Revised,CAS-R)],Health behavior[Health Promotion Lifestyle Assessment Scale(Health Promotion Lifestyle profile,HPLP)].Results:Before intervention,there were no differences in the levels of NT-proBNP,hs-cTnT,LVEDD and LVEF between the two groups(P>0.05).After 8 weeks of intervention,the levels of hs-cTnT,NT-proBNP and LVEDD in the observation group were significantly lower than those in the control group,and the level of LVEF was higher than that in the control group(P<0.05).There were no differences in PP,peakVO_(2) and AT levels between the two groups before intervention(P>0.05).The levels of PP,peakVO_(2) and AT in the observation group were higher than those in the control group after 8 weeks of intervention(P<0.05).There were no differences in CAS-R and HPLP scores between the two groups before intervention(P>0.05).After 8 weeks of intervention,the CAS-R and HPLP scores of the observation group were higher than those of the control group(P<0.05).Conclusion:The application of cardiopulmonary rehabilitation based on health promotion model in elderly patients with c

关 键 词：冠心病 心肺康复 健康促进模式 老年人 健康行为 感知控制态度 

分 类 号：R541.4[医药卫生—心血管疾病]