基于HAPA模型干预在室上性快速心律失常患者康复运动中的应用效果  

Application effect of HAPA model-based intervention in rehabilitation exercise of patients with supraventricular tachyarrhythmia

作　　者：周晓燕 袁刚 祝桂兰 ZHOU Xiao-yan;YUAN Gang;ZHU Gui-lan(Rehabilitation Department,Xinzhou District People's Hospital of Wuhan,Wuhan,Hubei,430400,China)

机构地区：[1]武汉市新洲区人民医院康复科,湖北武汉430400 [2]武汉市新洲区人民医院急诊科,湖北武汉430400 [3]武汉市新洲区人民医院供应室,湖北武汉430400

出　　处：《心血管康复医学杂志》2025年第2期275-280,共6页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:分析健康行动过程取向(HAPA)模型在室上性快速心律失常患者康复运动干预中的应用效果。方法:本研究纳入2019年2月至2023年1月于武汉市新洲区人民医院诊断为室上性快速心律失常的117例患者的临床资料,按照干预方式分为常规组(n=57)与HAPA模型组(n=60),常规组采用常规康复运动,HAPA模型组给予HAPA模型的康复运动,两组均干预6个月。比较两组患者心功能、用药依从性(Morisky服药依从性量表(MMAS-8))、日常生活能力[巴塞尔(Barthel)指数]、生活质量[健康状况调查简表(SF-36)]、干预总有效率、随访6个月期间不良事件发生率。结果:与常规组相比,HAPA模型组左室射血分数(LVEF)[(56.75±1.13)%比(52.65±1.57)%]、Barthel指数[(65.60±9.76)分比(56.37±9.98)分]、MMAS-8评分[(6.73±1.83)分比(4.91±1.33)分]、SF-36总分[(67.50±15.25)分比(55.28±9.05)分]和总有效率(88.33%比71.93%)显著更高(P均<0.01),左室收缩末容积(LVESV)[(54.97±2.60)ml比(64.61±2.50)ml]、左室舒张末容积(LVEDV)[(117.50±4.23)ml比(133.38±4.47)ml]和随访6个月期间不良事件发生率(5.00%比22.81%)显著更低(P均<0.01)。结论:基于HAPA模型的康复运动可有效改善室上性快速心律失常患者心功能、用药依从性、日常生活能力及生活质量,并且具有较高安全性。Objective:To analyze the application value of the Health Action Process Approach(HAPA)model in rehabilitation exercise intervention of patients with supraventricular tachyarrhythmia.Methods:We enrolled clinical data of 117 patients diagnosed as supraventricular tachyarrhythmia in Xinzhou District People's Hospital of Wuhan between February 2019 and January 2023.They were divided into routine group(n=57)and HAPA model group(n=60)according to different intervention method.Participants in routine group received routine rehabilitation exercise,while those in HAPA model group received HAPA model rehabilitation exercise.Both groups were intervened for 6 months.Cardiac function,medication compliance[Morisky medication adherence scale(MMAS-8)],daily living capacity(Barthel index),quality of life[the short-form 36 health survey(SF-36)],total effective rate of intervention,incidence of adverse events within 6-month follow-up were compared between two groups.Results:Compared with patients in routine group,those in HAPA model group had significant higher left ventricular ejection fraction(LVEF)[(56.75±1.13)%vs.(52.65±1.57)%],Barthel index[(65.60±9.76)points vs.(56.37±9.98)points],MMAS-8 score[(6.73±1.83)points vs.(4.91±1.33)points],SF-36 total score[(67.50±15.25)points vs.(55.28±9.05)points]and total effective rate(88.33%vs.71.93%)(P<0.01 all),and significant lower left ventricular end-systolic volume(LVESV)[(54.97±2.60)ml vs.(64.61±2.50)ml],left ventricular end-diastolic volume(LVEDV)[(117.50±4.23)ml vs.(133.38±4.47)ml]and incidence of adverse events within 6-month follow-up(5.00%vs.22.81%)(P<0.01 all).Conclusion:Rehabilitation exercise based on HAPA model could significantly improve cardiac function,medication compliance,daily living capacity and quality of life with good safety in patients with supraventricular tachyarrhythmia.

关 键 词：心动过速 室上性 康复 运动 

分 类 号：R541.71[医药卫生—心血管疾病]