摘要
目的探讨康复运动训练联合饮食结构调整在冠心病经皮冠状动脉介入治疗(PCI)术后患者二级防护治疗中的应用效果。方法选取冠心病PCI患者180例,根据随机数字表法分为观察组和对照组各90例。对照组术后行常规护理指导,观察组术后行康复运动训练及饮食结构调整。比较两组干预后疾病康复知识评分、二级预防行为评分、心脏功能改善情况、心脏事件发生率及生活质量。结果观察组干预后疾病康复知识评分、二级预防行为评分均明显高于对照组(P<0.05)。观察组干预1年后不良心脏事件发生率、再入院率明显低于对照组(P<0.05)。观察组干预后6min步行实验(6MWT)、左心室射血分数(LVEF)、代谢当量(METs)较对照组明显改善(P<0.05)。观察组干预后躯体活动受限程度、心绞痛发作频率、心绞痛稳定程度、疾病主观感受及治疗满意度方面评分均明显高于对照组(P<0.05)。结论康复运动训练联合饮食结构调整能有效提高冠心病PCI患者疾病知识及二级预防行为,降低患者术后不良心脏事件发生率,改善患者心功能,提高患者生活质量。
Objective To investigate the application of rehabilitation exercise training combined with dietary adjustment in secondary protection of patients with coronary artery disease treated by percutaneous coronary intervention(PCI). Methods A total of 180 patients with coronary heart disease with PCI were selected and divided into observation group and control group with 90 patients in each group according to the random number table method.The control group was received with conventional nursing guidance.The observation group was received with rehabilitation exercise training and diet adjustment.The disease rehabilitation knowledge score, secondary prevention behavior score, improvement of heart function, incidence of cardiac events and quality of life of two groups were compared. Results The scores of knowledge of disease rehabilitation and secondary prevention in the observation group were statistically higher than those of the control group(P<0.05). The incidence of adverse cardiac events and the readmission rate in the observation group after 1 year of intervention were significantly lower than those in the control group(P<0.05).6 minutes walking experiment (6MWT), left ventricular ejection fraction (LVEF) and metabolic equivalent (METs) were significantly improved in the observation group compared with the control group(P<0.05). After intervention, the scores of physical activity limitation, angina attack frequency, angina stability, subjective feeling of disease and treatment satisfaction in the observation group were significantly higher than those in the control group(P<0.05). Conclusions Rehabilitation exercise training combined with dietary adjustment can effectively improve the disease knowledge and secondary prevention of patients with coronary artery disease, reduce the incidence of adverse cardiac events, improve the cardiac function and improve the quality of life of patients.
作者
齐艳梅
孙琳
师玉霞
Qi Yanmei;Sun Lin;Shi Yuxia(Department of Cardiovascular Medicine, Henan Provincial Chest Hospital, Zhengzhou 450003 , China)
出处
《国际护理学杂志》
2019年第9期1180-1184,共5页
international journal of nursing
关键词
康复运动训练
饮食结构调整
冠心病
经皮冠状动脉介入
二级防护
Rehabilitation exercise training
Dietary adjustment
Coronary heart disease
Percutaneous coronary intervention
Secondary protection
