主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2020, Vol. 20 ›› Issue (3): 393-398.doi: 10.3969/j.issn.1672-1756.2020.03.016

• 论 著 • 上一篇    下一篇

配偶参与的心脏康复锻炼对经皮冠状动脉介入治疗术后患者及配偶的干预效果

马丽丽 孙素萍 延雪晴 张亚文 梁冰珂 王姗 沈雅琳 贾闪闪 李转珍   

  1. 河南科技大学护理学院,471000 河南省洛阳市(马丽丽,孙素萍,延雪晴,张亚文,梁冰珂,王姗,沈雅琳,贾闪闪,李转珍);河南科技大学第一附属医院(李转珍)
  • 出版日期:2020-03-15 发布日期:2020-03-15
  • 通讯作者: 李转珍,本科,主任护师,教研室主任,E-mail:535714099@qq.com
  • 作者简介:马丽丽,硕士,讲师
  • 基金资助:
    2018年河南科技大学SRTP项目(2018340);洛阳市医疗卫生科技计划项目(1724001A-7)

Effects of cardiac rehabilitation with the participation of spouses on the patients undergoing PCI and their spouses

MA Lili, SUN Suping, YAN Xueqing, ZHANG Yawen, LIANG Bingke, WANG Shan, SHEN Yalin, JIA Shanshan, LI Zhuanzhen   

  1. School of Nursing?, Henan University of Science and Technology, Luoyang, 471000, China
  • Online:2020-03-15 Published:2020-03-15
  • Contact: E-mail:535714099@qq.com

摘要: 目的:分析配偶参与的康复运动对经皮冠状动脉介入治疗患者及其配偶的干预效果。方法:选取洛阳市某三级甲等医院心内科收住的经皮冠状动脉介入治疗患者及其配偶共71对,按照不同病区将其分为实验组35对、对照组36对,对照组采用传统的健康教育及康复指导,实验组采用配偶参与的健康教育及康复运动,干预时间为3个月,干预前后分别对患者和配偶的总胆固醇、体力活动水平和生活质量进行比较。结果:干预前两组患者及配偶的总胆固醇值均无统计学差异,干预后实验组患者及配偶的总胆固醇值均低于对照组且差异有统计学意义(P<0.05),干预前两组患者及配偶的体力活动水平无统计学差异,干预后实验组患者及配偶的中、高水平体力活动者构成比高于对照组,差异具有统计学意义(P<0.05)。干预前两组患者生活质量各维度得分均无统计学差异,干预后实验组患者在躯体受限程度、心绞痛发作频率、满意程度及疾病认识程度4个维度得分均高于对照组且差异有统计学意义(P<0.05)。结论:配偶参与的康复运动方案能够明显降低患者及其配偶的总胆固醇水平,提高其体力活动水平及生活质量。

关键词: 心脏康复;经皮冠状动脉介入治疗;体力活动;生活质量

Abstract: Objective: To investigate the effect of cardiac rehabilitation with spouses’ participation on the patients undergoing PCI and the spouses. Methods: A total of 71 pairs of patients and their spouses admitted to the Department of Cardiology of a Grade A tertiary hospital in Luoyang City were enrolled and randomly divided into two groups, namely 35 pairs in the intervention group and 36 pairs in the control group. The control group was offered traditional health education and rehabilitation guidance, while the patients and spouses in the intervention group received rehabilitation exercise with spouses’ participation. The intervention time was set to three months. Total cholesterol (TC) was measured before and after intervention, and the physical activity level of patients and spouses was evaluated by IPAQ. Besides, the quality of life of patients was evaluated by SAQ and the differences between the two groups were compared. Results: No significant differences were observed in TC, physical activity and life quality between the two groups before intervention. After intervention, TC of patients and spouses in the experimental group was lower than those of the control group with the difference being statistically significant (P<0.05); the constituent ratio of high and medium level physical activity in the experimental group was higher than that of the control group and the difference was statistically significant (P<0.05); the scores of physical restriction, frequency of angina, satisfaction and disease perception in the experimental group were significantly higher than those of the control group (P<0.05). Conclusion: The rehabilitation program with the participation of spouses can significantly reduce TC of patients and their spouses, and improve their physical activity and quality of life.

Key words: cardiac rehabilitation; Percutaneous Coronary Intervention; physical activity; quality of life

中图分类号: 

  • R47