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 ›› 2021, Vol. 21 ›› Issue (12): 1790-1795.doi: 10.3969/j.issn.1672-1756.2021.12.007

• 论著 • 上一篇    下一篇

Ⅱ期心脏康复对冠心病术后患者的干预效果

李莺 冯雪 杜柳 刘华平   

  1. 北京协和医学院护理学院, 100144 北京市(李莺,刘华平);中国医学科学院阜外医院心脏康复中心(冯雪,杜柳)
  • 出版日期:2021-12-15 发布日期:2021-12-15
  • 通讯作者: 刘华平,博士,教授,E-mail:huapingliu@pumc.edu.cn
  • 作者简介:李莺,博士在读,护师

Effects of phase II cardiac rehabilitation among post-revascularization patients with coronary artery disease

LI Ying, FENG Xue, DU Liu, LIU Huaping   

  1. School of Nursing, Peking Union Medical College, Beijing, 100144, China
  • Online:2021-12-15 Published:2021-12-15
  • Contact: E-mail:huapingliu@pumc.edu.cn

摘要: 目的:评价Ⅱ期心脏康复对冠心病术后患者的干预效果。方法:采用便利抽样法,选取2019年1月—12月就诊于北京市某三级甲等心血管病专科医院心脏康复中心门诊的冠心病术后患者63例作为研究对象,为患者实施Ⅱ期心脏康复,包括每周3次,为期12周,共36次的运动锻炼及每周1次的健康教育;比较Ⅱ期心脏康复前后患者运动能力、焦虑和抑郁的得分情况。结果:63例患者对Ⅱ期心脏康复的依从性较高的占42.9%;Ⅱ期心脏康复后,患者峰值摄氧量和代谢当量(METs)值显著提升(P<0.01);焦虑与抑郁得分明显低于心脏康复前(P<0.01)。结论:冠心病术后患者进行Ⅱ期心脏康复的依从性较低,心脏康复医护人员应重视Ⅱ期心脏康复的依从性问题;Ⅱ期心脏康复对提升冠心病术后患者的运动能力,改善焦虑和抑郁方面有显著效果。

关键词: 冠心病;Ⅱ期心脏康复;运动锻炼;运动能力;焦虑;抑郁;依从性

Abstract: Objective: To evaluate the effects of phase II cardiac rehabilitation among post-revascularization patients with coronary artery disease. Methods: Sixty-three eligible participants were recruited to participate in phase II cardiac rehabilitation program which included exercise sessions and patient education lectures. Exercise sessions were conducted three times a week for 12 weeks, with a total of 36 exercise sessions. Educational lectures were provided once a week for 12 weeks. The exercise capacity, anxiety, and depression of participants were measured before and after phase II cardiac rehabilitation. Results: Patient adherence to phase II cardiac rehabilitation was 42.9%. After the phase II cardiac rehabilitation, the exercise capacity value was significantly higher than that in the baseline (P<0.01). Moreover, the scores of anxiety and depression were significantly lower than those in the baseline (P<0.01). Conclusion: The medical professionals should pay attention to patients' adherence to phase II cardiac rehabilitation, as it is found to be relatively low. Phase II cardiac rehabilitation has a significant and positive impact on exercise capacity, anxiety, and depression among post-revascularization patients with coronary artery disease.

Key words: coronary artery disease; phase II cardiac rehabilitation; exercise; exercise capacity; anxiety; depression; adherence

中图分类号: 

  • R47