| 李小芬,丁 玲,潘光美,刘 祺.King达标理论下分阶段康复运动对冠心病PCI术后Tei指数、有氧运动能力的影响[J].中国康复医学杂志,2023,(8):1096~1101 |
| King达标理论下分阶段康复运动对冠心病PCI术后Tei指数、有氧运动能力的影响 点此下载全文 |
| 李小芬 丁 玲 潘光美 刘 祺 |
| 上海交通大学医学院苏州九龙医院心内科，苏州市，215028 |
| 基金项目：国家卫计委-公益性行业科研专项-多中心项目（2015020009） |
| DOI：10.3969/j.issn.1001-1242.2023.08.012 |
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| 摘要： |
| 摘要
目的：探讨King达标理论下分阶段康复运动对冠心病经皮冠状动脉介入（PCI）术后结合性心肌性能（Tei）指数、有氧运动能力的影响。
方法：选取2018年4月—2020年4月我院108例PCI术后冠心病患者，按照建档顺序分组，各54例。对照组采取常规康复护理，观察组基于对照组采取King达标理论下分阶段康复运动，时间为12周。统计2组康复运动依从性、有氧运动能力[无氧代谢阈值耗氧量（VO2AT）、峰值耗氧量（VO2peak）]、护理满意度，对比干预前后运动自我效能（ESES）、国际体力活动量表（IPAQ）、心脏功能[左心室射血分数（LVEF）、Tei指数]、生活质量（Mac-New HRQL）。
结果：观察组康复训练依从性高于对照组（P＜0.05）；干预2周、4周及12周后观察组GSES、IPAQ评分高于对照组（P＜0.05）；干预2周、4周及12周后观察组LVEF高于对照组，Tei指数低于对照组（P＜0.05）；干预2周、4周及12周后观察组VO2AT、VO2peak高于对照组（P＜0.05）；干预12周后观察组生活质量Mac-New HRQL评分高于对照组（P＜0.05）；观察组反应性、移情性、可靠性、有形性、保证性评分高于对照组（P＜0.05）。
结论：King达标理论下分阶段康复运动有助于增强PCI术后冠心病患者自我效能感，提高康复运动依从性，定期定量分阶段的康复训练能逐步改善患者心功能，提高有氧运动耐力，对改善生活质量具有重要作用。 |
| 关键词：King达标理论 分阶段康复运动 冠心病 经皮冠状动脉介入术 有氧运动能力 |
| Effects of staged rehabilitation exercise based on King's standard-theory on Tei index and aerobic exercise capacity of coronary heart disease after PCI Download Fulltext |
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| Suzhou Kowloon Hospital， Shanghai Jiaotong University School of Medicine， Suzhou， Jiangsu， 215028 |
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| Abstract: |
| Abstract
Objective： To investigate the effect of staged rehabilitation exercise on combined myocardial performance （Tei） index and aerobic exercise capacity of patients with coronary heart disease after percutaneous coronary intervention（PCI） based on the theory of King's standard-theory.
Method： From April 2018 to April 2020， 108 patients with coronary heart disease after PCI were selected in our hospital， and grouped according to the order of filing， 54 cases in each group. The control group was given routine rehabilitation care，and the observation group was given the staged rehabilitation exercise based on the control group according to the theory of King's standard-theory. The patients were treated for 12 weeks. The compliance of rehabilitation exercise，aerobic exercise capacity [oxygen uptake at anaerobic threshold （VO2AT）， peak oxygen consumption （VO2peak）]， and the degree of nursing satisfaction of the two groups were counted. The exercise self-efficacy （ESES）， International Physical Activity Scale （IPAQ）， cardiac function [left ventricular ejection fraction（LVEF）， Tei index] and quality of life（Mac-New HRQL） were compared before and after the intervention.
Result： The compliance of the observation group was higher than that of the control group （P<0.05）. The GSES and IPAQ scores of the observation group were higher than those of the control group after 2 weeks， 4 weeks or 12 weeks of intervention （P<0.05）. After 2 weeks， 4 weeks or 12 weeks of intervention， the LVEF of the observation group was higher than that of the control group， and the Tei index was lower than that of the control group （P<0.05）. VO2AT and VO2peak of the observation group were higher than those of the control group after 2 weeks， 4 weeks or 12 weeks of intervention （P<0.05）. After 12 weeks of intervention， the Mac-New HRQL score of the observation group was higher than that of the control group （P<0.05）. The reactivity， empathy， reliability， tangibility， and assurance scores of the observation group were higher than those of the control group （P<0.05）.
Conclusion： The staged rehabilitation exercise based on King's standard-theory is helpful in enhancing the self-efficacy of patients with coronary heart disease after PCI and improving the compliance of rehabilitation exercise. Regular and quantitative rehabilitation training in stages can gradually improve the patient's cardiac function and aerobic exercise endurance， and has an important effect on improving the quality of life. |
| Keywords:King's standard-theory staged rehabilitation exercise coronary heart disease percutaneous coronary intervention aerobic exercise capacity |
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