《中国康复理论与实践》

《中国康复理论与实践》

• 康复护理 • 上一篇    下一篇

急诊经皮冠状动脉介入术后持续康复运动对患者情绪与生活质量的影响①

尤炎丽，陈士芳，李转珍，王宏运   

  1. 河南科技大学第一附属医院，河南洛阳市471003。
  • 出版日期:2016-11-25 发布日期:2016-12-05

Effects of Continuous Rehabilitation Exercise on Emotion and Quality of Life in Patients after Emergency Percutaneous Coronary Intervention

YOU Yan-li, CHEN Shi-fang, LI Zhuan-zhen, WANG Hong-yun   

  1. Rehabilitation Department of First Affiliated Hospital of Henan University of Science and Technology, Luoyang, Henan 471003, China
  • Published:2016-11-25 Online:2016-12-05

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摘要： 目的观察并探讨急诊经皮冠状动脉介入术(PCI)后持续康复运动对患者精神心理与生活质量的影响。方法2013 年6月~2014 年12 月行急诊PCI 急性心肌梗死患者95 例，随机分为干预组(n=47)和对照组(n=48)。对照组术后予常规药物治疗和康复运动1 周，干预组经运动评估，在对照组基础上予院内增量康复运动并出院后康复运动干预。术后3 个月、6 个月、12 个月采用焦虑自评量表(SAS)、抑郁自评量表(SDS)和世界卫生组织生活质量测定量表简表(WHOQOL-BREF)进行评定，记录随访期间心血管事件发生情况。结果两组术后SAS、SDS评分均显著下降(F>27.394, P<0.001)，干预组SAS、SDS评分均低于对照组(F>2.681, P<0.05)；WHOQOL-BREF生理、心理、社会关系、环境领域评分均显著上升(F>10.394, P<0.001)，干预组生理、心理、社会关系领域评分均高于对照组(F>2.671, P<0.05)，两组环境领域评分无显著性差异(F<0.568, P>0.05)。干预组术后12 个月内心绞痛(12.8%vs. 29.2%)与再梗死(0 vs. 10.4%)发生率低于对照组(P<0.05)。结论PCI 术后给予持续康复运动可改善患者长期心理状态，有助于提高生活质量，减少心血管事件。

关键词: 急性心肌梗死, 经皮冠状动脉介入术, 情绪, 生活质量, 心血管事件

Abstract: Objective To observe the effects of continuous rehabilitation exercise on emotion and quality of life after emergency percutaneous coronary intervention (PCI). Methods From June, 2013 to December, 2014, 95 acute myocardial infarction (AMI) patients underwent emergency PCI were divided into intervention group (n=47) and control group (n=48) randomly. The control group accepted routine medicine and rehabilitation exercise for a week, while the intervention group accepted incremental exercise in hospital and rehabilitation exercise intervention after discharged. They were assessed with Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS) and WHO Quality of Life-BREF (WHOQOL-BREF) 3 months, 6 months, 12 months after PCI, and the cardiovascular events were recorded. Results The scores of SAS and SDS declined in both groups after PCI (F>27.394, P<0.001), and were less in the intervention group than in the control group (F>2.681, P<0.05). Meanwhile, the physiological, psychological, social relations and environmental scores of WHOQOL-BREF increased in both groups (F>10.394, P<0.001), and the physiological, psychological, social relation scores were more in the intervention group than in the control group (F>2.671, P<0.05), but the environmental score was not significantly different (F<0.568, P>0.05). The incidences of angina pectoris (12.8% vs. 29.2%) and re-infarction (0 vs. 10.4%) were less in the intervention group than in the control group within 12 months after PCI (P<0.05). Conclusion Continuous rehabilitation exercise can improve the long-term emotion and quality of life in patients after emergency PCI, and prevent the cardiovascular events.

Key words: acute myocardial infarction, percutaneous coronary intervention, emotion, quality of life, cardiovascular events