《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2021, Vol. 27 ›› Issue (8): 966-972.doi: 10.3969/j.issn.1006-9771.2021.08.012
Previous Articles Next Articles
CAI Wei1,XING Wen-hua1,LIANG Wen-ping1,ZHAO Lei1,LIU Ping1,TENG Hui1,WANG Guo-dong2()
Received:
2020-06-11
Revised:
2021-05-31
Published:
2021-08-25
Online:
2021-08-25
Contact:
WANG Guo-dong
E-mail:lukewang1972@sina.com
CAI Wei,XING Wen-hua,LIANG Wen-ping,ZHAO Lei,LIU Ping,TENG Hui,WANG Guo-dong. Investigation of Cardiac Rehabilitation Status of Patients after Percutaneous Coronary Intervention in Nanpi, Hebei[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(8): 966-972.
"
项目 | 全部(n = 2135) | 康复组(n = 326) | 非康复组(n = 1809) | t/χ2值 | P值 | |
---|---|---|---|---|---|---|
年龄(岁) | 51.4±5.6 | 48.6±5.6 | 50.2±4.5 | 1.60 | 0.210 | |
性别(n) | 男性 | 1188 | 217 | 971 | 3.08 | 0.080 |
女性 | 947 | 109 | 838 | |||
婚姻状况(n) | 已婚 | 2124 | 321 | 1803 | 1.10 | 0.294 |
未婚 | 11 | 5 | 6 | |||
医保类型(n) | 农村合作医疗 | 1807 | 189 | 1618 | 6.42 | 0.011 |
医保 | 328 | 137 | 191 | |||
教育程度(n) | 小学及以下学历 | 1040 | 67 | 973 | 2.30 | 0.020 |
初中学历 | 621 | 68 | 553 | |||
高中学历 | 270 | 88 | 182 | |||
本科及以上学历 | 204 | 103 | 101 |
"
项目 | 康复组(n = 326) | 非康复组(n = 1809) | t值 | P值 |
---|---|---|---|---|
生理机能 | 56.5±19.5 | 47.7±18.5 | 9.99 | 0.002 |
生理职能 | 54.1±33.9 | 52.3±32.2 | 12.51 | 0.001 |
躯体疼痛 | 61.8±29.7 | 56.8±30.4 | 4.65 | 0.034 |
社会功能 | 50.0±17.7 | 43.5±25.2 | 7.95 | 0.006 |
情感职能 | 67.9±15.8 | 57.7±15.7 | 11.19 | 0.001 |
精神健康 | 48.5±18.0 | 42.2±20.2 | 5.70 | 0.019 |
精力 | 76.5±13.0 | 64.6±15.8 | 22.72 | < 0.001 |
一般健康状况 | 50.0±29.7 | 49.0±33.9 | 4.71 | 0.033 |
健康变化 | 63.2±30.2 | 44.7±5.0 | 27.95 | < 0.001 |
[1] | 中国心血管病报告编写组. 《中国心血管病报告2018》概要[J]. 中国循环杂志, 2019, 34(3):209-220. |
Writing Committee of the Report on Cardiovascular Diseases in China. Summary of the 2018 Report on Cardiovascular Diseases in China[J]. Chin Circul J, 2019, 34(3):209-220. | |
[2] | 胡大一, 王乐民, 丁荣晶. 心脏康复临床操作实用指南[M]. 北京: 北京大学医学出版社, 2017: 5. |
HU D Y, WANG L M, DING R J. Practical Guidelines for the Clinical Practice of Cardiac Rehabilitation [M]. Beijing: Peking University Medical Press, 2017: 5. | |
[3] | URBINATI S, TONET E. Cardiac rehabilitation after STEMI[J]. Minerva Cardioangiol, 2018, 66(4):464-470. |
[4] |
BABU A S, LOPEZ-JIMENEZ F, THOMAS R J; in conjunction with the International Council of Cardiovascular Prevention and Rehabilitation (ICCPR). Advocacy for outpatient cardiac rehabilitation globally[J]. BMC Health Serv Res, 2016, 16:471.
doi: 10.1186/s12913-016-1658-1 |
[5] |
ADES P A, KETEYIAN S J, WRIGHT J S, et al. Increasing cardiac rehabilitation participation from 20% to 70%: a road map from the Million Hearts Cardiac Rehabilitation Collaborative[J]. Mayo Clin Proc, 2017, 92:234-242.
doi: 10.1016/j.mayocp.2016.10.014 |
[6] | 中华人民共和国国家统计局. 中华人民共和国2017年国民经济和社会发展统计公报[J]. 中国统计, 2018(3):7-20. |
National Bureau of Statistics of the People's Republic of China. Statistical bulletin of National Economic and Social Development of the People's Republic of China in 2017 [J]. Chin Stat, 2018(3):7-20. | |
[7] | 王斌, 李毅, 韩雅玲. 稳定性冠心病诊断与治疗指南[J]. 中华心血管病杂志, 2018, 46(9):680-694. |
WANG B, LI Y, HAN Y L. Chin J Cardiol, 2018, 46(9):680-694. | |
[8] |
FREEMAN A M, TAUB P R, LO H C, et al. Intensive cardiac rehabilitation: an underutilized resource[J]. Curr Cardiol Rep, 2019, 21(4):19.
doi: 10.1007/s11886-019-1104-1 |
[9] | 中国康复医学会心血管病专业委员会. 中国心脏康复与二级预防指南(2018)精要[J]. 中华内科杂志, 2018, 57(11):802-810. |
Special Committee of Cardiovascular Disease, Chinese Association of Rehabilitation Medicine. Guidelines for Cardiovascular Rehabilitation and Secondary Prevention in China 2018 simplified edition[J]. Chin J Internal Med, 2018, 57(11):802-810. | |
[10] |
BRIFFA T, KINSMAN L, MAIORANA A, et al. An integrated and coordinated approach to preventing recurrent coronary heart disease events in Australia. Policy statement from the Australian Cardiovascular Health and Rehabilitation Association[J]. Med J Aust, 2009, 190(12):683-686.
doi: 10.5694/mja2.2009.190.issue-12 |
[11] | ANDERSON L, OLDRIDGE N, THOMPSON D R, et al. Exercise-based cardiac rehabilitation for coronary heart disease: cochrane systematic review and meta-analysis[J]. J Am Coll Cardiol, 2016, 67(1):1-12. |
[12] | 卿希亮, 王琴, 张永昌, 等. 心脏康复综合治疗对PCI术后患者临床预后的影响[J]. 临床医学研究与实践, 2017, 2(27):26-27. |
QING X L, WANG Q, ZHANG Y C, et al. Effect of combined cardiac rehabilitation therapy on the prognosis of patients after PCI[J]. Clin Res Prac, 2017, 2(27):26-27. | |
[13] |
WENGER N K. Current status of cardiac rehabilitation[J]. J Am Coll Cardiol, 2008, 51(17):1619-1631.
doi: 10.1016/j.jacc.2008.01.030 |
[14] |
CLARK R A, CONWAY A, POULSEN V, et al. Alternative models of cardiac rehabilitation: a systematic review[J]. Eur J Prev Cardiol, 2015, 22(1):35-74.
doi: 10.1177/2047487313501093 |
[15] | 郭媛, 彭然, 许丹焰, 等. 心脏康复的适宜人群及其获益证据[J]. 中国动脉硬化杂志, 2014, 22(7):752-756. |
GUO Y, PENG R, XU D Y, et al. Cardiac rehabilitation: appropriate candidates and beneficial evidences[J]. Chin J Arterioscl, 2014, 22(7):752-756. | |
[16] |
ALTER D A, YU B, BAJAJ R R, et al. Relationship between cardiac rehabilitation participation and health service expenditures within a universal health care system[J]. Mayo Clin Proc, 2017, 92:500-511.
doi: 10.1016/j.mayocp.2016.12.024 |
[17] |
LEON A S, FRANKLIN B A, COSTA F, et al. Cardiac rehabilitation and secondary prevention of coronary heart disease: an American Heart Association Scientific Statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity), in collaboration with the American Association of Cardiovascular and Pulmonary Rehabilitation[J]. Circulation, 2005, 111(3):369-376.
doi: 10.1161/01.CIR.0000151788.08740.5C |
[18] |
CORRÀ U, PIEPOLI M F, CARRÉ F, et al. Secondary prevention through cardiac rehabilitation: physical activity counselling and exercise training: key components of the position paper from the cardiac rehabilitation section of the European Association of Cardiovascular Prevention and Rehabilitation[J]. Eur Heart J, 2010, 31(16):1967-1974.
doi: 10.1093/eurheartj/ehq236 |
[19] |
FLETCHER G F, ADES P A, KLIGFIELD P, et al. Exercise standards for testing and training: a scientific statement from the American Heart Association[J]. Circulation, 2013, 128(8):873-934.
doi: 10.1161/CIR.0b013e31829b5b44 |
[20] | 胡大一. 积极探索和推动我国心脏康复与二级预防体系的建立[J]. 中华心血管病杂志, 2013, 41(4):265-266. |
HU D Y. Actively exploring and promoting the establishment of cardiac rehabilitation and secondary prevention system in China[J]. Chin J Cardiol, 2013, 41(4):265-266. | |
[21] | 陈纪言, 陈韵岱, 韩雅玲. 经皮冠状动脉介入治疗术后运动康复专家共识[J]. 中国介入心脏病学杂志, 2016, 24(7):361-369. |
CHEN J Y, CHEN Y D, HAN Y L. Chin J Interv Cardiol, 2016, 24(7):361-369. | |
[22] | 中国康复医学会心血管病专业委员会, 中国老年学学会心脑血管病专业委员会. 在心血管科就诊患者的心理处方中国专家共识[J]. 中华心血管病杂志, 2014, 42(1):6-13. |
Special Committee of Cardiovascular Disease of Chinese Association of Rehabilitation Medicine, Professional Committee of Cardiovascular Disease of Gerontological Society of China. Chinese Expert Consensus on Psychological Prescription of Patients in Cardiovascular Department[J]. Chin J Cardiol, 2014, 42(1):6-13. | |
[23] | 中华医学会心血管病学分会预防学组, 中国康复医学会心血管病专业委员会. 冠心病患者运动治疗中国专家共识[J]. 中华心血管病杂志, 2015, 43(7):575-588. |
Prevention Group of Cardiovascular Society of Chinese Medical Association, Professional Committee of Cardiovascular Disease of Chinese Association of Rehabilitation Medicine. Consensus of Chinese Experts on Exercise Therapy of Coronary Heart Disease Patients[J]. Chin J Cardiol, 2015, 43(7):575-588. | |
[24] |
EVANS J A, TURNER S C, BETHELL H J N. Cardiac rehabilitation: are the NSF milestones achievable[J]. Heart, 2002, 87:41.
doi: 10.1136/heart.87.1.41 |
[25] |
REID R D, TULLOCH H, KOCOUREK J, et al. Who will be active? Predicting exercise stage transitions after hospitalization for coronary artery disease[J]. Canadian J Physiol Pharmacol, 2007, 85(1):17-23.
doi: 10.1139/Y07-002 |
[26] |
GOTO Y, JTOH H, ADACHI H, et al. Use of exercise cardiac rehabilitation after acute myocardial infarction[J]. Circ J, 2003, 67:411-415.
doi: 10.1253/circj.67.411 |
[27] | PETERS A E, KEELEY E C. Trends and predictors of participation in cardiac rehabilitation following acute myocardial infarction: data from the behavioral risk factor surveillance system[J]. J Am Heart Assoc, 2017, 7(1):e007664. |
[28] |
URBINATI S, OLIVARI Z, GONZINI L, et al. Secondary prevention after acute myocardial infarction: drug adherence, treatment goals, and predictors of health lifestyle habits. The BLITZ-4 Registry[J]. Eur J Prev Cardiol, 2015, 22(12):1548-1556.
doi: 10.1177/2047487314561876 |
[29] |
HAMILTON S, MILLS B, MCRAE S, et al. Evidence to service gap: cardiac rehabilitation and secondary prevention in rural and remote Western Australia[J]. BMC Health Serv Res, 2018, 18(1):64.
doi: 10.1186/s12913-018-2873-8 |
[30] | 丁荣晶, 胡大一, 中国心脏康复服务发展不均衡,未来心脏康复发展潜力巨大[R/OL]. (2018-03-13)[2018-09-01]. http://www.icirculation.com/article/article_detail.aspx?id=32364. |
DING R J, HU D Y. (2018(2018-03-13)[2018-09-01]. http://www.icirculation.com/article/article_detail.aspx?id=32364. | |
[31] | 中国心血管病研究杂志. 2017年心脏预防康复国际新进展新闻发布会在京召开[J]. 中国心血管病研究杂志, 2017, 15(11):972. |
Chinese Journal of Cardiovascular Research. Chin J Cardiovas Res, 2017, 15(11):972. | |
[32] |
NEUBECK L, FREEDMAN S B, CLARK A M, et al. Participating in cardiac rehabilitation: a systematic review and meta-synjournal of qualitative data[J]. Eur J Prev Cardiol, 2012, 19:494-503.
doi: 10.1177/1741826711409326 |
[33] |
ANGELIS C D, BUNKER S, SCHOO A. Exploring the barriers and enablers to attendance at rural cardiac rehabilitation programs[J]. Aust J Rural Health, 2008, 16:137-142.
doi: 10.1111/j.1440-1584.2008.00963.x |
[34] | 丁荣晶, 高立敏, 诸亮, 等. 三级医院指导下社区主导的家庭自助心脏康复模式的有效性和安全性[J]. 中华心血管病杂志, 2017, 45(3):209-216. |
DING R J, GAO L M, ZHU L, et al. Efficacy and safety of tertiary hospital guided and community-driven family self-help cardiac rehabilitation model[J]. Chin J Cardiol, 2017, 45(3):209-216. | |
[35] |
CHEN Y, WANG C, LAI Y, et al. Home-based cardiac rehabilitation improves quality of life, aerobic capacity, and readmission rates in patients with chronic heart failure[J]. Medicine (Baltimore), 2018, 97(4):e9629.
doi: 10.1097/MD.0000000000009629 |
[36] | ANDERSON L, THOMPSON D R, OLDRIDGE N, et al. Exercise-based cardiac rehabilitation for coronary heart disease [J]. Cochrane Database Syst Rev, 2016(1): CD001800. |
[37] | TAYLOR R S, DALAL H, JOLLY K, et al. Home-based versus centre-based cardiac rehabilitation [J]. Cochrane Database Syst Rev, 2015(8): CD007130. |
[38] |
ZWISLER A D, NORTON R J, DEAN S G, et al. Home-based cardiac rehabilitation for people with heart failure: a systematic review and meta-analysis[J]. Int J Cardiol, 2016, 221:963-969.
doi: 10.1016/j.ijcard.2016.06.207 |
[39] |
CLARK R A, CONWAY A, POULSEN V, et al. Alternative models of cardiac rehabilitation: a systematic review[J]. Eur J Prev Cardiol, 2015, 22(1):35-74.
doi: 10.1177/2047487313501093 |
[40] |
SHANMUGASEGARAM S, OH P, REID R, et al. Cardiac rehabilitation barriers by rurality and socioeconomic status: a cross-sectional study[J]. Int J Equity Health, 2013, 12(1):72.
doi: 10.1186/1475-9276-12-72 |
[41] | ZHANG L, SOBOLEV M, PINA I L, et al. Predictors of cardiac rehabilitation initiation and adherence in a multiracial urban population[J]. Cardiopulm Rehabil Prev, 2017, 37(1):30-38. |
[42] | 陆丕能, 孙宁玲, 陆鋆, 等. 吸烟量与冠心病关系的病例对照研究[J]. 中华流行病学杂志, 2002, 23(4):297-300. |
LU P N, SUN N L, LU Y, et al. Case control study on the association of coronary artery disease and cigarette smoking[J]. Chin J Epidemiol, 2002, 23(4):297-300. | |
[43] |
COOREY G, NEUBECK L, MULLEY J, et al. Effectiveness, acceptability and usefulness of mobile applications for cardiovascular disease self-management: systematic review with meta-synjournal of quantitative and qualitative data[J]. Eur J Prev Cardiol, 2018, 25(5):505-521.
doi: 10.1177/2047487317750913 |
[1] | FANG Xiaoqing, DING Xuemei, WANG Yijie, LI Xinzheng, ZHANG Xiaoli. Psychological characteristics of vocational selection for college students with disabilities [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(10): 1227-1232. |
[2] | LIU Xinrong,XU Guangxu,LI Lin,WANG Yu,LI Xu,ZHAO Ruoxin,LIU Yuanbiao,GU Yuhui,YAO Jie,ZHANG Min,WANG Lijuan. Development of rehabilitation medical resources in Jiangsu during Thirteenth Five-year Plan [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(4): 407-414. |
[3] | ZHANG Pingping,ZHANG Ting,FENG Haiyang,LI Zhenrong,CHEN Ping,LI Tao,LU Dezhi,WANG Xiaowen. Investigation on dysphagia and aspiration among the elderly in nursing home in Weifang, Shandong, China [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(4): 467-472. |
[4] | QIN Ning,SHEN Zhiying,SHI Shuangjiao,LI Xuhong,ZHONG Zhuqing. Cardiac rehabilitation referral service (review) [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(3): 366-372. |
[5] | ZHENG Zhi-chang,YUAN Wei,LIN Wei,LIU Jie,WANG Xiao-rong,YANG Wei,YU Hai-tao,XUE Song,WANG Ya-min,TANG Li,WANG Guo-dong. A Risk Prediction Model for Cardiac Rehabilitation in Patients with Stable Coronary Artery Disease [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(7): 819-828. |
[6] | Wei YUAN,Shan NIE,Nan JIA,Zhi-chang ZHENG,Hao-yan WANG. Effect of Exercise-based Cardiac Rehabilitation on Patients with Acute Coronary Syndrome after Percutaneous Coronary Intervention [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(2): 208-215. |
[7] | ZHOU Jun-gui,ZHOU Min,PANG Fan,LIU Yu,GUO Meng-meng. Survey of Rehabilitation Nursing Management of Neurogenic Bladder and Clinical Application of Intermittent Catheterization in Guangdong, China [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(10): 1233-1240. |
[8] | YU Man-li,JIANG Heng,LI Bin,CHAI Li-li,SHEN Hui,SHI Feng,XIE Dong-feng,LIN Xing-zhong. Application of Tai Ji Quan Exercise in Heart Rehabilitation for Elderly Patients with Heart Failure after Myocardial Infarction [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(8): 969-974. |
[9] | SI Xu-yan, WANG Shi-guang, WANG Peng. Advance in Physiological Ischemic Training in Cardiac Rehabilitation (review) [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(6): 683-686. |
[10] | LI Xin,SUN Jie,WU Liang,LUO Ling-yu,HUANG Li-ping,LIU Jian-hua,ZHANG Yan-ming,QIU Gui-xing,ZHAO Yu. Investigation on Rehabilitation Therapists Practitioners under Medical-Exercise Integration in China [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(4): 487-492. |
[11] | ZHENG Jie-jiao,SHEN Li-yan,DUAN Lin-ru,DONG Xin,QU Bing,GAO Wen,WU Hong. Investigatation of Rehabilitation Human Resources in Shanghai, China [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(12): 1471-1476. |
[12] | ZHANG Sui-hao, LIN Feng, DONG Shao-hong. Advance in High-intensity Interval Training for Acute Myocardial Infarction post Percutaneous Coronary Intervention (review) [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(6): 696-699. |
[13] | WANG Li, FENG Xiang-yan, NIU Qi-xiang, WEI Hua, LI Xiao-juan, WANG Fei-xia, ZHANG Fei, YANG Shu-han, WANG Xiao-yu, XU Rui-xue, FU Qing, LIU Fei, REN Jie, LI Na. Survey of Needs of Rehabilitation and Rehabilitation Technical Support in Rural Areas in Shaanxi, China [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(9): 1095-1098. |
[14] | HUANG Wen-zhu, YAN Wen, WANG Zhi-jun, CUI Shu-yi, MAI Guang-huai, LI Yun-fang, XIE Zhao-dong, LUO Zi-rui. Effect of Work Injuries Rehabilitation Investigate System on Early Intervention of Hand Trauma Rehabilitation [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(10): 1226-1230. |
[15] | LEI Mai, YANG Jian-rong, TAN Wei, HU Cai-you, JIANG Wen-yu, LIN Wei, QIN Li-zhen, YANG Qing-cheng, WU Min. Investigation for Department of Rehabilitation Medicine in Guangxi, China [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2016, 22(9): 1110-1113. |
Viewed | ||||||
Full text |
|
|||||
Abstract |
|
|||||
|