Influence of exercise rehabilitation based on psycho-cardiology medical model on patients with coro-nary heart disease after PCI
10.3969/j.issn.1008-0074.2024.01.05
- VernacularTitle:基于双心医学模式的运动康复对冠心病患者PCI术后的影响
- Author:
He-Lin ZHANG
1
,
2
;
Yi-Chun ZHANG
;
Chong-Huai GU
;
Zhi-Xiang PENG
Author Information
1. 安庆市立医院心内科,安徽 安庆 246000
2. 安徽医科大学第五临床医学院
- Keywords:
Coronary disease;
Exercise therapy;
Rehabilitation
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2024;33(1):20-25
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study influence of exercise rehabilitation based on psycho-cardiology medical model on pa-tients with coronary heart disease(CHD)after percutaneous coronary intervention(PCI).Methods:A total of 164 CHD patients undergoing PCI in our hospital were randomly and equally divided into routine nursing group and exer-cise rehabilitation group(received exercise rehabilitation based on psycho-cardiology medical model based on rou-tine nursing group).Both groups were intervened for six months.General clinical data,score of somatic symptoms scale(SSS),cardiac function indexes:LVEF and LVEDV,6min walking distance(6MWD)and score of 36-item short-form heath survey(SF-36)were compared between two groups.Results:During follow-up,there were three cases lost in routine nursing group,and two cases lost and four cases stopped follow-up in exercise rehabilita-tion group.Compared with routine nursing group,six months after intervention,there were significant reductions in SSS score[(33.97±5.76)scores vs.(25.76±4.79)scores]and LVEDV[(125.33±16.14)ml vs.(119.53± 16.82)ml],and significant rise in LVEF[(56.28±4.46)％vs.(59.28±4.90)％],6MWD[(410.42±20.08)m vs.(439.69±20.66)m],scores of physical functioning[(19.20±4.22)scores vs.(23.76±3.98)scores],bodily pain[(7.42±1.99)scores vs.(8.84±1.94)scores],general health[(16.42±4.73)scores vs.(19.09±4.37)scores],vitality[16.0(7.0)scores vs.19.0(6.8)scores],role-emotional[(4.86±1.10)scores vs.(5.18± 0.86)scores],mental health[20.0(5.0)scores vs.24.0(8.8)scores]of SF-36 in exercise rehabilitation group(P＜0.05 or＜0.01).Conclusion:Exercise rehabilitation based on psycho-cardiology medical model can signifi-cantly improve cardiac function and psychological status,and improve quality of life in patients with coronary heart disease after PCI.
