Impact of Triangle hierarchical management on cardiopulmonary function,self-efficacy and quality of life in patients with acute non-ST-segment elevation myocardial infarction after PCI
10.3969/j.issn.1008-0074.2024.04.22
- VernacularTitle:Triangle分层分级管理对急性非ST段抬高型心肌梗死患者PCI术后心肺功能、自我效能及生活质量的影响
- Author:
Ming-Zhu HU
1
;
Di YANG
;
Gan-Lin DA
Author Information
1. 宣城市中心医院心内科,安徽宣城 242000
- Keywords:
Myocardial infarction;
Rehabilitation;
Quality of life
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2024;33(4):485-489
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical effect of Triangle hierarchical management in patients with acute non-ST-segment elevation myocardial infarction(NSTEMI)after percutaneous coronary intervention(PCI).Methods:A total of 107 NSTEMI patients who underwent PCI in our hospital from Jan 2019 to Dec 2022 were selected.Ac-cording to the random number table method,patients were divided into control group(n=53)and observation group(n=54).Patients in the control group received routine rehabilitation training,while observation group re-ceived Triangle hierarchical management based on control group,both groups were intervened for 6 months.Car-diopulmonary function indexes,scores of myocardial infarction dimensional assessment scale(MIDAS)and general self-efficacy scale(GSES)before and after intervention,and incidence of adverse events during follow-up were compared between two groups.Results:During study period,two cases were lost in the control group and one case withdrew in the observation group,with 51 and 53 cases finally enrolled in each group,respectively.Compared with the control group after intervention,there were significant rise in forced expiratory volume in one second(FEV1)[(2.98±0.27)L vs.(3.30±0.35)L],FEV1/forced vital capacity(FVC)[(72.65±4.31)％vs.(77.06±3.95)％]and GSES score[(18.53±2.63)points vs.(26.89±3.19)points],and significant reduction in MIDAS total score[(65.53±4.86)points vs.(56.26±4.38)points]in observation group(P＜0.001 all).There was no significant difference in the incidence rate of adverse events between control group and observation group during fol-low-up(13.73％vs.7.55％,P=0.306).Conclusion:Triangle hierarchical management may significantly improve lung function,self-efficacy and quality of life with high safety in patients with acute non-ST-segment elevation myocardial infarction after PCI,suggesting that it worths promoting in clinical practice.
