Effects of cardiac rehabilitation exercise based on Williams life skills training on cardio-psychological health and physical activity index in patients with acute myocardial infarction after PCI
10.3969/j.issn.1008-0074.2024.04.02
- VernacularTitle:基于威廉姆斯生活技能训练的心脏康复运动对急性心肌梗死PCI术后患者双心健康及身体活动指数的影响
- Author:
Yang BAI
1
;
Hui SHEN
;
Xiao-Juan DING
Author Information
1. 淮安市第二人民医院心内科,江苏淮安 223001
- Keywords:
Myocardial infarction;
Rehabilitation;
Percutaneous coronary intervention
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2024;33(4):386-391
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of cardiac rehabilitation exercise based on Williams life skills training(WLST)on cardio-psychological health and physical activity index in patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods:A total of 326 AMI patients undergoing PCI in our hospital from August 2019 to July 2021 were selected.They were divided into control group(n=163)and ex-periment group(n=163)using random number table method.The control group received conventional cardiac reha-bilitation,while the experiment group received cardiac rehabilitation based on WLST.Both groups were intervened for six months.Left ventricular ejection fraction(LVEF),brain natriuretic peptide(BNP)level,left ventricular end-diastolic diameter(LVEDd),6min walking distance(6MWD),scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)and physical activity index were compared between two groups before and after intervention.Results:Compared with the control group,after 6-month intervention,there were significant rise in LVEF[(43.94±6.64)％vs.(48.77±7.29)％],6MWD[(373.66±49.64)m vs.(455.91±48.18)m]and pro-portion of people taking moderate intensity physical activity(32.5％vs.45.4％)(P＜0.05 or＜0.01),and signifi-cant reductions in BNP level[(42.64±9.08)pg/ml vs.(38.53±8.55)pg/ml],scores of SAS[(47.45±4.48)points vs.(42.40±4.79)points]and SDS[(48.47±4.93)points vs.(43.90±4.71)points],and proportion of people taking low intensity physical activity(55.2％vs.36.8％)in experiment group(P＜0.001 all).Conclusion:Cardiac rehabilitation exercise based on Williams life skills training can significantly improve cardiac function and physical activity level,relieve depression and anxiety in patients with acute myocardial infarction after PCI.
