Effect of psycho-cardiology model combined with phased rehabilitation exercise on psychological state and quality of life of patients with coronary heart disease after PCI
10.3969/j.issn.1008-0074.2025.03.27
- VernacularTitle:双心医学模式联合阶段性康复运动对冠心病PCI术后患者心理状态和生活质量的影响
- Author:
Xiao-pai ZHAO
1
;
Guan-yu LI
1
;
Ying YANG
1
;
Hui PENG
1
Author Information
1. 首都医科大学附属北京安贞医院双心医学中心,北京市 100029
- Publication Type:Journal Article
- Keywords:
Coronary disease;
Angioplasty,balloon,coronary;
Psychotherapy;
Exercise therapy
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2025;34(3):430-435
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect and safety profile of psycho-cardiology model combined with phased re-habilitation exercise on psychological state,cardiac function,sleep quality,cognitive function and quality of life of patients with coronary heart disease(CHD)after percutaneous coronary intervention(PCI).Methods:This ran-domized controlled study enrolled 150 CHD patients with anxiety and sleep disorder who underwent PCI in the Psy-cho-cardiology Medical Center of Beijing Anzhen Hospital,Capital Medical University between January 2023 and April 2023.Patients were randomly divided into control group(n=75)and intervention group(n=75).Patients in the control group received routine management mode intervention after PCI,comparing to those in the intervention group receiving psycho-cardiology model combined with phased rehabilitation exercise intervention after PCI.Both groups were intervened for 2 months and followed up for 6 months.Mental state,heart function,sleep quality,cog-nitive function,quality of life and incidence of adverse events were compared between two groups.Results:Com-pared to those in control group,patients in intervention group had significant lower scores of generalized anxiety dis-order-7(GAD-7)[(5.16±1.19)points vs.(7.53±1.68)points],patient health questionaire-9(PHQ-9)[(7.63±1.03)points vs.(10.41±1.54)points],Athens insomnia scale(AIS)[(3.69±1.35)points vs.(6.43±2.11)points]and left ventricular end diastolic diameter(LVEDd)[(44.50±2.86)mm vs.(54.11±3.46)mm](P＜0.001 all),and significant higher left ventricular ejection fraction(LVEF)[(60.06±3.05)％vs.(53.90±3.05)％],scores of Seattle angina questionnaire(SAQ)[(83.31±6.59)points vs.(52.75±5.66)points]and mini-mental state examination(MMSE)[(26.44±4.68)points vs.(23.23±4.01)points](P＜0.001 all).We detec-ted significant lower incidence of adverse events in intervention group compared to control group(4.29％vs.16.44％,P=0.018).Conclusion:Psycho-cardiology model combined with phased rehabilitation exercise may im-prove psychological state,heart function,sleep quality,cognitive function and quality of life in CHD patients with anxiety and sleep disorder after PCI with considerable safety.
