Effects of cardiac rehabilitation exercise combined with seated defecation bowel training on early cardi-ac function and gastrointestinal function in AMI patients after PCI
10.3969/j.issn.1008-0074.2024.06.04
- VernacularTitle:心脏康复运动联合坐位排便肠道训练对PCI术后AMI患者早期心脏功能及胃肠道功能的影响
- Author:
Wei-jia ZHONG
1
;
Lin BAI
;
Xiao-qing LIU
;
Meng-meng LI
;
Zi-qi WU
Author Information
1. 哈尔滨医科大学附属第一医院心内科,黑龙江哈尔滨 150001
- Publication Type:Journal Article
- Keywords:
Myocardial infarction;
Angioplasty,balloon,coronary;
Rehabilitation;
Toilet Training
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2024;33(6):669-673
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effects of cardiac rehabilitation exercise combined with seated defecation bowel training on early cardiac function and gastrointestinal function in patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods:A total of 120 AMI patients undergoing PCI in First Affiliated Hospital of Harbin Medical University between February 2020 and February 2022 were selected,di-vided into control group(n=60,cardiac rehabilitation exercise)and intervention group(n=60,cardiac rehabilita-tion exercise combined with seated defecation bowel training)by random number table method.Cardiac function,self-management ability,satisfaction and defecation-related indexes were compared between two groups.Results:Compared with patients in control group,those in intervention group had significant higher left ventricular ejection fraction(LVEF)[(51.45±2.82)％vs.(55.13±2.32)％],scores of Coronary Self-Management Scale(CSMS)[(105.33±5.10)points vs.(109.44±8.44)points]and Newcastle Satisfaction with Nursing Scales(NSNS)[(82.36±7.01)points vs.(87.24±7.82)points],and significant lower left ventricular end-diastolic diameter(LVEDd)[(52.69±4.69)mm vs.(46.81±3.81)mm](P＜0.01 all).Patients in intervention group had signifi-cant lower first defecation time[(2.30±0.54)d vs.(2.59±0.56)d],defecation duration[(4.15±0.86)min vs.(7.03±2.01)min],Borg score of defecation strenuous degree[(8.87±1.99)points vs.(9.88±1.39)points]and incidence of constipation on 1 month after PCI(3.70％vs.15.52％),and significant higher post-defecation com-fort score[(8.24±1.59)points vs.(7.14±1.39)points]compared with those in control group(P＜0.05 or＜0.01).Conclusion:Cardiac rehabilitation exercise combined with seated defecation bowel training can significantly improve cardiac function,self-management ability and defecation function in AMI patients undergoing PCI,which is worth clinical promotion.
