Effect of comprehensive exercise program led by cardiovascular nurses on rehabilitation of patients with coronary heart disease and type 2 diabetes mellitus
10.3969/j.issn.1008-0074.2025.02.27
- VernacularTitle:基于心血管专科护士为主导的综合性运动方案对冠心病合并2型糖尿病患者康复的影响
- Author:
Yan ZHENG
1
;
Xing MIAO
;
Jie SUN
Author Information
1. 福州大学附属省立医院心内科,福建 福州 350001
- Publication Type:Journal Article
- Keywords:
Coronary disease;
Diabetes mellitus,type 2;
Rehabilitation
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2025;34(2):271-275
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of comprehensive exercise program led by specialized nurses in patients with coronary heart disease(CHD)and type 2 diabetes mellitus(T2DM).Methods:We enrolled 386 CHD+T2DM patients admitted in Provincial Hospital Affiliated to Fuzhou University between April and December 2022.The patients were divided into control group(n=193)and intervention group(n=193)according to the order of their admission.The patients in control group received routine treatment and follow-up,while those in the in-tervention group received additional individualized exercise rehabilitation program led by specialized nurses.Both groups were intervened for 24 weeks.Levels of blood glucose[fasting blood glucose(FBG),glycosylated hemoglo-bin A1c(HbA1c)],blood lipids[low density lipoprotein cholesterol(LDL-C),total cholesterol(TC)],left ven-tricular ejection fraction(LVEF)and 6min walking distance(6MWD)were compared between two groups at dis-charge and six months after discharge.Results:Compared with patients in control group after 6-month interven-tion,those in intervention group had significant lower FBG[(5.30±0.97)mmol/L vs.(5.52±1.04)mmol/L],HbA1c[(5.60±0.65)％vs.(5.78±0.95)％],LDL-C[(1.88±0.52)mmol/L vs.(2.01±0.48)mmol/L],TC[(3.85±0.82)mmol/L vs.(4.04±0.75)mmol/L],and significant higher LVEF[(59.67±4.84)％ vs.(57.22±6.45)％]and 6MWD[(504.66±75.21)m vs.(487.75±56.16)m](P＜0.05 or＜0.01).Conclusion:Special-ized nurse-led exercise rehabilitation program could effectively control blood glucose and lipid levels,improve heart function,exercise endurance and prognosis in patients with type 2 diabetes mellitus and coronary heart disease.
