Application of out-of-hospital cardiac rehabilitation in coronary disease patients after PCI
10.3760/cma.j.issn.1674-2907.2020.07.004
- VernacularTitle:院外心脏康复在冠心病PCI术后患者中的应用
- Author:
Chunhong GAO
1
;
Jinfeng WU
;
Xiaolin HU
;
Jingyuan WANG
;
Yulu ZHANG
;
Wenjie DU
Author Information
1. 江苏省人民医院(南京医科大学第一附属医院)老年医学科,南京 210029
- Keywords:
Anxiety;
Coronary disease;
Cardiac rehabilitation;
Angina pectoris;
Percutaneous coronary intervention
- From:
Chinese Journal of Modern Nursing
2020;26(7):858-862
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of out-of-hospital cardiac rehabilitation in coronary disease patients after percutaneous coronary intervention (PCI) .Methods:From January 2017 to March 2018, this study selected 70 coronary disease patients with PCI in Department of Geriatric Medicine at Jiangsu Province Hospital as subjects by convenience sampling. Those 70 patients were randomly divided into control group and experimental group, 35 cases in each group. Two groups all carried out routine treatment and nursing in hospital. Control group implemented outpatient follow-up after discharge; experimental group adopted out-of-hospital cardiac rehabilitation. The follow-up for patients of two groups lasted one year. This study compared the scores of Seattle Angina Questionnaire (SAQ) , Self-rating Anxiety Scale (SAS) and risk factors of patients between two groups.Results:The scores of SAS of experimental group were lower than those of control group 3, 6, 12 months after discharge with statistical differences ( P<0.05) . The dimension scores of SAQ of patients between two groups 3, 6, 12 months after discharge were higher than those of admission; the scores of SAQ of experimental group were higher than those of control group in the same period with statistical differences ( P<0.05) . A total of 12 months after discharge, the body mass index (BMI) of patients in experimental group was higher than that in control group; the blood glucose and fat were lower than those in control group; the patients with smoking was less than that in control group with statistical differences ( P<0.05) . Conclusions:Out-of-hospital cardiac rehabilitation nursing can relieve the anxiety of coronary disease patients with PCI and control or reduce the risk factors so as to improve the disease condition which is a method suitable for long-term management of PCI patients.