基于互动达标理论的心脏康复训练在冠心病介入治疗术后患者中的应用

doi:10.3761/j.issn.1672-9234.2022.02.012

摘要/Abstract

摘要：

目的探究基于互动达标理论的心脏康复训练在经皮冠状动脉介入治疗术后患者中的应用效果。方法选取经皮冠状动脉介入治疗术后患者71例,按照病区分为试验组（36例）和对照组（35例）。对照组接受常规健康教育和心脏康复指导,试验组采用基于互动达标理论的心脏康复训练。分别对两组干预前、干预1个月后、干预3个月后患者心脏康复知识掌握度、有氧运动耐力、自我管理能力、生活质量进行评价及比较。结果重复测量方差分析显示,两组干预前、干预1个月后、干预3个月后,自我管理能力得分、心脏康复知识得分、有氧运动耐力、生活质量得分时间与组间均存在交互效应（均P<0.05）。简单效应分析显示,干预1个月、3个月后试验组各项指标评价效果均优于对照组（均P<0.05）。结论对经皮冠状动脉介入治疗术后患者实施基于互动达标理论的心脏康复训练,有助于提高患者自我管理能力,增加其心脏康复知识,提高其有氧运动耐力和生活质量,促进康复目标的实现。

关键词: 冠心病, 康复护理, 经皮腔内冠状动脉成形术, 互动达标理论

Abstract:

Objective To explore the effects of a cardiac rehabilitation training based on interactive theory of goal attainment in patients after percutaneous coronary intervention（PCI）. Methods A total of 71 patients treated with percutaneous coronary intervention were selected and divided into the interventional group（36 cases） and the control group（35 cases） according their ward number. Patients in the control group received routine health educa-tion and cardiac rehabilitation exercise instruction. Patients in the interventional group received cardiac rehabi-litation training based on interactive theory of goal attainment. Patients’ cardiac rehabilitation knowledge,aerobic exercise endurance,self-management ability and quality of life before intervention,1 month after intervention and 3 months after intervention,were evaluated between the two groups. Results Repeated measure variance analysis showed that before intervention,1 month after intervention and 3 months after intervention,the self-management ability score,cardiac rehabilitation knowledge score,aerobic exercise endurance score and quality of life score had interaction effects between group and time（all P<0.05）. Simple effect analysis showed that the all outcomes in the experimental group were better than those in the control group after 1 month and 3 months of intervention（all P<0.05）. Conclusion Cardiac rehabilitation training based on the interactive theory of goal attainment can increase the knowledge of cardiac rehabilitation,improve the aerobic exercise endurance,improve the ability of self-management,improve the quality of life and promote the realization of rehabilitation goals of patients after PCI.

Key words: Coronary Disease, Rehabilitation Nursing, Percutaneous Transluminal Coronary Angioplasty, Interactive theory of goal attainment

张静雅, 李少玲, 曹丽华, 卢晓虹, 魏丽丽, 崔岩. 基于互动达标理论的心脏康复训练在冠心病介入治疗术后患者中的应用[J]. 中华护理教育, 2022, 19(2): 160-165.

ZHANG Jing-ya, LI Shao-ling, CAO Li-hua, LU Xiao-hong, WEI Li-li, CUI Yan. Application of a cardiac rehabilitation training based on interactive theory of goal attainment in patients after percutaneous coronary intervention[J]. Chinese Journal of Nursing Education, 2022, 19(2): 160-165.

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