基于行动研究法的康复运动对中老年心肌梗死PCI术后康复的影响-现代医学

基于行动研究法的康复运动对中老年心肌梗死PCI术后康复的影响

单位：淮南新华医疗集团新华医院心血管内科, 安徽淮南 232052

分类号：R542.22;R49

出版年·卷·期（页码）：2025·53·第一期（94-99）

摘要：

目的: 探究基于行动研究法的康复运动对中老年心肌梗死患者冠状动脉介入治疗(PCI)术后康复的影响。方法: 选取2020年1月至2023年6月我院收治的140例中老年心肌梗死患者，采用信封法分为常规组与研究组。常规组(n=70)采取常规术后康复运动指导，研究组(n=70)采取基于行动研究法的康复运动管理。两组均从患者手术结束连续干预至出院后3个月，采用t检验比较两组心功能、日常生活能力、自我管理能力、生活质量，采用 χ²检验或Fisher确切概率比较两组心脏不良事件发生情况。结果: 干预后，两组心功能指标、康复患者日常生活活动能力量表(ADLS-RN)评分、冠心病自我管理量表评分及简化版健康状况调查表(SF-12)评分均升高，且研究组心功能指标、ADLS-RN评分、冠心病自我管理量表评分及SF-12评分均高于对照组(P＜0.05)；干预期间研究组心脏不良事件总发生率为5.71%(4/70)，低于常规组的17.14%(12/70)(P＜0.05)。结论: 基于行动研究法的康复运动干预有利于改善中老年心肌梗死患者PCI术后心功能状态，同时对提高患者日常生活能力和自我管理能力、提升患者生活质量、降低患者心血管不良事件发生率有积极意义。

Objective: To explore the effect of rehabilitation exercise based on action research method on rehabilitation of middle-aged and elderly patients with myocardial infarction after coronary intervention(PCI). Methods: 140 middle-aged and elderly patients with myocardial infarction admitted to our hospital from January 2020 to June 2023 were separated into routine group(n=70) and study group(n=70) by envelope method. The routine group received postoperative rehabilitation exercise guidance, and rehabilitation exercise management based on action research method was conducted in the study group. Patients in both groups were continuously intervened from the end of surgery to 3 months after discharge. Cardiac function, ability of daily living and self-management, quality of life and incidence of adverse cardiac events were compared between the two groups. Results: After intervention, cardiac function index, rehabilitation activities of daily living scale activities of daily living scale for rehabilitation nursing(ADLS-RN) score, coronary heart disease self-management scale score and Health Status Questionnaire-short form(SF-12) score increased in both groups. The cardiac function index, ADLS-RN score, coronary heart disease self-management scale score and the shorter 12-item version(SF-12) score in the study group were higher(P<0.05). The total incidence of cardiac adverse events in the study group was lower [5.71%(4/70) vs 17.14%(12/70)](P<0.05). Conclusion: Rehabilitation exercise intervention based on action research is conducive to improving the cardiac function status of middle-aged and elderly patients with myocardial infarction after PCI, and has positive significance in improving patients' daily living and self-management ability, and their quality of life, and reducing the incidence of cardiovascular adverse events.

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