摘要目的 探讨个体化心脏康复教育模式对经皮冠状动脉介入治疗(PCI)术后患者心脏康复知识水平及实施心脏康复运动的影响.方法 选取96例PCI术后患者按出院顺序随机分为干预组49例和对照组47例,干预组实施心脏康复门诊护士主导的为期12周的个体化心脏康复教育模式,对照组实施常规随访指导.在2组干预前后,应用Gabriela等的冠状动脉疾病知识量表(CADE-Q II)评价心脏康复知识水平的变化,以心率腕带手机APP或手机微信运动APP评价心脏康复运动依从性,使用6 min步行试验评价心脏康复运动效果.结果 干预组干预前后冠状动脉疾病知识总得分增幅为(10.04 ± 2.75)分,对照组冠状动脉疾病知识总得分增幅为(5.57 ± 2.65)分,差异有统计雪意义(t=2.879,P＜0.05).干预过程中干预组和对照组心率带手机APP显示日常康复有氧运动靶心率达标率分别为88%(15/17)、53%(9/17),差异有统计雪意义(t=5.100,P＜0.05);干预组和对照组手机微信运动APP显示日常康复运动达标率分别为82%(23/28)、48%(13/17),差异有统计雪意义(t=7.025,P＜0.01).干预组和对照组干预后6 min步行距离增幅分别为(48.77 ± 26.67)、(16.77 ± 43.65)m,差异有统计雪意义(t=3.534,P＜0.01).结论 心脏康复教育模式提升了PCI术后患者心脏康复知识水平、有氧运动耐量及心脏康复运动依从性,促进了PCI术后患者心脏康复.

abstractsObjective To explore the efficacy of an individualized cardiac rehabilitation education model on the knowledge level of cardiac rehabilitation and cardiac rehabilitation exercise for patients after percutaneous coronary intervention (PCI). Methods This study adopted the method of quasi-experimental research, 96 patients after PCI were randomly divided into the intervention group (49 cases), and the control group (47 cases) according to the discharge order. The intervention group received the individualized education model of cardiac rehabilitation for 12 weeks led by the cardiac rehabilitation outpatient nurse, and the control group received the routine follow-up guidance. Before and after the intervention of the two groups, the changes of cardiac rehabilitation knowledge were evaluated according to The Coronary Artery Disease Education Questionnaire- II(CADE- Q II), the compliance of cardiac rehabilitation exercise were evaluated according to heart rate band mobile APP or mobile WeChat exercise APP, the effects of cardiac rehabilitation exercise were adjusted according to a 6-minute walking test. Results The increase scores of CADE-Q II in the intervention group after the intervention were higher than that in the control group:(10.04±2.75) points vs (5.57 ± 2.65) points, and the difference was significant (t=2.079, P<0.05).The exercise compliance of daily aerobic exercise target rate indicated on the App of mobile phones in the intervention group were higher than that in the control group:88%(15/17) vs 53% (7/17), and the difference was significant (t=5.100, P <0. 05). The exercise compliance of daily exercises indicating on the Wechat application in the intervention group were higher than that in the control group:82% (23/28) vs 48% (13/27), and the difference was significant (t=7.025, P <0.01).6MWD in the intervention group was higher than that in the control group:(48.77±26.67)mvs(16.77±43.65)m, and the difference was significant (t=3.534, P<0.01). Conclusion This cardiac rehabilitation education model can improve the knowledge level and compliance of cardiac rehabilitation exercise, and promote the cardiac rehabilitation of patients after PCI.