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目的：评价康复运动疗法对冠心病经皮冠状动脉腔内成形术(percutaneous transluminal coronary angioplasty,PTCA)成功后患者生活质量的影响,了解其心理、生理、社会适应能力及冠心病防治知识认知等功能预后因素。 方法:随机选择冠心病PTCA成功术后患者109例,有78例接受康复运动疗法为康复治疗组,有31例为常规治疗组。由研究对象本人完成冠心病生活质量量表。按Ⅱ期运动方案制定康复运动疗法运动处方。运动强度用靶心率表示,取最大心率的70％～85％,结合使用疲劳程度指示。运动方式为步行、慢跑、踏车、摇臂运动,运动持续时间30～60 min。康复运动疗法每周3次,12周为1个疗程。 结果:分发量表125份,全部完成有109份,完成率87％。两组在性别、年龄、教育、婚姻、职业间差异无统计学意义(P>0.05),具有均衡性。结果显示两组生活质量总分值差异有显著性(t=2.63,P=0.01),两组冠心病综合防治知识认知得分值差异有非常显著性(t=4.74,P<0.001),均为康复治疗组QOL分值高于常规治疗组。结合其90％可信区间(90％ confidence interval,90％CI)分析显示2组的90％CI未相互重叠。而2组生理状态部分、心理/精神状态部分、社会适应能力与社会关系支持部分得分值差异无统计学意义(分别为t=0.879,P>0.05;t=1.04,P>0.05;t-1.6
Objective: To evaluate the effect of rehabilitation exercise on the quality of life of patients with coronary heart disease (PTC) after successful percutaneous transluminal coronary angioplasty (PTCA), and to understand their psychology, physiology, social adaptability and knowledge of prevention and treatment of coronary heart disease Function prognostic factors. Methods: A total of 109 patients with PTCA were randomly selected. Among them, 78 received rehabilitation exercise therapy and 31 received conventional therapy. By the research object I completed the quality of life of coronary heart disease scale. According to the second phase exercise program to develop rehabilitation exercise therapy exercise prescription. Exercise intensity target heart rate, take the maximum heart rate of 70% to 85%, combined with the use of fatigue indicator. Exercise for walking, jogging, treadmill, rocker arm movement duration 30 ~ 60 min. Rehabilitation exercise therapy 3 times a week, 12 weeks for a course of treatment. Results: 125 copies of the distribution scale, all completed 109, the completion rate of 87%. There was no significant difference in gender, age, education, marriage and occupation between the two groups (P> 0.05). The results showed that there was significant difference between the two groups (t = 2.63, P = 0.01). There was significant difference between the two groups (t = 4.74, P <0.001) All QOL scores of rehabilitation group were higher than those of conventional treatment group. Combined with 90% confidence interval (90% CI) analysis showed that 90% CI of two groups did not overlap each other. There was no significant difference in scores of physiological status, psychology / mental status, social responsiveness and social support between the two groups (t = 0.879, P> 0.05; t = 1.04, P> 1.6