蚌埠医学院学报2024年2月第49卷第2期269[文章编号]1000鄄2200(2024)02鄄0269鄄04·护理学·自制步行训练康复包在冠心病病人PCI术后社区心脏康复中的应用张摇云,侯钦午,王亚南,何秀秀(上海市浦东新区北蔡社区卫生服务中心,201204)[摘要]目的:探讨运用自制6min步行训练康复包对冠心病经皮冠状动脉介入治疗(PCI)后病人在社区进行心脏康复中的应用效果。方法:80例冠心病PCI术后6个月至3年内的病人随机分为对照组和观察组,各40例。对照组给予常规的PCI术后护理指导和社区常规随访,观察组在对照组常规指导的基础上,提供6min步行训练康复包指导病人居家运动康复训练。追踪随访1年,比较2组病人在6min步行距离(6MWT)及生活质量方面的情况。结果:干预1年后,观察组6MWT距离高于对照组(P<0.01),观察组与对照组生理领域、心理领域、社会领域评分比较差异有统计学意义(P<0.01),环境领域得分差异无统计学意义(P>0.05)。结论:运用自制步行训练康复包对于冠心病行PCI术后6个月至3年内稳定期病人指导居家康复运动,可明显增加病人的6MWT,提高运动耐量,改善病人的生活质量。[关键词]冠心病;社区心脏康复;居家康复运动;步行训练康复包;经皮冠状动脉介入治疗[中图法分类号]R541.4;R49摇摇摇[文献标志码]A摇摇摇DOI:10.13898/j.cnki.issn.1000鄄2200.2024.02.028Applicationofself鄄madewalkingtrainingrehabilitationpackageincommunitycardiacrehabilitationofpatientswithcoronaryheartdiseaseafterPCItreatmentZHANGYun,HOUQinwu,WANGYanan,HEXiuxiu(BeicaiCommunityHealthServiceCenter,PudongNewArea,Shanghai201204,China)[Abstract]Objective:Toexploretheapplicationeffectofself鄄made"6鄄minutewalkingtrainingrehabilitationpackage"inthecommunitycardiacrehabilitationonpatientsundergoingcoronaryheartdiseaseafterpercutaneouscoronaryintervention(PCI).Methods:Eightypatientswithcoronaryheartdiseaseat6monthsto3yearsafterPCIwererandomlydividedintoacontrolgroupandanobservationgroup,with40casesineachgroup.Thecontrolgroupreceivedroutinepost鄄interventionalnursingguidanceandcommunityconventionalfollow鄄up,whiletheobservationgroupwasadditionallyprovidedwitha"6鄄minutewalktrainingrehabilitationpackage"onthebasisoftheroutineguidancetoguidepatientsinhome鄄basedexerciseforrehabilitationtraining.The6鄄minutewalkingtest(6MWT)andlivingqualityofthetwogroupswerecomparedafterafollow鄄upsurveylastedforoneyear.Results:Afteroneyearofintervention,the6MWTdistanceintheobservationgroupwaslongerthanthatinthecontrolgroup(P<0.01).Therewasstatisticallysignificantdifferencesinthescoresofthephysiological,psychological,andsocialfieldsbetweentheobservationgroupandthecontrolgroup(P<0.01),whiletherewasnostatisticallysignificantdifferencein