Effects Of The Transitional Care Model On Heart Rehabilitation Of Patients After Percutaneous Coronary Intervention Therapy

Objective To explore the effects of the heart rehabilitation program based on Transitional Care Model(TCM) to the poor diet behavior, quality of life, risk factors of coronary heart diseases, exercise tolerance and negative emotion of patients by percutaneous coronary intervention(PCI).so as to provide the reference basis and implementation plan of developing and improving the heart rehabilitation program.Methods This study used a quasi-experimental study, Between August 2013 and January 2014, One hundred and twenty patients by PCI recruited from the hospital in Changsha city randomly allocated to the intervention group(n=60) and the control group(n=60). All of patients were diagnosed by coronary angiography and accepted PCI therapy. The intervention group accepted heart rehabilitation program based on TCM after PCI, the control group accepted routine nursing intervention. Three questionnaires, including Seattle angina questionnaire(SAQ),self-rating anxiety scale(SAS), self-rating depression scale(SDS), the risk factors of coronary heart diseases, daily food intake,exercise tolerance after 3 months,6 months intervention were used to evaluate the outcomes of the intervention effect. Data were analyzed by the following statistical methods such as the Description Analyze, Independent t-test and the Chi-square Test with SPSS18.0.Result 1 Before intervention, the scores of SAS between intervention and control group were not statistically significant(P>0.05); After 3 months intervention, the scores of SAS in the intervention group were(47.73±5.96), is lower than those of the control group(54.33±7.56), there were significance difference(P<0.05); After 6 months, the scores of SAS in the intervention group were(41.08±10.88), is lower than those of the control group(57.64±10.21), there were significance difference(P<0.05). 2 Before intervention, the score of physical limitation(PL), angina stability(AS), angina frequency, treatment satisfaction(TS) and disease perception(DP) between intervention and control group were not statistically significant(P>0.05); After 3 months intervention, There are significantly differences in the scores of physical limitation(PL),treatment satisfaction(TS) and disease perception(DP) between the two groups(P<0.05); After 6 months intervention, the SAQ dimensions were found significantly different between the 2 groups(P<0.05) except for angina stability(AS).3 Before intervention, the qualified rates of BP, LDL-C, FB, smoking cessation, exercise, BMI and WC between intervention and control group were not statistically significant(P>0.05); After 3 months intervention, the qualified rates of LDL-C, exercise and BMI were significantly higher in the intervention group than in the control group(P<0.05); After 6 months intervention, the qualified rates of BP, LDL-C, smoking cessation, exercise, BMI and WC were significantly higher in the intervention group than in the control group(P<0.05). 4 Before intervention, the rates of adherence to recommendations of daily intake of oil, salt, milk, beans, meat, fish and shrimp, eggs, vegetables, fruits and cereals between intervention and control group were not statistically significant(P>0.05); After 3 months intervention, the rates of adherence to recommendations of daily intake of milk, beans, meat, eggs, vegetables and cereals in the intervention group were significantly higher than those in the control group(P<0.05); After 6 months intervention, the rates of adherence to recommendations of daily intake of oil, salt, milk, beans, meat, fish and shrimp, eggs, vegetables, fruits and cereals in the intervention group were significantly higher than those in the control group(P<0.05). 5 Before intervention, After 3 months intervention, the exercise tolerance in the intervention group were(6.15±1.57), is higher than the control groups(5.44±1.68), there were significance difference(P<0.05); After 6 months intervention, the exercise tolerance in the intervention group were(6.81±1.58), is higher than the control groups(5.49±1.54), there were significance difference(P<0.05); Repeated measures ANOVA revealed significant group main effect and time effect on the exercise tolerance(P<0.05).Conclusions The heart rehabilitation program based on TCM can control the risk factors of coronary heart diseases, change the poor diet behavior, improve the quality of life, increasing exercise tolerance and reduce the negative emotion of patients by PCI.