Survey Of Exercise Cognition And Its Intervention Among Coronary Heart Disease Patients With Newly Diagnosed Diabetes

Objective: To investigate the cognitive status of the coronary heart disease(CHD)in-patients with newly diagnosed diabetes on exercise;to improve the cognitive level of these in-patients in exercise by health education and exercise intervention;and to explore the effects of exercise intervention on the correlated clinical indexes,the quality of life and the compliance of these in-patients.Methods: The study on the exercise cognitive status and exercise intervention for the patients with coronary heart disease(CHD)in the early diagnosis of diabetes was conducted by using the methods of convenience sampling and random grouping.In this study,118 patients who were eligible for inclusion criteria were selected from the department of cardiology of a large size Tertiary comprehensive hospital in Luoyang,Henan province.For the patients in the control group,health education was carried out;on the other hand,both health education and exercise intervention were administered for the patients in the intervention group.The investigation was performed using general questionnaire,exercise cognition questionnaire and the evaluation scale of quality of life(Short Form-36,SF-36)as tools.The differences between the patients in the two groups in exercise cognition,correlated clinical indexes,quality of life and the exercise compliance were compared.Data were input and analyzed using IBM SPSS Statistics 21.0 package.The statistical description of the counting data was compared with chi squre test;The measured data of the quality of life score are expressed in terms of the mean number of X±s;The measurement data of normal distribution and variance are tested by t-test,t' test was used for variance analysis.There was a statistical difference when P<0.05.Results:1.In 118 patients with coronary heart disease combined with the newly diagnosed diabetes mellitus,the intervention group was 59 and 5 people lost to follow-up.The effective follow-up rate of 54 persons was 91.52%,the control group was 59 and,5 people lost to follow-up,one of them was died accidently.The effective followup people was 54 and the effective follow-up rate was 91.52%.There was no statistically significant difference(P>0.05)between the two groups in age,sex,working status,educational level,whether there was a spouse,medical payment method,interventional operation,the age of coronary heart disease,glycosylated hemoglobin,fasting blood sugar,HDL,LDL,BMI and LVEF.2.The survey showed that the control group,41 people(75.92%),and 43(79.63%)people in the intervention group recognized the importance of movement.The intervention group significantly improved the importance of horizontal exercise(79.63% vs 100%),the understanding of exercise prescription(0 vs 85.19%),the necessity of the movement of diabetes mellitus patients(85.19% vs 94.44%),the self-detection(31.48% vs 75.93%),the benefits of exercise(48.15% vs 81.48%)and the identification of dangerous symptoms(48.15% vs 75.93%).Nurses can improve the level of part of the patients ' cognition(P<0.05)through health education and exercise intervention during hospitalization,and there is no statistically significant improvement(P>0.05)in the cognition of the necessity of movement of patients with coronary heart disease.3.Exercise intervention can have a positive impact on clinical indicators of patients.(1)The comparison between the and the control group revealed fasting blood sugar was not controlled,but increased(t=3.311,P=0.002);(2)the related indexes were covariance before intervention,the correlation index was independent variable,the group was the dependent variable,and the covariance analysis of continuous variables was found that the intervention group had significantly lower fasting blood glucose,LDL,BMI,LVEF,HDL significantly increased the rate of glycosylated hemoglobin increased significantly.The difference is statistically significant(P<0.05).4.Exercise intervention can improve the quality of life of patients with scores of dimensions.There was a statistically significant increase(P<0.05)in overall health and mental health scores in the control group.The physiological function,physiological function,physical pain,overall health,vigor,social function,emotional function and mental health of the intervention group were all improved in 8 dimensions,and the difference was statistically significant(P<0.05).Covariance analysis shows that compared with the control group,exercise intervention can improve the physiological function,physiological function,physical pain,overall health,social function,emotional function,mental health of 7 dimensions,the difference is statistically significant(P<0.05);the improvement of the quality of life of the intervention group is not different from that in the control group(P>0.05).5.In the intervention group,the target rate of exercise(62.67±6.45)%was higher than that in the control group(16.10±12.30)%,and the difference was statistically significant(P<0.05).Conclusion:1.Because of the hospitalization of coronary heart disease,patients with diabetes mellitus were found to have low level of motor cognition,and health education and exercise intervention during the hospitalization could improve the cognitive level of the exercise.2.Exercise intervention can improve the patients' fasting blood sugar,HDL,LDL,glycosylated hemoglobin,body mass index,ejection fraction and other indicators,do not increase the incidence of angina pectoris.3.Exercise intervention can improve the quality of life and exercise compliance in patients who are hospitalized with coronary heart disease and who find diabetes during hospitalization.