| ObjectiveThe study analyzed the effect of Home-based Cardiac Rehabilitation Program Based on Hospital in Patients with Acute Myocardial Infarction after PCI,the risk factors for cardiovascular disease,general self-efficacy,PHQ-9 and GAD-7 scores,smoking cessation,compliance with cardiac rehabilitation,and 6-minute walking distance,Self-fatigue score(Borg scale score)after 6-minute walking experiment,cardiopulmonary function level,incidence of reinfarction and cardiovascular complicationsin.MethodsThis study used convenience sampling to select 220 patients with initial acute myocardial infarction who underwent PCI in cardiovascular medicine in a tertiary hospital from May 2017 to May 2018.The random number table method was used to study Patients were divided into an observation group(n = 110)and a control group(n = 110).Patients in the control group were given routine out-of-hospital guidance,and theobservation group was given a home-based cardiac rehabilitation program based on the control group.The specific contents include: the rehabilitation team customizes individualized home rehabilitation programs for patients on the basis of comprehensive and comprehensive evaluation of patients;and carries out patient home health education in multiple ways and ways.The patient,s regular outpatient rehabilitation and follow-up visits are based on the scientific and regular exercise of the home rehabilitation program,diet management,weight management,sleep and psychology adjustment,medication as prescribed by the doctor,quitting smoking and alcohol.The intervention time is from PCI to 1 year after operation.The level of control of cardiovascular risk factors before discharge,6 months after surgery,and 1year after surgery was compared between the two groups of patients,6-minute walking test distance,and 6-minute walking test self-fatigue score(Borg score).Compare the general self-efficacy scores,PHQ-9 and GAD-7 scores,smoking cessation status,compliance of cardiac rehabilitation,cardiopulmonary function,reinfarction and the incidence of cardiovascular system complications before discharge and 1 year of intervention between the two groups Happening.Results1.There was no statistically significant difference in the comparison of all disease-related risk factor indicators between the observation group and the control groupbefore intervention(P>0.05).After 6 months and 1 year of intervention,the fasting blood glucose and systolic blood pressure of the experimental group patients,Diastolic blood pressure,total cholesterol,low-density lipoprotein,high-density lipoprotein,and body mass index control level were better than those in the control group,the difference was statistically significant(P<0.05);2.The general self-efficacy score(32.08±6.32)of the patients in the observation group for one year of intervention was higher than that of the control group(26.06±7.36),the difference was statistically significant(P<0.05),and the scores of the two groups of patients before the intervention were not Statistical difference(P> 0.05);3.The PHQ-9 score(4.89±1.46)and GAD-7 score(4.12±1.46)of the patients in the observation group for 1 year of intervention were higher than those of the control group(9.36±4.8)and GAD-7 score(9.36±4.8).Decreased,the difference was statistically significant(P<0.05),and the scores of the two groups of patients before the intervention were not statistically different(P>0.05);4.The quit rate(100%)of the patients in the observation group after 1 year was higher than that in the control group(36.4%),the difference was statistically significant(P<0.05),and the proportion of smoking patients in the two groups of patients before the intervention was not statistically significant Difference(P>0.05);5.The rehabilitation compliance of the patients in the observation group within 1 year(86.25%)was significantly higher than that in the control group(59.77%),the difference was statistically significant(P<0.001);6.There was no statistically significant difference between the patients in the observation group and the control group in the 6-minute walking distance before intervention(P>0.05).The patients in the observation group intervened for 6 months,and the 6-minute walking distance(347.66±5.78 meters)was far greater than that in the control group Distance(275.13±3.47 meters),the difference was statistically significant(P<0.05);the intervention distance of 6 minutes(432.60±95.00 meters)was significantly higher than that of the control group patients(360.15±120.15)after the intervention for 1 year,the difference is statistically significant(P<0.05);the 1-year walking distance between the experimental group and the control group is higher than the 6-month intervention,the difference is statistically significant(P<0.05);The distance of walking experiment between month and one year of intervention was higher than before intervention,the difference was statistically significant(P<0.05);7.Patients in theobservation group and the control group intervened for 6 months,and their Borg score(9.33±2.64)after the 6-minute walking experiment was lower than that in the control group(11.28±2.84),the difference was statistically significant(P<0.05);After 1year of intervention,the Borg score(3.14±1.05)of the 6-minute walking experiment was significantly lighter in the group than in the control group(7.39±1.84),the difference was statistically significant(P<0.001);the intervention for 6 months and intervention 1 The Borg scores of the two groups of patients after the walking experiment were lower than those before the intervention,and the difference was statistically significant(P<0.05);the Borg scores of the patients in the observation group and the control group after the intervention for 1 year were 6 minutes after the intervention.Monthly decrease,the difference was statistically significant(P<0.05);however,the Borg score of the observation group and the control group after the 6-minute walk test exercise before intervention was not statistically different(P>0.05);8.The carbon dioxide ventilation equivalent and the left ventricular end-diastolic diameter of the experimental group were reduced compared with the control group after 1year of intervention.The difference was statistically significant(P<0.05);peak oxygen uptake,anaerobic threshold,kg oxygen uptake,MET Both the value and the left ventricular ejection fraction were higher than the control group,the difference was statistically significant(P<0.05),and there was no statistical difference between the two groups of patients before intervention(P>0.05);9.The total incidence of recurrent acute myocardial infarction and other cardiovascular system complications(7.69%)in the observation group was significantly lower than that in the control group(32.00%)within 1 year of intervention.The difference was statistically significant(P<0.05).ConclusionThe home-based cardiac rehabilitation program relying on the hospital has played a positive role in controlling cardiovascular risk factors,improving cardiac function,patient self-efficacy,psychological flexibility,rehabilitation compliance,and increasing the distance of 6-minute walking experiments in patients with acute myocardial infarction after PCI.Effectively reduce the number of smoking patients,reduce the degree of self-feeling fatigue after 6-minute walking experiment,the incidence of re-infarction and cardiac complications,and provide a very good cardiac rehabilitation management for patients with acute myocardial infarction after PCI after discharge from hospital Good guidance. |
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