Health Education Based On IMB Combined With Extracorporeal Counterpulsation Therapy For PCI Effects Of Cardiac Rehabilitation In Elderly Patients

Objectives Observation based on IMB health education of PCI postoperative patients treated with external counterpulsation cardiac rehabilitation effect,mainly is the quality of life in patients with PCI postoperative evaluation,6 minutes walk test results,the BNP numerical,heart function grading,anxiety,and effect of the medication adherence,general self-efficacy,provide theoretical basis for the development of cardiac rehabilitation nursing.Methods From October 2018 to September 2019,70 elderly patients admitted to the department of cardiovascular medicine of Qinhuangdao first hospital after percutaneous coronary intervention(PCI)were selected.Using the method of random grouping,70 random Numbers were selected from the table of random Numbers and put into a closed box.The eligible old people were randomly selected one by one without putting back,and those who drew an even number were assigned to the experimental group and those who drew an odd number to the control group,with 35 cases in each group.The control group received routine treatment and care.In the experimental group,on the basis of conventional drug treatment and nursing,patients were given IMB-based health education and extracorporeal counterpulse therapy,60 minutes each time;2 times a day,a total of 36 times,and a course of EECP treatment.Respectively before and after the intervention intervention for patients with questionnaire survey,including Chinese cardiovascular patients life quality evaluation questionnaire(CCQQ),6 minutes walk test(6 MWT),selfevaluation of anxiety scale(SAS),medication adherence scale,general self-efficacy scale(GSES)and cardiac function classification,the BNP test,the ratio of peak area ratio/ecp.SPSS we used to analyze the data.Results 1 Comparison of the 6-minute walking test between the two groups of patients before the intervention of the 6-minute walking test,the difference was not statistically significant(P>0.05).After intervention,the 6-minute walking distance the experimental group was significantly longer than the control group and the difference was statistically significant(P<0.01).2 Comparison of BNP value before intervention in both groups,the difference was not statistically significant(P>0.05).After intervention,the BNP of the experimental group was significantly lower than that of the control group,and the difference was statistically significant(P<0.01).3 Comparison of anxiety before intervention,there no statistically significant difference between the two groups(P>0.05).After intervention,the anxiety score the experimental group was significantly lower than that of the control group,and the difference was statistically significant(P<0.01).4Comparison of medication compliance before intervention,there no statistically significant differences between the two groups(P>0.05).After intervention,the medication compliance score of the experimental group was significantly higher than the control group,and the difference was statistically significant(P<0.01).5 Comparison of quality of life score before intervention,the difference was not statistically significant(P>0.05).After the intervention,the quality of life of the experimental group was significantly higher than the control group,and the difference was statistically significant(P<0.01).6 Comparison of self-management energy efficiency before intervention,there no statistically significant difference between the two groups(P>0.05).After intervention,the self-management energy efficiency score of the experimental group was significantly higher than the control group,and the difference was statistically significant(P<0.01).Conclusions IMB-based health education combined with EECP effectively improved the6-minute walking distance,decreased BNP value,reduced anxiety,improved medication compliance,quality of life and self-management efficacy of patients after PCI.Therefore,the nursing method of health education and extracorporeal counterpulsation therapy based on IMB technique model can effectively help the cardiac rehabilitation of elderly patients after PCI.Figure2;Table20;Reference 180...