Effects Of Cardiac Rehabilitation On Cardiopulmonary Function And Quality Of Life Of STEMI Patients

Objective:(1)Discuss the effect of in-hospital heart rehabilitation in STEMI patients.(2)To compare the efficacy of centre-based heart rehabilitation and home-based heart rehabilitation,and to explore home-based heart rehabilitation model.Methods:A total of 103 STEMI patients were selected in our hospital,51 cases in the rehabilitation group and 52 cases in the control group.The control group was given standardized drug treatment and routine nursing,and the rehabilitation group was given in-hospital heart rehabilitation within 8 hours after admission.After discharge,25 patients were divided into centre-based heart rehabilitation group and 26 patients were divided into home-based heart rehabilitation group.To analyze the effect of in-hospital heart rehabilitation and to compare the effect of centre-based heart rehabilitation and home-based heart rehabilitation.Results:1.There was no significant difference between the rehabilitation group and the control group in gender,age,history of hypertension,history of diabetes,smoking,family history,coronary lesions(P >0.05).2.There was no significant difference in GAD-7,PHQ-9,PCS,MCS between the rehabilitation group and the control group before rehabilitation(P >0.05).When discharged,there was no significant difference in the VO2 peak,AT between the rehabilitation group and the control group(P >0.05),the GAD-7,PHQ-9 of the rehabilitation group was lower than that of the control group,and the PCS,MCS was higher than that of the control group(P <0.05).After 12 weeks of discharge,the VO2 peak,AT,PCS,MCS of rehabilitation group was higher than that of control group and the GAD-7,PHQ-9 was lower than that of control group(P <0.05).3.There was no significant difference in GAD-7,PHQ-9,PCS,MCS between the home-based heart rehabilitation and the centre-based heart rehabilitation before rehabilitation(P >0.05).When discharged and after 12 weeks of discharge,there was no significant difference in VO2 peak,AT,GAD-7,PHQ-9,PCS,MCS between the home-based heart rehabilitation and the centre-based heart rehabilitation(P >0.05).Conclusion:1.In-hospital and 12 weeks after discharge heart rehabilitation can effectively improve the cardiopulmonary function,psychology and quality of life of STMEI patients.2.Home-based and centre-based forms of cardiac rehabilitation seem to be similarly effective in improving cardiopulmonary function,psychology and quality of life.3.For patients with low-to-moderate risk,home-based heart rehabilitation under remote monitoring can be used as an alternative or continuation programme for centre-based heart rehabilitation.