基于IMB模型的进阶式心脏康复方案在行冠状动脉旁路移植术的冠心病患者中的应用效果OA
Application Effect of Progressive Cardiac Rehabilitation Program Based on IMB Model in Patients with Coronary Heart Disease Undergoing Coronary Artery Bypass Grafting
目的 探讨基于信息-动机-行为技巧(IMB)模型的进阶式心脏康复方案在行冠状动脉旁路移植术(CABG)的冠心病患者中的应用效果.方法 采用便利抽样法前瞻性选取2024年7-12月中国医学科学院阜外医院深圳医院收治的拟行CABG的冠心病患者76例为研究对象.采用随机数字表法将患者按1∶1比例分为试验组与对照组,各38例.对照组患者接受心外科常规康复护理及随访;试验组患者接受基于IMB模型的进阶式心脏康复方案,总随访时间为3个月.比较两组干预前、出院时及出院后3个月中文版心脏康复量表(CRI)各维度得分、6分钟步行距离(6MWD)、5次坐立试验(5TSTS)总耗时.结果 出院时、出院后3个月试验组自主性维度得分高于对照组,过程性焦虑、结果性焦虑维度得分低于对照组(P＜0.05).出院时、出院后3个月试验组6MWD长于对照组(P＜0.05).出院时、出院后3个月试验组5TSTS总耗时短于对照组(P＜0.05).结论 基于IMB模型的进阶式心脏康复方案可有效提升行CABG的冠心病患者的康复意愿,改善运动耐力、下肢肌力与功能协调性.
Objective To explore the application effect of progressive cardiac rehabilitation program based on information-motivation-behavioral skills(IMB)model in patients with coronary heart disease undergoing coronary artery bypass grafting(CABG).Methods A total of 76 coronary heart disease patients who underwent CABG admitted to Fuwai Shenzhen Hospital,Chinese Academy of Medical Sciences from July to December 2024 were prospectively selected by convenience sampling method as the research subjects.The patients were divided into the experimental group and the control group in a 1∶1 ratio by random number table method,with 38 cases in each group.The patients in the control group received routine cardiac rehabilitation nursing and follow-up,while the patients in the experimental group received progressive cardiac rehabilitation program based on IMB model,with a total follow-up time of 3 months.The score for each dimension of Chinese version of Cardiac Rehabilitation Inventory(CRI),6-minute walking distance(6MWD)and total time required for 5-time sit-to-stand test(5TSTS)before intervention,at discharge,and 3 months after discharge were compared between the two groups.Results At discharge and Chinese version of 3 months after discharge,the autonomy dimension score in the experimental group was higher than that in the control group,and the process anxiety dimension score and outcome anxiety dimension score were lower than those in the control group(P<0.05).At discharge and 3 months after discharge,the 6MWD in the experimental group was longer than that in the control group(P<0.05).At discharge and 3 months after discharge,the total time required for 5TSTS in the experimental group was shorter than that in the control group(P<0.05).Conclusion The progressive cardiac rehabilitation program based on IMB model can effectively enhance the rehabilitation willingness of coronary heart disease patients undergoing CABG,improve exercise endurance,lower limb muscle strength,and functional coordination.
夏慧星;彭芳;刘英;张琦;张燕;蔡艳芳
518057 广东省深圳市,中国医学科学院阜外医院深圳医院外科518057 广东省深圳市,中国医学科学院阜外医院深圳医院外科518057 广东省深圳市,中国医学科学院阜外医院深圳医院外科518057 广东省深圳市,中国医学科学院阜外医院深圳医院外科050200 河北省石家庄市,河北中医药大学 河北省中医药康养照护研究重点实验室050200 河北省石家庄市,河北中医药大学 河北省中医药康养照护研究重点实验室
医药卫生
冠心病冠状动脉旁路移植术心脏康复信息-动机-行为技巧模型
Coronary diseaseCoronary artery bypass graftingCardiac rehabilitationInformation-motivation-behavioral skills model
《实用心脑肺血管病杂志》 2026 (6)
111-115,121,6
河北省中医药管理局科研计划项目(2022369)河北省中医药康养照护研究重点实验室2024年度开放课题(KYZH202403)河北省卫生健康委科研基金项目(20221483)河北中医学院2021年教育教学改革研究课题立项项目(21yb-65)
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