【摘要】 目的 :分析经皮冠状动脉介入治疗(PCI)术后运动康复低危患者不同类型体力活动的参与情况,为护士未来对患者进行体力活动的健康教育提供依据。方法 :采用方便抽样法对在北京市某三级甲等医院心血管内科进行PCI术并且长期随访的226名运动康复低危患者,利用自行设计的基本资料调查表和国际体力活动问卷进行调查。结果 :患者参与率由高到低的体力活动类型依次是休闲相关体力活动(84.5%)、家务相关体力活动(47.3%)、工作相关体力活动(43.0%)、交通出行相关体力活动(40.3%)。休闲相关体力活动中,不同性别、体力活动中是否存在不适症状以及不适症状影响体力活动不同程度的患者组间比较差异有统计学意义(P<0.05);家务相关体力活动中,不同性别患者组间比较差异有统计学意义(P<0.05);工作相关体力活动中,不同职业患者组间比较差异有统计学意义(P<0.05);交通出行相关体力活动中,不同性别、年龄、冠心病病程和手术中使用不同动脉的患者组间比较差异有统计学意义(P<0.05)。结论 :PCI术后运动康复低危患者的体力活动参与率较低,护士要重视对患者体力活动的健康教育,提供个性化的、科学的宣教与运动处方,并指导安全监测。更多还原

【Abstract】 Objective: To analyze the participation of different types of physical activities in low-risk patients with exercise rehabilitation after the Percutaneous Coronary Intervention(PCI) and provide evidence for health education. Methods: A total of 226 low-risk patients with exercise rehabilitation after PCI were recruited by using a convenient sampling method and investigated by self-designed general information questionnaire and International Physical Activity Questionnaire. Results: The types of physical activity from high to low participation rate were physical activity in leisure time(84.5%), physical activity in housework(47.3%), physical activity in work(43.0%), and physical activity in transportation(40.3%). Univariate analysis showed that physical activity in leisure time had statistical differences with gender, discomfort symptoms in physical activity, and the extent of discomfort symptoms affecting physical activity(P<0.05). There were statistically significant differences between physical activity in housework and gender(P<0.05). Physical activity in work and occupation were statistically significant(P<0.05). In terms of physical activity in transportation, gender, age, the course of coronary heart disease, and the type of using artery during PCI were all statistically significant(P<0.05). Conclusion: The participation rate of physical activity in low-risk patients with exercise rehabilitation after PCI is low. Nurses should pay attention to the health education of physical activity, provide personalized and scientific education, and guide safety monitoring to patients.更多还原