Zheng Yan, Guo Jing, Tian Yun, Qin Shuwen, Liu Xiaoling
Author Affiliations: Department of Nursing, The Sixth Hospital of Wuhan, Affiliated Hospital of Jianghan University (Drs Zheng and Liu); and Department of Nursing, The First People's Hospital of Jiangxia District (Dr Guo), Wuhan, China; Department of Nursing, Xiangyang No. 1 People's Hospital Affiliated to Hubei University of Medicine, Xiangyang (Dr Tian); and Department of Nursing, Zhongnan Hospital of Wuhan University, Wuhan (Dr Qin), China.
Comput Inform Nurs. 2024 Dec 1;42(12):898-904. doi: 10.1097/CIN.0000000000001167.
Low adherence to hospital-based cardiac rehabilitation has been observed in patients after percutaneous coronary intervention. The effectiveness of home-based cardiac telerehabilitation in this setting is unclear. This study aimed to investigate the impact of home-based cardiac telerehabilitation on exercise endurance, disease burden status, cardiac function, and quality of life in patients after percutaneous coronary intervention. A total of 106 patients after percutaneous coronary intervention were randomly assigned to either the intervention group (receiving routine rehabilitation care and home-based cardiac telerehabilitation) or the control group (receiving routine care only), with 53 patients in each group. The 6-minute walking test, anerobic threshold, physical component summary score, mental component summary score, V o2max , and left ventricular ejection fraction were measured in both groups before and 3 months after the intervention. Additionally, the Short-Form 12 scale and Family Burden Interview Schedule were used to assess quality of life and disease burden status. The intervention group demonstrated significant improvements in 6-minute walking test, anerobic threshold, V o2max , physical component summary score, mental component summary score, Short-Form 12 scale, and Family Burden Interview Schedule scale scores compared with the control group ( P <0.05). Results suggest that home-based cardiac telerehabilitation may improve exercise endurance and quality of life and reduce disease burden status in patients after percutaneous coronary intervention.
经皮冠状动脉介入治疗后的患者中，已观察到对医院心脏康复的依从性较低。在这种情况下，基于家庭的心脏远程康复的有效性尚不清楚。本研究旨在调查基于家庭的心脏远程康复对经皮冠状动脉介入治疗后患者运动耐力、疾病负担状况、心脏功能和生活质量的影响。共有106例经皮冠状动脉介入治疗后的患者被随机分为干预组（接受常规康复护理和基于家庭的心脏远程康复）或对照组（仅接受常规护理），每组53例。在干预前和干预后3个月，对两组患者进行6分钟步行试验、无氧阈值、身体成分汇总评分、精神成分汇总评分、最大摄氧量和左心室射血分数的测量。此外，使用简短健康调查12项量表和家庭负担访谈问卷来评估生活质量和疾病负担状况。与对照组相比，干预组在6分钟步行试验、无氧阈值、最大摄氧量、身体成分汇总评分、精神成分汇总评分、简短健康调查12项量表和家庭负担访谈问卷量表评分方面有显著改善（P<0.05）。结果表明，基于家庭的心脏远程康复可能改善经皮冠状动脉介入治疗后患者的运动耐力和生活质量，并减轻疾病负担状况。
