慢病康復團隊在急性心腦血管疾病穩定期患者中的可行性分析

【摘要】 目的：分析慢病康復團隊在急性心腦血管疾病穩定期患者中的可行性。方法：選取2020年1月—2022年1月佳木斯市中心醫院康復科收治的100例急性心腦血管疾病穩定期患者，根據康復治療的不同將其分成常規組（n=50，采取常規康復治療）和試驗組（n=50，采取慢病康復團隊康復治療）。對比兩組治療依從性、心理狀態、睡眠質量及生活質量。結果：試驗組健康飲食、康復治療、定期復查、遵醫用藥及規律運動評分均較常規組更高（Plt;0.05）。治療后，試驗組漢密爾頓抑郁量表（HAMD）、匹茲堡睡眠質量指數（PSQI）評分均低于常規組（Plt;0.05）。治療后試驗組生理功能、生理職能、軀體疼痛、總體健康、活力、社會功能、情感職能和精神健康評分均高于常規組（Plt;0.05）。結論：相較于常規康復治療，對急性心腦血管疾病穩定期患者給予慢病康復團隊康復治療的效果更優，能夠提高患者睡眠質量及治療依從性，改善生活質量，繼而促進早日康復。

【關鍵詞】 慢病康復團隊 急性心腦血管疾病 生活質量

Feasibility Analysis of Chronic Disease Rehabilitation Team in Patients with Acute Cardiovascular Disease in Stable Phase/HOU Yanyan， WANG Jie， LIU Minghui. //Medical Innovation of China， 2023， 20（31）： -157

[Abstract] Objective： To analyze the feasibility of chronic disease rehabilitation team in patients with acute cardiovascular disease in stable phase. Method： A total of 100 patients with acute cardiovascular disease in stable phase admitted to the Rehabilitation Department of Jiamusi Central Hospital from January 2020 to January 2022 were selected and divided into conventional group （n=50， was treated with conventional rehabilitation therapy） and experimental group （n=50， was treated with chronic disease rehabilitation team rehabilitation therapy） according to different rehabilitation treatments. The therapy adherence， mental status， sleep quality and quality of life were compared between the two groups. Result： The scores of healthy diet， rehabilitation therapy， regular review， compliance with medical drugs and regular exercise in experimental group were higher than those in conventional group （Plt;0.05）. After treatment， the scores of Hamilton depression scale （HAMD） and Pittsburgh sleep quality index （PSQI） in experimental group were lower than those in conventional group （Plt;0.05）. After treatment， the scores of physiological function， role physical， body pain， general health， vitality， social function， role emotional and mental health in experimental groups were higher than those in conventional group （Plt;0.05）. Conclusion： Compared with conventional rehabilitation therapy， chronic disease rehabilitation team rehabilitation therapy for patients with acute cardiovascular disease in stable phase has better effect， which can improve patients' sleep quality and therapy adherence， improve quality of life， and then promote early recovery.

[Key words] Chronic disease rehabilitation team Acute cardiovascular disease Quality of life

First-author's address： Jiamusi Central Hospital， Heilongjiang Province， Jiamusi 154002， China

doi：10.3969/j.issn.1674-4985.2023.31.035

心腦血管疾病發生與患者個體化心理行為、生物因素、遺傳因素等有關，該類疾病復雜且易反復發作，一定程度上對患者日常生活、工作帶來負面影響[1-2]。諸多心腦血管疾病患者都伴隨有焦慮、抑郁等負面情緒，不僅會加重病情，還會降低治療依從性，繼而誘發各種心腦血管并發癥。因此，在常規治療的同時對患者采取相應的康復治療有著重要意義。慢病康復團隊屬于新型管理模式，其能夠加強患者對疾病的認知度，以此約束自身行為，進而提高患者的自我管理能力，達到基本生活功能恢復的目的，穩定心理、生理狀態[3-4]。……