摘要
目的探讨术后运动康复训练对冠心病手术治疗患者康复效果及焦虑、抑郁情绪的影响,帮助患者制定针对性的运动康复措施,从而消除负性情绪,提高生活质量。方法检索PubMed、Embase、Ovid、Medline、中国知网和万方及维普数据库,检索时间为建库起至2022年12月31日,检索词包括:“Exercise rehabilitation”、“coronary artery disease”、“经皮冠状动脉介入”和“冠心病”等,并筛选以运动康复训练为主要干预手段进行冠心病患者术后干预的参考文献。使用Review Manager 5.3软件进行Meta分析,采用Q检验评估纳入文献的异质性,以P<0.05表示合并统计量差异有统计学意义。结果共纳入13篇文献,且多数文献均处于明显的低风险偏倚。Meta分析结果显示,共有6项研究结局指标分析了患者焦虑自评量表(Self-rating anxiety scale,SAS)评分,异质性检验结果显示,Tau^(2)=5.89,Chi^(2)=85.42,df=5(P<0.001);I^(2)=94%,提示合并的文献存在较高的异质性,采用随机效应模型分析(Z=4.95,P<0.001);共有6项研究分析了患者抑郁自评量表(Self-rating depression scale,SDS)评分,合并结果显示,Z=7.16(P<0.001);6 min步行距离(6-minute walk Distance,6MWD)的合并结果显示,Z=3.39(P<0.001);代谢当量(Metabolic equivalents,METs)的合并结果显示,Z=2.52(P=0.01)。结论运动康复训练有助于改善冠心病手术治疗的患者体力下降和情绪问题,提高运动耐量并明显缓解患者术后负性情绪。
Objective To explore the influence of postoperative exercise rehabilitation training on the rehabilitation effect,anxiety and depression of patients with coronary heart disease,to help patients develop targeted exercise rehabilitation measures,and to eliminate their negative emotions and improve their quality of life.Methods PubMed,Embase,Ovid,Medline,CNKI,Wanfang and VIP databases were searched from the time of establishment to December 31,2022.The search terms included:exercise rehabilitation,coronary artery disease,percutaneous coronary intervention,coronary heart disease,etc.And the references of postoperative intervention in patients with coronary heart disease with exercise rehabilitation training as the main intervention means were screened.Meta-analysis was performed by Review Manager 5.3 software.Q test was used to assess the heterogeneity of the included articles and P<0.05 indicated that the combined statistic was statistically significant.Results A total of 13 articles were included,most of which were in an obvious low-risk bias.Results of meta-analysis showed that a total of 6 outcome indicators analyzed the self-rating anxiety scale(SAS)scores.Heterogeneity test results showed that Tau^(2)=5.89,Chi^(2)=85.42,df=5(P<0.001).I^(2)=94%,suggested high heterogeneity in the combined articles.Thus,the random effect model was used for analysis,and the results showed that Z=4.95(P<0.001).A total of 6 studies analyzed patients'self-rating depression scale(SDS)scores,and the combined results showed that Z=7.16(P<0.001).The combined results of 6-minute walk distance(6MWD)showed that Z=3.39(P<0.001).The combined results of metabolic equivalents(METs)showed that Z=2.52(P=0.01).Conclusions Exercise rehabilitation training was helpful to improve the physical decline and emotional problems of patients with coronary heart disease after surgery,improve exercise tolerance and alleviate postoperative negative emotions.
作者
梁立雯
杨华
张亚敏
王晓红
LIANG Liwen;YANG Hua;ZHANG Yamin;WANG Xiaohong(The First Afiliated Hospital of Air Force Military Medical University/Xijing Hospital,Xi'an 710032,Shaanxi Province,China)
出处
《预防医学情报杂志》
CAS
2023年第12期1526-1534,共9页
Journal of Preventive Medicine Information
关键词
经皮冠状动脉介入
冠状动脉
焦虑抑郁
代谢当量
percutaneous coronary intervention
coronary artery
anxiety and depression
metabolic equivalents
