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Objective:To construct a home-based cardiac rehabilitation intervention system for patients after percutaneous coronary intervention, and to provide reference for improving the self-management ability and family support of home-based cardiac rehabilitation of patients after PCI.Methods:Based on the literature study and group discussions, a draft of home-based cardiac rehabilitation intervention system for patients after PCI based on empowerment theory was constructed. From January to April 2021, the Delphi method was used to conduct 2 rounds of expert consultations among 18 experts from 9 hospitals, and the items were modified according to the experts′ advice.Results:The expert positive coefficients of the 2 rounds were 94.44% and 100.00%, the expert authority coefficients was 0.91, and the Kendall coefficients were 0.188 and 0.255. Finally, a home-based cardiac rehabilitation intervention system for patients after PCI was formed, including 5 first-level items, 19 second-level items and 21 third-level items.Conclusion:The home-based cardiac rehabilitation intervention system for patients after PCI is reliable, scientificity and practical, and has guiding significance for promoting the development of home-based cardiac rehabilitation for PCI patients.
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Objective@#To explore the effect of home-based cardiac tele-rehabilitation on quality of life, disease burden status,cardiac function and exercise endurance of patients after percutaneous coronary intervention (PCI).@*Methods@#A total of 106 patients after PCI from January to December in 2018 in Heart Disease Center of Shiyan People′s Hospital, Hubei Province were randomly divided into observation group and control group according to the order of discharge, there were 53 cases in each group. The control group received routine rehabilitation care, and the observation group received home-based cardiac tele-rehabilitation on the basis of routine nursing. 6 minutes walking test(6MWT), anerobic threshold, oxygen peak and left ventricular ejection fraction(LVEF) in two groups were measured at 3 months after the intervention, the SF-12 scale and Family Burden Scale of Disease (FBS) scale were also scored.@*Results@#After 3 months of intervention, the 6MWT, anerobic threshold, oxygen peak, physiological total score and psychological total score of SF-12 scale, and FBS score was (596.26±79.35) m, (14.65±1.82) ml·kg-1·min-1, (25.86±3.46) ml·kg-1·min-1, (47.46±9.86) points, (50.68±9.82) points, (18.94±6.61) points in the observation group, and (532.65±76.57) m, (12.95±1.87) ml·kg-1·min-1, (21.95±3.28 ) ml·kg-1·min-1, (43.28±8.21) points, (48.26±9.69) points, ( 21.75±7.18) points in the control group. The difference between the two groups was statistically significant (t value was -0.317-6.034, all P<0.05).@*Conclusions@#Home-based cardiac tele-rehabilitation can improve the quality of life, exercise endurance and can help to reduce the disease burden status on patients after PCI.