Influence of cardiac rehabilitation exercise guidance on quality of life in ACS patients after PCI / 心血管康复医学杂志

ABSTRACT

Objective:To explore influence of cardiac rehabilitation exercise guidance(CRG)on quality of life(QOL) in patients with acute coronary syndrome(ACS)undergoing percutaneous coronary intervention(PCI).Methods:A total of 285 ACS patients after successful PCI were selected.According to random number table,they were divided into group A(n=96,received individuatized exercise guidance under close follow-up and trimetazidine),group B(n=95,received exercise guidance under close follow-up)and group C(n=94,received routine follow-up without ex-ercise guidance).Outpatient review and/or telephone follow-up was performed on three groups on 1st,6th,and 12th month after PCI.Metabolic equivalent,the medical outcomes study 36-item short-form heath survey(SF-36)score and 6min walking distance(6MWD)were compared among three groups.Results:There were no significant differ-ence in all indexes among three groups at discharge,P>0.05 all;compared with group B and group C after six and 12 months,there were significant rise in metabolic equivalent[six months(4.26 ± 0.55)METs vs.(3.87 ± 0.57) METs vs.(5.01 ± 0.88)METs,12 months(5.14 ± 0.39)METs vs.(4.53 ± 0.58)METs vs.(6.20 ± 0.76) METs],SF-36 score[six months(79.47 ± 4.49)scores vs.(70.98 ± 5.59)scores vs.(81.40 ± 5.05)scores,12 months(83.19 ± 3.82)scores vs.(73.63 ± 5.25)scores vs.(88.03 ± 3.31)scores]and 6MWD[six months(477.45 ± 31.68)m vs.(456.00 ± 30.03)m vs.(494.85 ± 24.28)m,12 months(516.42 ± 31.53)m vs. (475.25 ± 29.78)m vs.(549.12 ± 28.07)m]in group A,P<0.01 all.Conclusion:Individualized exercise guidance under close follow-up can improve exercise tolerance and QOL in ACS patients after PCI.