Factors relating with exercise duration of phase Ⅰ cardiac rehabilitation for patients after percutaneous coronary intervention
XUE Lei
Abstract:Objective To investigate the current status of exercise duration of phase Ⅰ cardiac rehabilitation for patients after percuta-neous coronary intervention(PCI),and analyze its related factors.
Methods A total of 120 patients who underwent PCI and participated in phase Ⅰ cardiac rehabilitation from May,2022 to May,2024 were reviewed.Their clinical data were collected using a self-designed questionnaire,and the exercis-es duration of cardiac rehabilitation was recorded.
Results The average daily exercise duration of cardiac rehabilitation was(19.45±6.32)minutes.The scores of fatigue,family support and exercise fear were(62.55±4.37),(84.87±10.65)and(41.98±5.24),respectively.There were significant differences in the exercise duration of rehabilitation among patients with different ages,body mass,cardiac function grades,presence or absence of postoperative angina pectoris,and presence or absence of postop-erative nutritional intervention(P<0.05).Pearson's correlation analysis showed that the exercise duration of re-habilitation correlated with the scores of fatigue(r=-0.247,P<0.05),exercise fear(r=-0.235,P<0.05)and family support(r=0.206,P<0.05).Multiple linear regression analysis revealed that postoperative angina pecto-ris(B=-3.210,95%CI-5.564 to-0.855),postoperative nutritional intervention(B=-3.738,95%CI-6.790 to-0.686),fatigue(B=-0.182,95%CI-0.349 to-0.014),family support(B=0.086,95%CI 0.003 to 0.169)and exercise fear(B=-0.139,95%CI-0.248 to-0.030)were independent factors relating to the duration of rehabil-itation exercise(P<0.05).Structural equation modeling showed that there were direct effects of all the five inde-pendent factors on the exercise duration of rehabilitation,while indirect effects were found in postoperative angi-na pectoris and postoperative nutritional intervention.
Conclusion It is needed to improve the exercise duration of phase Ⅰ cardiac rehabilitation for patients after PCI.Postoper-ative angina pectoris,lack of nutritional intervention,fatigue,exercise fear and insufficient family support can all influence the exercise duration of rehabilitation,which should be appropriately administer to promote the postop-erative outcome.
Keywords:percutaneous coronary interventionheart diseasecardiac rehabilitationrelated factor
Publication Date:2025-12-25
Online Publishing Date:2026-01-06(First online date of this platform, not the publication date of the document)
Pages:7( 1414-1420 )
