基于国际功能、残疾和健康分类康复组合评估的数字化居家康复对冠心病患者生存质量的影响

关键词：国际功能、残疾和健康分类康复组合  冠心病  数字化  居家康复  生存质量

Keywords:international classification of functioning, disability and health rehabilitation set  coronary heart disease  digitalize  home-based rehabilitation  quality of life

摘要：

      摘要 目的：探讨基于国际功能、残疾和健康分类康复组合（ICF-RS）评估的数字化居家康复对冠心病患者生存质量的影响。 方法：采用随机数字表法将153例冠心病患者分为3组，对照组、数字化居家康复组、联合组，每组51例。对照组接受传统的出院管理模式，包括药物治疗、居家注意事项宣教和适度居家运动医嘱；数字化居家康复组在对照组的基础上增加了数字健康监测设备；联合组则在数字化居家康复组的基础上按照ICF康复组合评估制定个性化的居家运动治疗方案。在治疗前和治疗4周后，分别采用健康调查12条简表（SF-12）、广泛性焦虑量表（GAD-7）、9项患者健康问卷量表（PHQ-9）、6min步行试验（6MWT）对3组患者进行疗效评定。 结果：治疗４周后，数字化居家康复组和联合组患者的SF-12评分，GAD-7评分，PHQ-9评分、6MWT距离评分相较于治疗前及同期对照组均显著改善（P＜0.05）。联合组患者的SF-12生理功能评分、心理功能评分和6MWT距离分别为[（72.73±3.38）分，（72.93±3.25）分和（400.27±22.28）m]，均显著高于治疗后同期数字化居家康复组水平（P＜0.05）；而GAD-7评分，PHQ-9评分分别为[（8.23±0.73）分，（12.43±1.04）分]均显著低于治疗前及数字化居家康复组（P＜0.05）。 结论：基于ICF康复组合评估的数字化居家康复治疗能显著改善冠心病患者心理状态以及运动耐力，提高了患者的生存质量。

Abstract:

      Abstract Objective：To observe the effect of using International Classification of Functioning, Disability and Health (ICF) Rehabilitation Set on quality of life among coronary heart disease patients. Method：One hundred and fifty-three patients with coronary heart disease were divided into an experimental group and a control group using a random number table method. With Fifty-one patients in each group， all three groups of patients were treated with conventional medication. The control group received routine home-based rehabilitation training， including home precautions and Tai Chi training. In addition to the control group， the digital home rehabilitation group was provided with digital health monitoring equipment. On the basis of ICF-RS evaluation， the combination group developed a personalized home-based exercise therapy for training. Before treatment， and 4 weeks after treatment， the 12-item short-form health survey（SF-12）， generalized anxiety scale -7 （GAD-7）， 9-item patient health questionnaire （PHQ-9）， 6-minute walk test （6MWT） were used to evaluate the efficacy of the three groups of patients. Result：After treatment， significantly improvements were found in all 3 groups in terms of their average SF-12， GAD-7， PHQ-9 and 6MWT. The average results of the combination group were then significantly better than the other two groups’ averages， and those of the conventional treatment group were significantly superior to those of the control group. Conclusion：Basing on the ICF-RS evaluation， home-based rehabilitation therapy evaluation can significantly improve the psychological state and exercise endurance of coronary heart disease patients， and improve their quality of life.