关键词: 经皮冠状动脉介入治疗, 运动康复高危患者, 云平台, 早期康复训练, 康复护理

Abstract:

Objective To evaluate the application of "Internet+" early rehabilitation training in high-risk patients with exercise rehabilitation after percutaneous coronary intervention（PCI），and to evaluate its effect. Methods The convenience sampling method was employed to choose PCI patients at high risk of postoperative exercise rehabilitation as the research subjects from the cardiology department of a tertiary A hospital in Zhejiang province，among which 30 cases in March to April，2022 were allocated into the experimental group. The research team formulated and implemented the “Internet+” platform combined with the early rehabilitation training program based on the standard theory through literature review and expert meetings. 30 patients admitted from January to February 2022，were allocated into the control group，and they received routine offline cardiac rehabilitation training. The compliance of offline rehabilitation training，the incidence of adverse events and quality of life in the process of rehabilitation training were compared between the 2 groups after intervention，and the online reading compliance and satisfaction with the use of “Internet+” rehabilitation training platform in the experimental group were evaluated. Results There were 2 cases dropped out from the experimental group，and 4 cases from the control group，and finally there were 28 cases in the experimental group and 26 cases in the control group. After 7 days of intervention，the offline compliance of the experimental group was higher than that of the control group，and the difference was statistically significant（P<0.001）. There was no significant difference in the incidence of adverse events and quality of life between the 2 groups during rehabilitation training（P>0.05）. In the experimental group，the total reading volume of the online platform was 875 times；the total number of articles was 326 times；the active number was 369 times. The reading rate of the patients was 88.35%；the reading time was 14.8 minutes. The overall satisfaction of cardiology nurses and patients in the experimental group with the online platform was（2.69±0.47），（2.79±0.42）points，respectively. Conclusion “Internet +” early rehabilitation training can effectively im-prove the rehabilitation compliance and quality of life of high-risk patients with postoperative exercise rehabilitation after PCI.

Key words: Percutaneous Coronary Intervention, Patient with High-Risk Exercise Rehabilitation, Online Platform, Early Rehabilitation Training, Rehabilitation Nursing