Coronary Heart Disease
Conditions
Keywords
Coronary heart disease, ba duan jin, Cross-theoretical model, Family empowerment
Brief summary
This study explores the effect of Internet based improved Baduanjin combined cross-theoretical model in family empowering cardiac rehabilitation for elderly patients with coronary heart disease after PCI, provides a scientific and reasonable case management plan for the rehabilitation of patients with coronary heart disease, and provides a reference for the development of scientific and refined cardiac rehabilitation case management suitable for elderly patients with PCI.
Detailed description
In this study, a total of 120 elderly patients with coronary heart disease who underwent PCI in our hospital from July 2024 to July 2025 were selected, and an improved Baduanjin combined cross-theoretical model based on the Internet was applied to empower family cardiac rehabilitation management. The effect of this method on cardiac rehabilitation of elderly patients with coronary heart disease after PCI operation was evaluated by four indexes: cardiac function index, quality of life, medication compliance and satisfaction degree, and scientific guidance was provided for clinical cardiac rehabilitation practice.
Interventions
OTHERTraditional Chinese Medicine exercises - Baduanjin
According to the four steps of the cross-theoretical model, the behavior stage (pre-intention stage, intention stage, preparation stage, action stage and maintenance stage) and the family empowerment (clarify the problem, express the emotion, formulate the plan, implement the plan, and evaluate the effect). Combined with the characteristics of elderly patients after PCI, the cardiac rehabilitation management plan was designed focusing on the timing of cardiac rehabilitation, the way of health guidance, safety and compliance management.
Sponsors
The Fourth Affiliated Hospital of Zhejiang University School of Medicine
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
60 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* (1) All met the diagnostic criteria for coronary heart disease; * (2) PCI was performed for the first time with clear indications of PCI surgery; * (3) Postoperative condition was stable; * (4) NYHA cardiac function grade I-II; * (5) Age 60 \ 75 years old; * (6) Patients and their family members gave informed consent to this study and signed informed consent, which met the ethical standards of human trials and was approved by the ethics committee of the hospital.
Exclusion criteria
* (1) Uncontrolled arrhythmias combined with hemodynamic abnormalities. * (2) COPD, pulmonary embolism, deep vein thrombosis, stroke and other factors affecting motor function. * (3) Physical disability affecting safety and full participation in the experiment. * (4) myocarditis, cardiomyopathy, liver and kidney insufficiency. * (5) Aphasia, hearing impairment and other conditions affecting normal doctor-patient communication.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| left ventricular Ejection fraction (LVEF) | base line and 6 months after intervention | Left ventricular ejection fraction (LVEF) was measured by echocardiography, and cardiac function was evaluated by the New York College of Cardiology (NYHA) grading standard. The detecting instrument is full digital color Doppler ultrasonic diagnosis instrument. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life of patients after PCI | base line and 6 months after intervention | Seattle Angina Pectoris Scale was used to evaluate the quality of life of patients after PCI. |
| Medication compliance | base line and 6 months after intervention | The Questionnaire of Medication Compliance was adopted, including four questions, and each question was scored in four sections ranging from 1 to 4 points. The lowest score for each item was 1 point and the highest score was 4 points, that is, it could not be done at all =1, it could be done occasionally =2, it could be done basically =3, and it could be done completely =4. The score ranges from 0 to 16 points, and the higher the score, the better the patient's medication compliance. In this study, the reliability Cronbacha coefficient of the questionnaire was 0.875, and the content validity (CVI) value was 0.945. |
| The evaluation results of patient satisfaction at 6 months after intervention were compared between the groups | base line and 6 months after intervention | the satisfaction was calculated by the unified survey of inpatient discharge satisfaction in our hospital, with a total score of 100, satisfaction > 90 points, unsatisfactory ≤90 points. |
Countries
China
Contacts
Primary ContactShanshan Si, BA
Outcome results
None listed