Exercise Rehabilitation Survey Of CAD Patients After One Year Discharged From Hosiptal

Objective:The aim of this study was to investigate the status of exercise rehabilitation in discharged coronary heart disease(CHD)patients in Baoding,and to provide basis for the further development of cardiac rehabilitation,especially in the community and home.Methods:In this study,research tools included the questionnaire of exercise training status in patients with CHD and JAEGER CPX.The questionnaire was established based on the “Chinese experts consensus on exercise therapy in patients with coronary heart disease”.494 CHD patients were recruited in this study.The patients whose subjective exercise intensity had achieved moderate were accepted the exercise intensity detection.Date was checked by two persons.The SPSS20.0 statistical software was used for data analysis,and descriptive analysis and ?2 test were conducted.Results:1.In the questionnaire survey,the daily exercise training participation rate was 71.7%.In the crowd: 98.5% of the patients were merely participate in aerobic exercise;74.8% patients subjectively evaluated their daily exercise as low intensity exercise,25.2% patients subjectively evaluated their daily exercise as moderate intensity exercise.The ratio of exercise frequency in 3-5 times / week was 41.6%;The ratio of duration time of the daily exercise a session in 20-60 minutes /session was 57.7%;20.6% of the exercise participated patients would took warm up exercise in the start of the daily training and took relaxation exercises after daily training;The rate of correctly dictate the usage of nitroglycerin were 58.5%;The emergency medicine carrying rate in the process of training was 23%;All the patients who participated daily training had not accepted with the risk assessment of exercise,CPET and recommendation of exercise from professional person.2.A total of 40 patients had accepted objective exercise intensity detection.They were all the patients who had subjectively evaluated their daily training intensity as moderate,but there are 2(5%)above and 4(10%)below the objective intensity range(40%HRR/60%HRR).The average relative object exercise intensity was 48.1 ±4.5%HRR.In the patients who's objective exercise intensity above the 40%HRR,the average absolutely exercise intensity were 4.6 ±0.6Mets.The proportion of the daily training objective intensity above individual AT1 st was 19%.Conclusion:The result showed that CHD discharged patients' exercise behaviors cannot achieve the recommendation by “Chinese experts consensus on exercise therapy in patients with coronary artery disease”.Aerobic exercise is popular,but little patients engaged in resistant exercise.The objective aerobic exercise intensity was lower than the recommendation.These exercise conditions may reduce the beneficial from exercise.The exercise rehabilitation as the core component of cardiac rehabilitation,healthcare professionals in clinical or community should provide specific exercise prescription,which includes exercise mode,intensity,duration,frequency and attention,thus the exercise rehabilitation could develop scientifically.In addition,they also should generalize the development of resistance exercise among CHD patients,and ensure their aerobic exercise intensity to achieve the recommendation,so that patients could take benefit from exercise rehabilitation.