Zhongguo quanke yixue (Jul 2023)
Effect of an Internet-based Intervention on Motor Behavior in Patients after Percutaneous Coronary Intervention
Abstract
Background During the containment of COVID-19, the traditional face-to-face interventions conducted at the rehabilitation center were plagued by many limitations, while internet-based interventions can overcome the limitations of geographic location, working hours and transportation, with less medical costs. Objective To examine the effects of internet-based interventions on knowledge, attitude/belief and practice (KAP) toward rehabilitation exercises, physical activity (PA) level, and exercise compliance inpatients after PCI. Methods The subjects were 76 patients who received their first PCI in Department of Cardiology, Tangshan Gongren Hospital from November 2021 to June 2022. They were randomly and equally divided into two groups to receive either internet-based intervention with routine nursing (experimental group) or routine nursing (control group) . Before and three months after the intervention, the Rehabilitation Exercise Knowledge-Belief-Practice Scale for Patients with Coronary Heart Disease (REKBPCHD) , the International Physical Activity Questionnaire-Short Form (IPAQ-SF) , and Patients' Exercise Log were used to assess the KAP level, PA level, and exercise adherence, respectively. The impact of network intervention on exercise adherence in patients after PCI by univariate Logistic regression analysis. Results After 3 months of intervention, a significant increase was found in the average total score of REKBPCHD, and the average scores of the knowledge dimension, attitude dimension and practice dimension of the scale in the experimental group (P<0.05) , and the increase was more notable than that in the control group (P<0.05) . Moreover, both post-intervention low PA level and total PA level in the experimental group were higher than those in the control group (P<0.05) . Both post-intervention low PA level and total PA level were higher than the baseline levels in the experimental group (P<0.05) . The post-intervention exercise compliance of experimental group were higher than that in the control group (P=0.003) . Univariate Logistic regression analysis showed that the risk of non-adherence to exercise in the experimental group was relatively lower than that in the control group〔OR=0.143, 95%CI (0.034, 0.594) , P=0.007〕. Conclusion Theinternet-based intervention can effectively improve the KAP level toward rehabilitation, PA level, and exercise adherence in patients after PCI.
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