Coronary heart disease rehabilitation guidance

A. Psychological guidance Coronary heart disease is a psychosomatic disease, psychological care itself is a therapeutic measure, type A personality for coronary heart disease susceptibility factors: the main performance of competitive, emotional, stubborn, eager to achieve, easy to anxiety and mental tension, the long duration of the disease and recurrent attacks more cause most patients have varying degrees of fear and anxiety and depression and other psychological. Second, dietary guidance 1, control diet: lower cholesterol and triglycerides is the guide to control the diet, maintain normal weight is one of the effective measures. Guide patients to eat light and nutritious, low-fat and low cholesterol, low sugar, high vitamin, high vegetable protein, high fiber food. Such as milk, lean meat, fish, soybean products, oats, buckwheat, corn and other coarse fiber-rich grains, often eat mushrooms, onions, fungus, kelp, etc., increase vegetable intake, eat less or no food containing saturated fatty acids and high cholesterol, such as animal fats, animal offal, egg yolk, fatty meat, pine flowers, etc., obese people control the intake of fat accounted for 20% – 25% of total calories or less. Chinese medicine believes that patients with coronary heart disease can eat more winter melon, radish, carp, tofu, honey, hawthorn, etc. In addition, coarse grains, vegetables, fruits and other foods containing high fiber can promote intestinal peristalsis to help digestion, eat less or no sucrose, glucose, less salt, often eat bananas or a glass of honey water early in the morning to prevent constipation. 2, the amount of control of diet: advocate not too full, a small number of meals, can be 5-6 meals per day, each meal 80% full is appropriate. 3, wine and tea: alcohol increases the amount of heart consumption, leading to increased heart burden, inducing arrhythmia, in addition to not prompting an increase in serum protein aggravates coronary heart disease so because of the ban on drinking, tea has theophylline, vitamin C and saddle acid, theophylline absorption of fat, reduce intestinal absorption of fat, help digestion, you can drink light tea. Third, lifestyle guidance 1, control weight: central obesity (waist-hip value male > 1.0, female > 0.85) is the most harmful, change the bad lifestyle, the key to limit calories, alcohol, fats, sugars. 2, strengthen physical exercise: appropriate exercise is beneficial to the primary and secondary prevention of heart disease, such as playing Tai Chi, jogging, walking, pay attention to the intensity, frequency and time of exercise, follow the principle of orderly, moderate and constant, time should be in the afternoon or evening, frequency 3-5 times a week, 20-30 minutes each time, intensity is generally 50 to 70% of the maximum Heart rate or 40-60% of maximum lung capacity or to not feel fatigue as the degree. Before and after drinking, cloudy days, hot and cold weather should not exercise, if there is discomfort that stop. 3, daily life: daily life should be regular, adequate sleep, not hungry, full meals or exercise after bathing, bathing should be accompanied by someone should not be too long, the water temperature should not be cold or hot, the best warm water to wash the face in the cold season, with climate change to increase or decrease clothing, develop the habit of regular bowel movements, avoid too fast or forceful action. 4, quit smoking, smoking causes microvascular constriction, triggering angina or sudden death. 5.Cultivate the pleasure of life: calligraphy, painting, chess, taijiquan. 6, reasonable arrangement of work and rest time: regular life, easy life, sufficient sleep, sleep should be supine or right-side lying, prohibit prone or left-side lying position. 4. Medication knowledge 1. Take medication for a long time as prescribed by the doctor, do not increase or decrease or omit to take or stop medication at will, and take special medication for a long time such as digoxin and betalactone to measure heart rate or blood pressure. 2. Carry your regular medication and emergency medicine with you. Exercise during the rehabilitation period of coronary heart disease Endurance exercise (aerobic exercise) is the main focus, low to moderate intensity exercise in improving heart function is no less than high-intensity exercise Athletes are: orderly, moderate, constant, program The amount of exercise should be appropriate, too light exercise can only play a comforting effect, not to improve the maximum oxygen uptake and improve heart function, the correct method is to gradually increase the amount and intensity of exercise. Time to 15 to 45 minutes, generally 30 minutes is appropriate, exercise intensity and time to determine the amount of exercise, usually “3 5 7” exercise is very safe.