目的 分析运动康复管理在老年慢性心力衰竭运动恐惧患者中的应用效果。 方法 选择2021年7～11月安徽医科大学第一附属医院心内科收治的老年慢性心力衰竭运动恐惧患者92例为研究对象，根据护理方案分为观察组 (采用运动康复管理)和对照组(采用常规护理方案)各46例。比较并分析两组给予不同护理方案后患者明尼苏达心衰生活质量量表(Minnesota Living with Heart Failure Questionnaire，MLHFQ)评分、护理前后心功能指标、血清ALB、NT-proBNP水平、6 min步行试验评分、运动恐惧情况及评估运动康复管理的区别。 结果 观察组患者干预后MLHFQ各领域评分均低于对照组，差异有统计学意义(P<0。05)；观察组心功能指标〔左室收缩末容积(Left Ventricular End-Systolic Volume，LVESD)、左室射血分数(Left Ventricular Ejection Fractions，LVEF)、左心室舒张末期内径(Left Ventricular End-diastolic Dimension，LVEDD)〕的改善幅度均大于对照组；观察组血清白蛋白(ALB)水平明显高于对照组，观察组氨基末端脑钠肽前体(N terminal pro B type natriuretic peptide， NT-proBNP)水平低于对照组；观察组的6-MWT评分大于对照组，观察组的运动恐惧评分低于对照组，差异均有统计学意义(均P<0。05)。 结论 运动康复管理应用于老年慢性心力衰竭运动恐惧患者中，能够有效地改善患者的心功能，提高运动耐量，降低运动恐惧情况，提高患者的生活质量。 Objective To analyze the application effect of exercise rehabilitation management in elderly chronic heart failure patients with exercise fear。 Methods A total of 92 elderly patients with chronic heart failure and exercise fear admitted to the department of cardiology， the First Affiliated Hospital of Anhui Medical University from July to November 2021 were selected as the research objects。 According to the nursing plan， they were divided into observation group (exercise rehabilitation management was adopted) and control group (routine nursing plan was adopted)， 46 cases of each group。 The Minnesota Heart Failure Quality of Life (MLHFQ) score， cardiac function index before and after nursing， serum ALB， NT-proBNP levels， 6-minute walk test(6-MWT) score， exercise fear and the differences in evaluation of exercise rehabilitation management were compared and analyzed between the two groups after different nursing programs。 Results The scores of MLHFQ in all fields of the observation group were lower than those of the control group after intervention， and the differences were statistically significant(P<0。05)。 The improvement of cardiac function indexes 〔(Left Ventricular End-Systolic Volume， LVESD)， (Left Ventricular Ejection Fractions， LVEF)， (Left Ventricular End-diastolic Dimension， LVEDD)〕 in the observation group was greater than that in the control group。The level of serum albumin (ALB) in the observation group was significantly higher than that in the control group， and the level of N-terminal pro-brain natriuretic peptide (NT-proBNP) in the observation group was lower than that in the control group。The 6-MWT score of the observation group was higher than that of the control group， and the exercise fear score of the observation group was lower than that of the control group (P<0。05)。 Conclusions The application of exercise rehabilitation management in elderly patients with chronic heart failure with exercise fear can effectively improve the cardiac function of patients， improve exercise tolerance， reduce exercise fear and improve the quality of life of patients。
Effects of exercise rehabilitation management on exercise fear in elderly patients with chronic heart failure
Objective To analyze the application effect of exercise rehabilitation management in elderly chronic heart failure patients with exercise fear. Methods A total of 92 elderly patients with chronic heart failure and exercise fear admitted to the department of cardiology, the First Affiliated Hospital of Anhui Medical University from July to November 2021 were selected as the research objects. According to the nursing plan, they were divided into observation group (exercise rehabilitation management was adopted) and control group (routine nursing plan was adopted), 46 cases of each group. The Minnesota Heart Failure Quality of Life (MLHFQ) score, cardiac function index before and after nursing, serum ALB, NT-proBNP levels, 6-minute walk test(6-MWT) score, exercise fear and the differences in evaluation of exercise rehabilitation management were compared and analyzed between the two groups after different nursing programs. Results The scores of MLHFQ in all fields of the observation group were lower than those of the control group after intervention, and the differences were statistically significant(P<0.05). The improvement of cardiac function indexes 〔(Left Ventricular End-Systolic Volume, LVESD), (Left Ventricular Ejection Fractions, LVEF), (Left Ventricular End-diastolic Dimension, LVEDD)〕 in the observation group was greater than that in the control group.The level of serum albumin (ALB) in the observation group was significantly higher than that in the control group, and the level of N-terminal pro-brain natriuretic peptide (NT-proBNP) in the observation group was lower than that in the control group.The 6-MWT score of the observation group was higher than that of the control group, and the exercise fear score of the observation group was lower than that of the control group (P<0.05). Conclusions The application of exercise rehabilitation management in elderly patients with chronic heart failure with exercise fear can effectively improve the cardiac function of patients, improve exercise tolerance, reduce exercise fear and improve the quality of life of patients.
Old ageChronic heart failureExercise fearExercise rehabilitation management
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