首页|居家自助式心脏康复方案用于慢性心力衰竭患者的临床研究

居家自助式心脏康复方案用于慢性心力衰竭患者的临床研究

Clinical study on home-based self-help cardiac rehabilitation program for patients with chronic heart failure

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目的 探讨慢性心力衰竭患者应用居家自助式心脏康复方案的临床效果.方法 纳入2021年6月至2022年6月收治的慢性心力衰竭患者96例为研究对象,随机分为2组,每组48例.对照组采用常规干预方案,观察组实施家自助式心脏康复方案,比较2组的临床干预效果.结果 2组干预后的左心室射血分数均高于干预前(P<0.05),左心室收缩末期内径和左心室舒张末期内径均低于干预前(P<0.05),研究组的上述心功能指标水平优于对照组(P<0.05).2组干预后的焦虑和抑郁评分均低于干预前(P<0.05),且研究组低于对照组(P<0.05).研究组的疾病健康知识掌握度为93.75%,高于对照组的79.17%(P<0.05).研究组自护能力各维度评分及总评分均高于对照组(P<0.05).2组干预后的生活质量评分均高于干预前(P<0.05),研究组高于对照组(P<0.05).结论 对慢性心力衰竭患者,实施居家自助式心脏康复方案,可改善患者的心脏功能,促进患者疾病健康知识掌握度和自护能力的提升,缓解患者负性情绪,进而提高其生活质量.
Objective To explore the clinical effectiveness of home-based self-help cardiac rehabilitation programs in patients with chronic heart failure.Methods Totally 96 patients with chronic heart failure admitted to our hospital from June 2021 to June 2022 were included as the study subjects,and they were randomly assigned in a 1:1 ratio to routine intervention(control group)or home-based self-help cardiac rehabilitation programs(study group).The clinical intervention effects of the two groups were compared.Results After the intervention,patients of both groups presented significantly higher left ventricular ejection fraction(P<0.05),and significantly lower left ventricular end systolic diameter and left ventricular end diastolic diameter than those before the intervention(P<0.05),the levels of the above cardiac function indicators in the study group were better than those in the control group(P<0.05).The anxiety and depression scores of both groups after intervention were significantly lower than those before intervention,and which were significantly lower in the study group than in the control group(P<0.05).The mastery of disease and health knowledge in the study group was significantly higher than that of the control group(93.75%[45/48]vs 79.17%[38/48],P<0.05).The dimensions and total scores of self-care ability in the study group were significantly higher than those of the control group(P<0.05).The quality of life scores of both groups after intervention were significantly higher than those before intervention(P<0.05),which were significantly higher in the study group than those of the control group(P<0.05).Conclusion For patients with chronic heart failure,implement a home-based self-help cardiac rehabilitation program can improve their heart function,promote their mastery of disease health knowledge and self-care ability,alleviate negative emotions,and thereby improve their quality of life.

cardiac functionchronic heart failuremastery of disease and health knowledgeself care abilityhome-based self-help cardiac rehabilitation program

杨花、徐琴、陈培培、吴张平、谢仁兵

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226500 江苏省如皋市人民医院心血管内科

心脏功能 慢性心力衰竭 疾病健康知识掌握度 自护能力 居家自助式心脏康复方案

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(15)
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