河北医药2024，Vol.46Issue(23) ：3597-3600.DOI:10.3969/j.issn.1002-7386.2024.23.016

照顾者参与的延续期管理联合个体化康复方案促进老年慢性心力衰竭患者的康复效果

A clinical study on the promotion of rehabilitation and quality of life in elderly patients with chronic heart failure through the caregiver participated extended period management combined with individualized rehabilitation exercise programs

张颖 张茜 范祥
河北医药2024，Vol.46Issue(23) ：3597-3600.DOI:10.3969/j.issn.1002-7386.2024.23.016
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照顾者参与的延续期管理联合个体化康复方案促进老年慢性心力衰竭患者的康复效果

A clinical study on the promotion of rehabilitation and quality of life in elderly patients with chronic heart failure through the caregiver participated extended period management combined with individualized rehabilitation exercise programs

张颖 1张茜 1范祥2
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作者信息

  • 1. 053000 河北省衡水市人民医院心内科
  • 2. 河北省衡水市第四人民医院急诊科
  • 折叠

摘要

目的 研究照顾者参与的延续期管理联合个体化康复锻炼方案用于促进老年慢性心力衰竭患者康复及生活质量提升的临床效果.方法 研究对象选取收治的200例老年慢性心力衰竭患者,入选时间段为2022年7月至2023年11月,随机分为2组,每组100例.对照组采取常规干预,观察组采用照顾者参与的延续期管理联合个体化康复锻炼方案进行干预,比较2组临床指标、心功能指标水平、运动能力、自我管理能力和生活质量.结果 与对照组比较,观察组心功能指标、心电图恢复正常时间和住院时间更短(P＜0.05).2组心功能指标水平、6 min步行距离试验(6MWD)、成年人健康自我管理能力测评表(AHSMSRS)评分干预后均较干预前更高(P＜0.05);与对照组比较,观察组更高(P＜0.05).健康调查简表(SF-36)评分组内比较,2组干预后均较干预前更高;组间比较,与对照组比较,观察组更高(P＜0.05).结论 对老年慢性心力衰竭患者采用照顾者参与的延续期管理联合个体化康复锻炼方案进行干预,可改善患者的临床指标、心功能和运动能力,提高患者自我管理能力和生活质量,能促进患者康复.

Abstract

Objective To investigate the clinical effect of caregiver participated extended period management combined with individualized rehabilitation exercise programs on promoting rehabilitation and quality of life in elderly patients with chronic heart failure.Methods A total of 200 elderly patients with chronic heart failure admitted to our hospital from July 2022 to November 2023 were randomly divided into two groups,with 100 cases in each group.The control group received routine intervention,while the observation group received a combination of caregiver participated extended period management and individualized rehabilitation exercise program for intervention.The clinical indicators,cardiac function indicators,exercise ability,self-management ability,and quality of life of the two groups were compared.Results Compared with the control group,patients in the observation group had significantly shorter duration of restoring normal heart function and electrocardiogram indicators,and shorter length of stay(P＜0.05).Heart function indicators in both groups were significantly improved after intervention,and more superior in the observation group(P＜0.05).The 6-min walking distance(6MWD),the Adult Health Self-Management Self-Rating Scale(AHSMSRS)scores,and the 36-Item Short-Form Survey(SF-36)score were significantly improved after intervention,and more superior in the observation group(allP＜0.05).Conclusion Intervention of elderly patients with chronic heart failure using caregiver participated extended period management combined with individualized rehabilitation exercise programs can improve their clinical indicators,heart function and motor ability,enhance their self-management ability and quality of life,and promote their recovery.

关键词

延续期管理/照顾者/个体化康复锻炼方案/慢性心衰/生活质量

Key words

extended period management/caregivers/individualized rehabilitation exercise programs/chronic heart failure/quality of life

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出版年

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
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