基于恐惧-回避模型的康复护理方案在老年慢性心力衰竭患者中的应用
Application of rehabilitation nursing care based on fear-avoidance model of pain in older patients with chronic heart failure
兰云霞 1易梦思 2王晓明 2张玉英 2袁利琴 2庞静2
作者信息
- 1. 河南省胸科医院/郑州大学附属胸科医院 护理部(河南郑州,450008)
- 2. 河南省胸科医院/郑州大学附属胸科医院 心血管病区(河南郑州,450008)
- 折叠
摘要
目的 减轻老年慢性心力衰竭患者康复运动恐惧心理,促进其运动康复.方法 便利抽取70例心内科住院老年慢性心力衰竭患者,按入院时间分为两组各35例;两组均行常规治疗护理,同时对照组行常规康复护理,干预组构建和实施基于恐惧-回避模型的康复运动方案,持续干预至出院后1个月评价效果.结果 干预后干预组心功能指标显著优于对照组(均P＜0.05),心脏病运动恐惧得分、明尼苏达州心力衰竭生活质量得分显著低于对照组(均P＜0.05);运动方案实施过程中未发生运动相关不良事件.结论 对老年慢性心力衰竭患者实施基于恐惧-回避模型的康复运动方案能减轻患者运动恐惧心理,改善心功能,提高生活质量.
Abstract
Objective To relieve the fear of moyement(kinesiophobia)in older patients with chronic heart failure(CHF)and to pro-mote their recovery.Methods A convenience sample of 70 older patients with CHF hospitalized in the cardiovascular department were assigned to two groups chronologically,with 35 in each group.Both groups received conventional treatment and nursing care.The control group was given usual rehabilitation nursing care,while their counterparts in the intervention group received rehabilita-tion exercise program based on the fear-avoidance model of pain.The effect was evaluated until one month after discharge.Results After the intervention,the intervention group had significantly improved cardiac function indexes,lower fear of movement,and decreased score of the Minnesota Living with Heart Failure Questionnaire compared with the control group(all P＜0.05).There was no adverse event related to exercise during implementation of the exercise program.Conclusion Implementation of rehabilitation exercise program developed based on the fear-avoidance model of pain in older patients with CHF can reduce their fear of move-ment,improve cardiac function and quality of life.
关键词
慢性心力衰竭/老年患者/恐惧-回避模型/心功能/运动恐惧/生活质量/康复护理Key words
chronic heart failure/older patients/fear-avoidance model of pain/cardiac function/fear of movement/quality of life/rehabilitation nursing care引用本文复制引用
基金项目
河南省医学科技攻关计划联合共建项目(LHGJ20190737)
出版年
2024
NETL
NSTL
万方数据