护理学杂志2024,Vol.39Issue(23) :30-35.DOI:10.3870/j.issn.1001-4152.2024.23.030

老年冠心病合并衰弱患者运动康复方案的构建与应用

Development and implementation of an exercise rehabilitation program in frail older patients with coronary heart disease

张娜娜 周彤 唐铭铭 王双双 张晓玲 王茜
护理学杂志2024,Vol.39Issue(23) :30-35.DOI:10.3870/j.issn.1001-4152.2024.23.030

老年冠心病合并衰弱患者运动康复方案的构建与应用

Development and implementation of an exercise rehabilitation program in frail older patients with coronary heart disease

张娜娜 1周彤 1唐铭铭 1王双双 1张晓玲 1王茜2
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作者信息

  • 1. 蚌埠医科大学第一附属医院心血管内科(安徽蚌埠,233000)
  • 2. 蚌埠医科大学护理学院
  • 折叠

摘要

目的 构建老年冠心病合并衰弱患者运动康复方案,并探讨临床应用效果.方法 选取2022年6-7月住院的老年冠心病合并衰弱患者54例为对照组,给予常规运动康复护理;2023年7-8月住院老年冠心病合并衰弱患者52例为干预组,给予基于循证的老年冠心病合并衰弱患者运动康复管理方案.干预3个月对两组患者的衰弱状态、体适能、生活质量进行对比分析,统计干预3个月期间主要心血管不良事件发生率.结果 对照组49例、干预组50例完成研究.干预3个月后干预组衰弱程度、体适能、生活质量得分显著高于对照组(均P<0.05).两组干预期间主要心血管不良事件发生率比较,差异无统计学意义(P>0.05).结论 基于循证的运动康复方案可有效改善老年冠心病合并衰弱患者的衰弱状态,提高患者体适能和生活质量.

Abstract

Objective To develop an exercise rehabilitation program for frail older patients with coronary heart disease and to explore the application effects.Methods Fifty-four patients hospitalized from June to July 2022 were treated as the control group,and were given routine exercise rehabilitation;their counterparts(n=52)hospitalized from July to August 2023 were served as the interven-tion group,and received an evidence-based exercise rehabilitation program.The frailty status,physical fitness and quality of life were compared between the two groups after three-month of intervention.The incidence of major adverse cardiac events(MACE)during the intervention period was also calculated.Results A total of 49 patients in the control group and 50 in the intervention group completed the study.The frailty status,physical fitness and quality of life in the intervention group were significantly better than those in the control group at post intervention(all P<0.05).The incidence of MACE had no significant difference between the two groups(P>0.05).Conclusion An evidence-based exercise rehabilitation program can effectively ameliorate frailty status in older patients with coronary heart disease and improve their physical fitness and quality of life.

关键词

老年人/冠心病/衰弱/运动康复/心脏康复/体适能/生活质量/康复护理

Key words

older people/coronary heart disease/frailty/exercise rehabilitation/cardiac rehabilitation/physical fitness/quality of life/rehabilitation nursing

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出版年

2024
护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
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