首页|基于"肺主治节"理论的阶段性康复模式对慢性心力衰竭患者依从性及心功能的影响

基于"肺主治节"理论的阶段性康复模式对慢性心力衰竭患者依从性及心功能的影响

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目的 探讨基于"肺主治节"理论的阶段性康复模式对慢性心力衰竭(CHF)患者依从性及心功能的影响。方法 回顾性选取河南省中西医结合医院2021年1月至2023年6月收治的90例CHF患者,按康复方案分为对照组(43例)、观察组(47例),对照组接受常规康复模式,观察组在此基础上接受基于"肺主治节"理论的阶段性康复模式。比较两组运动自我效能(SEE)、康复依从性、心功能[左心室射血分数(LVEF)、左心室收缩末内径(LVESD)、左心室舒张末内径(LVEDD)]、运动耐力[6分钟步行试验(6MWT)]、肺功能[用力肺活量(FVC)、呼气流量峰值(PEF)、第1秒用力呼吸容积(FEV1)]、生活质量[明尼苏达心力衰竭生活质量量表(MLHFQ)]。结果 干预后,观察组SEE、MLHFQ评分高于对照组(P<0。05);观察组康复依从性(97。87%)高于对照组(83。72%)(P<0。05);干预后,观察组LVEF、6MWT较对照组升高,LVESD、LVEDD较对照组降低(P<0。05);干预后,观察组FVC、PEF、FEV1高于对照组(P<0。05)。结论 基于"肺主治节"理论的阶段性康复模式能改善CHF患者心肺功能,提高患者康复依从性及运动自我效能,有利于改善生活质量。
Effect of Phased Rehabilitation Mode Based on the Theory of"Lung Treating Section"on Compliance and Cardiac Function of Patients with Chronic Heart Failure
Objective To investigate the effect of phased rehabilitation mode based on the theory of"lung attending segment"on the compliance and cardiac function of patients with Chronic heart failure(CHF).Methods A retrospective selection was conducted on 90 CHF patients admitted to Henan Integrative Medicine Hospital from January 2021 to June 2023.They were divided into a control group(43 cases)and an observation group(47 cases)according to rehabilitation plans.The control group received routine rehabilitation mode,while the observation group received a phased rehabilitation mode based on the"lung governing segment"theory.Exercise self-efficacy(SEE),rehabilitation compliance,cardiac function[left ventricular ejection fraction(LVEF),left ventricular end systolic diameter(LVESD),left ventricular end diastolic diameter(LVEDD)],exercise endurance[six-minute walking test(6MWT)],lung function[forced vital capacity(FVC),peak expiratory flow(PEF),forced breathing volume in the first second(FEV1)],quality of life[Minnesota living with heart failure questionnaire(MLHFQ)]of two groups were compared.Results After intervention,the SEE and MLHFQ scores in the observation group were higher than those in the control group(P<0.05).The rehabilitation compliance of observation group(97.87%)was higher than that of control group(83.72%)(P<0.05).After intervention,LVEF and 6MWT in observation group were higher than those in control group,and LVESD and LVEDD were lower than those in control group(P<0.05).After intervention,FVC,PEF and FEV1 in observation group were higher than those in control group(P<0.05).Conclusion The phased rehabilitation mode based on the theory of"lung treating section"can improve the cardiopulmonary function,rehabilitation compliance and exercise self-efficacy of patients with CHF,and is conducive to improving the quality of life.

chronic heart failurelung treating segmentphased rehabilitation modeheart functionquality of life

王艳璞、卢吉锋

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河南省中西医结合医院心血管科,河南郑州 450000

慢性心力衰竭 肺主治节 阶段性康复模式 心功能 生活质量

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(24)