河南医学研究2024，Vol.33Issue(24) ：4565-4569.DOI:10.3969/j.issn.1004-437X.2024.24.039

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

Effect of Phased Rehabilitation Mode Based on the Theory of"Lung Treating Section"on Compliance and Cardiac Function of Patients with Chronic Heart Failure

王艳璞 卢吉锋
河南医学研究2024，Vol.33Issue(24) ：4565-4569.DOI:10.3969/j.issn.1004-437X.2024.24.039
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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

Effect of Phased Rehabilitation Mode Based on the Theory of"Lung Treating Section"on Compliance and Cardiac Function of Patients with Chronic Heart Failure

王艳璞 1卢吉锋1
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作者信息

  • 1. 河南省中西医结合医院心血管科,河南郑州 450000
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摘要

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.

Abstract

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.

关键词

慢性心力衰竭/肺主治节/阶段性康复模式/心功能/生活质量

Key words

chronic heart failure/lung treating segment/phased rehabilitation mode/heart function/quality of life

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出版年

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
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