临床医学研究与实践2024,Vol.9Issue(22) :170-173.DOI:10.19347/j.cnki.2096-1413.202422042

心脏康复运动联合心理护理干预在老年慢性心力衰竭患者中的应用效果

Application effect of cardiac rehabilitation exercise combined with psychological nursing intervention in elderly patients with chronic heart failure

郝锐 郭卫丽
临床医学研究与实践2024,Vol.9Issue(22) :170-173.DOI:10.19347/j.cnki.2096-1413.202422042

心脏康复运动联合心理护理干预在老年慢性心力衰竭患者中的应用效果

Application effect of cardiac rehabilitation exercise combined with psychological nursing intervention in elderly patients with chronic heart failure

郝锐 1郭卫丽2
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作者信息

  • 1. 西北大学第一医院,陕西西安,710043
  • 2. 渭南市第一医院,陕西渭南,714000
  • 折叠

摘要

目的 探讨心脏康复运动联合心理护理干预在老年慢性心力衰竭(CHF)患者中的应用效果.方法 选取2019年3月至2022年3月收治的80例老年CHF患者,随机将其分为对照组(常规护理)和观察组(心脏康复运动+心理护理干预),各40例.比较两组的护理效果.结果 护理后,观察组的左心室舒张末期内径(LVEDD)、左心室收缩末期内径(LVESD)低于对照组,左心室射血分数(LVEF)高于对照组(P<0.05).护理后,观察组的血清心肌肌钙蛋白Ⅰ(cTnⅠ)、N端前体脑钠肽(NT-proBNP)水平低于对照组(P<0.05).护理后,观察组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组(P<0.05).护理后,观察组的6 min步行试验(6MWT)距离长于对照组,明尼苏达心力衰竭生活质量问卷(MLHF)评分低于对照组(P<0.05).护理后,观察组的Morisky评分显著高于对照组(P<0.05).结论 心脏康复运动联合心理护理干预可有效提高老年CHF患者的心功能,改善不良情绪及生活质量.

Abstract

Objective To explore the application effect of cardiac rehabilitation exercise combined with psychological nursing intervention in elderly patients with chronic heart failure(CHF).Methods A total of 80 elderly CHF patients admitted from March 2019 to March 2022 were randomly divided into control group(routine nursing)and observation group(cardiac rehabilitation exercise+psychological nursing intervention),with 40 cases in each group.The nursing effects of the two groups were compared.Results After nursing,the left ventricular end-diastolic dimension(LVEDD)and left ventricular end-systolic dimension(LVESD)in the observation group were lower than those in the control group,and the left ventricular ejection fraction(LVEF)was higher than that in the control group(P<0.05).After nursing,the levels of serum cardiac troponin Ⅰ(cTnⅠ)and N-terminal pro-B type natriuretic peptide(NT-proBNP)in the observation group were lower than those in the control group(P<0.05).After nursing,the scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)in the observation group were lower than those in the control group(P<0.05).After nursing,the distance of 6 min walk test(6 MWT)in the observation group was longer than that of the control group,and the Minnesota Living with Heart Failure(MLHF)score was lower than that of the control group(P<0.05).After nursing,the Morisky score of the observation group was significantly higher than that of the control group(P<0.05).Conclusion Cardiac rehabilitation exercise combined with psychological nursing intervention can effectively improve the cardiac function of elderly patients with CHF,improve bad mood and quality of life.

关键词

慢性心力衰竭/老年/心脏康复运动/心理护理

Key words

chronic heart failure/elderly/cardiac rehabilitation exercise/psychological nursing

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出版年

2024
临床医学研究与实践

临床医学研究与实践

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