Effectiveness of comprehensive geriatric assessment on ability to perform activities of daily living and cardiac function in elderly patients with heart failure
Effectiveness of comprehensive geriatric assessment on ability to perform activities of daily living and cardiac function in elderly patients with heart failure
Objective To investigate the application effect of comprehensive geriatric assessment(CGA)on daily liv-ing ability and cardiac function of elderly heart failure patients.Methods The clinical data of 84 cases of elderly pa-tients with heart failure was retrospectively analyzed.The patients who received conventional intervention were enrolled as the control group(n=42),and the patients who underwent comprehensive geriatric assessment(CGA)at the same time on basis of the conventional intervention were enrolled as the study group(n=42).The cardiac function indexes,serum in-dex concentrations,ability to daily living scale(ADL)scores,Hamilton anxiety scores(HAMA),and occurrence of ad-verse cardiac events between the two groups were compared.Results After intervention,the LVEF of the study group was higher than that of the control group,while the LVEDD and LVESD were lower than those of the control group,the differences were statistically significant(t=3.06,-3.15,-3.23,P＜0.05).After intervention,the serum C-reactive protein(CRP),amino-terminal brain natriuretic peptide precursor(NT-proBNP),cardiac troponin I(cTnI)and creatine kinase isoenzyme(CK-MB)concentrations of the study group were lower than those of the control group(t=3.26,6.14,3.04,7.06,P＜0.05).After the intervention,the ADL score of the study group was higher than the control group,while the HA-MA score was lower(t=2.50,-7.20,P＜0.05).The incidence of adverse cardiac events in the study group was lower than that in the control group(χ2=4.09,P＜0.05).Conclusion CGA for elderly patients with heart failure can effectively im-prove cardiac function and serum index levels,improve patients'exercise endurance and daily life ability,alleviate anxi-ety and other adverse emotions,and reduce the inci-dence of adverse cardiac events.
关键词
老年综合评估/心力衰竭/日常生活能力/心功能
Key words
comprehensive geriatric assessment/heart failure/ability to daily living/cardiac function
维普
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