摘要
目的:探究Cox健康行为互动模式对老年心瓣膜病患者的康复效果及对患者生活质量的影响.方法:于2020年6月-2022年6月入组的老年心瓣膜病患者120例,按照随机数字表法分为常规护理组(60例)和Cox组(Cox健康行为互动模式干预,60例).两组均干预6个月.比较两组一般资料,干预前后心功能、6min步行距离(6MWD)、生活质量、睡眠质量及疾病感知.结果:治疗6个月后,与常规护理组相比,Cox组患者左室射血分数(LVEF)[(48.87±4.41)％比(51.94±4.04)％]、6MWD[(353.20±4.83)m 比(424.93±4.40)m]、中国心血管病人生活质量评定问卷(CQQC)[(84.67±4.05)分比(134.46±4.58)分]和修订版控制态度量表(CAS-R)[(22.13±3.21)分比(34.98±3.39)分]显著增加(P 均=0.001);左室收缩末期内径(LVESd)[(54.99±6.07)mm 比(49.01±5.48)mm]、左室舒张末期内径(LVEDd)[(59.20±7.16)mm 比(54.05±6.14)mm]及匹兹堡睡眠质量指数(PSQI)[(14.53±2.42)分比(9.31±1.10)分]均显著缩窄或降低(P均=0.001).结论:Cox健康行为互动模式在老年心瓣膜病患者的治疗和康复中发挥作用,可显著提高心功能、体能,改善生活质量.
Abstract
Objective:To explore the rehabilitation effect of Cox health behavior interaction mode in elderly patients with valvular heart disease(VHD)and its impact on their quality of life(QOL).Methods:A total of 120 elderly VHD patients enrolled from Jun 2020 to Jun 2022 were divided into routine nursing group(n=60)and Cox group(n=60,received Cox health behavior interaction mode intervention)according to random number table method.Both groups were intervened for six months.General data,cardiac function,6min walking distance(6MWD),QOL,sleep quality and disease percep-tion before and after intervention were compared between two groups.Results:Compared with routine nursing group after six months,there were significant rise in left ventricular ejection fraction(LVEF)[(48.87±4.41)％vs.(51.94± 4.04)％],6MWD[(353.20±4.83)m vs.(424.93±4.40)m],scores of China questionnaire of quality of life in pa-tients with cardiovascular diseases(CQQC)[(84.67±4.05)scores vs.(134.46±4.58)scores]and control attitude scale-revised(CAS-R)[(22.13±3.21)scores vs.(34.98±3.39)scores],and significant reductions in left ventricular end-systolic diameter(LVESd)[(54.99±6.07)mm vs.(49.01±5.48)mm],left ventricular end-diastolic diameter(LVEDd)[(59.20±7.16)mm vs.(54.05±6.14)mm]and Pittsburgh sleep quality index(PSQI)[(14.53±2.42)scores vs.(9.31±1.10)scores]in Cox group,P=0.001 all.Conclusion:The Cox health behavior interaction mode plays a role in the treatment and rehabilitation of elderly patients with valvular heart disease,which can observably improve their cardiac function,physical endurance and quality of life.
维普
万方数据