摘要
目的:研究饮食运动管理联合健康宣教模式对老年慢性心力衰竭(CHF)患者的影响.方法:于我院治疗的124例老年CHF患者按照数字随机表法,被随机均分为常规护理组与联合干预组(常规护理组基础上加用饮食运动管理联合健康宣教模式的干预),两组均干预两个月.比较两组一般临床资料、干预前后左室收缩末期内径(LVESd)、左室舒张末期内径(LVEDd)、LVEF、6min步行距离(6MWD)、明尼苏达心衰生活质量量表(ML-HFQ)评分及心力衰竭患者自我护理行为量表评分.结果:与常规护理组比较,干预后,联合干预组LVESd[(44.88±4.90)mm 比(33.09±3.40)mm]、LVEDd[(54.02±5.49)mm 比(48.80±5.50)mm],MLHFQ 情绪[(17.44±4.55)分比(7.89±4.54)分]、身体[(31.69±5.73)分比(21.89±6.02)分]、其他评分[(32.12±4.22)分比(13.00±2.84)分]及总分[(81.25±9.28)分比(42.77±8.05)分]均显著缩窄或降低,LVEF[(49.64±4.81)％比(52.32±4.22)％]、6MWD[(352.67±28.79)m比(449.38±23.82)m],自我护理维持[(2.06±0.39)分 比(3.26±0.51)分]、自我护理管理[(6.21±1.07)分 比(9.65±1.18)分]、自我护理信心评分[(1.06±0.26)分比(3.12±0.56)分]均显著升高(P均=0.001).结论:饮食运动管理联合健康宣教模式可显著改善老年慢性心力衰竭患者心功能,提高自我管理能力及生活质量.
Abstract
Objective:To study influence of diet and exercise management combined health education mode on aged patients with chronic heart failure(CHF).Methods:A total of 124 aged CHF patients treated in our hospital were randomly and equally divided into routine nursing group and combined intervention group(received diet and exercise management combined health education mode intervention based on routine nursing group)according to random number table method.Both groups were intervened for two months.General clinical data,left ventricular end-sys-tolic dimension(LVESd),left ventricular end-diastolic dimension(LVEDd),LVEF,6min walking distance(6MWD)and scores of Minnesota living with heart failure questionnaire(MLHFQ)and before and after interven-tion were compared between two groups.Results:Compared with routine nursing group,after intervention,there were significant reductions in LVESd[(44.88±4.90)mm vs.(33.09±3.40)mm],LVEDd[(54.02±5.49)mm vs.(48.80±5.50)mm],scores of emotional[(17.44±4.55)scores vs.(7.89±4.54)scores],physical[(31.69 ±5.73)scores vs.(21.89±6.02)scores]and others[(32.12±4.22)scores vs.(13.00±2.84)scores]of MLH-FQ and total score[(81.25±9.28)scores vs.(42.77±8.05)scores],and significant rise in LVEF[(49.64± 4.81)％vs.(52.32±4.22)％],6MWD[(352.67±28.79)m vs.(449.38±23.82)m],scores of self-care main-tenance[(2.06±0.39)scores vs.(3.26±0.51)scores],self-care management[(6.21±1.07)scores vs.(9.65 ±1.18)scores]and self-care confidence[(1.06±0.26)scores vs.(3.12±0.56)scores]in combined interven-tion group(P=0.001 all).Conclusion:Diet and exercise management combined health education mode can signifi-cantly improve cardiac function,self-management ability and quality of life in aged patients with chronic heart failure.
维普
万方数据