Effect analysis of exercise rehabilitation after radiofrequency ablation in patients with atrial fibrillation and chronic heart failure
Objective To explore the effect of exercise rehabilitation after radiofrequency ablation in patients with atrial fibrillation(AF)and chronic heart failure(CHF).Methods 70 patients with AF and CHF after radiofrequency ablation were divided into observation group and control group according to random number table method,with 35 cases in each group.The control group was given routine nursing intervention,while the observation group was given exercise rehabilitation intervention based on the control group.The cardiac function,exercise endurance,quality of life,health promoting lifestyle profile(HPLP)and exercise of self-care agency scale(ESCA)score were compared between the two groups.Results After intervention,the left ventricular end-systolic diameter(LVESD),left atrial diameter in diastole(LADD)and left ventricular end-diastolic diameter(LVEDD)in both groups were smaller than those before intervention;the observation group had LVESD of(34.12±3.26)mm,LADD of(30.74±4.23)mm and LVEDD of(42.12±4.03)mm,which were smaller than(37.49±4.21),(36.71±5.02)and(47.19±4.53)mm in the control group(P<0.05).At 10,20 and 30 d after intervention,the 6-min walking test(6MWT)of the observation group were(320.21±4.03),(361.12±5.86)and(409.75±6.57)m,which were longer than(304.95±3.11),(333.05±8.11)and(361.03±7.12)m in the control group(P<0.05).The physical,social,emotional and symptom scores of the observation group were lower than those of the control group(P<0.05).At 10,20 and 30 d after intervention,HPLP scores of the two groups were higher than those before treatment;HPLP scores of the observation group were(121.34±8.74),(167.91±10.82)and(188.87±9.21)points,which were higher than(109.13±10.91),(154.42±12.23)and(167.53±10.13)points of the control group(P<0.05).The scores of self-responsibility,self-concept,health knowledge level,and self-care skills were(21.12±0.91),(29.07±1.97),(61.72±1.13),and(44.17±2.24)points in the observation group,which were higher than(19.23±0.97),(27.31±2.14),(57.84±1.75)and(41.33±2.52)points in the control group(P<0.05).Conclusion Exercise rehabilitation can improve the cardiac function,exercise endurance,quality of life and self-care alility of patients with AF and CHF after radiofrequency ablation,and is worth promoting and applying.
万方数据
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