中国临床护理2024,Vol.16Issue(1) :19-22.DOI:10.3969/j.issn.1674-3768.2024.01.004

阶梯式运动康复训练对慢性心力衰竭患者自我护理能力及生活质量的影响

Effects of step-type exercise on self-care and life quality of patients with chronic heart failure

康瑜
中国临床护理2024,Vol.16Issue(1) :19-22.DOI:10.3969/j.issn.1674-3768.2024.01.004

阶梯式运动康复训练对慢性心力衰竭患者自我护理能力及生活质量的影响

Effects of step-type exercise on self-care and life quality of patients with chronic heart failure

康瑜1
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作者信息

  • 1. 333100 江西上饶,江西省鄱阳县人民医院
  • 折叠

摘要

目的 探讨阶梯式运动康复训练在慢性心力衰竭(chronicheartfailure,CHF)患者中的应用效果.方法选取 2020 年 1 月-2021 年 1 月我院收治的CHF患者 84 例,采用随机数字表法将其分为对照组和观察组,各 42例.对照组采取常规护理,观察组实施阶梯式运动康复训练,随访 6 个月,比较 2 组心功能指标、运动耐力、自我护理能力与生活质量.结果 干预 6 个月后,观察组左心室射血分数(LVEF)水平、自护能力测量量表(exercise of self-care agency scale,ESCA)评分均高于对照组(t=-6.850,P<0.001;t=-7.529,P<0.001),左心室舒张末期内径(LVEDD)、左心室收缩末期内径(LVESD)及明尼苏达心力衰竭生活质量调查表(Minnesota heart failure qual-ity of life,MLHFQ)评分均低于对照组(t=4.865,P<0.001;t=5.115,P<0.001;t=8.407,P<0.001);6 min步行距离长于对照组(t=-28.731,P<0.001).结论 阶梯式运动康复训练可有效改善 CHF 患者心功能水平,提高其运动耐力及自我护理能力,并显著提升其生活质量.

Abstract

Objective To explore the application effect of step-type exercise on patients with chronic heart failure(CHF).Methods Totally 84 CHF patients admitted to our hospital between January 2020 and January 2021 were divided into an observation group and a control group,each of 42,according to a random number table.The control group received routine nursing,while the observation group underwent step-type exercise.Both groups were followed up for 6 months.The level of cardiac function index,exercise endurance,self-care and life quality were compared between the two groups.Results After 6-month intervention,LVEF level,the scores of exercise of self-care agency scale(ESCA)in the observation group were higher than those in the control group(t=-6.850,P<0.001;t=-7.529,P<0.001),LVEDD,LVESD and Minnesota heart failure quality of life(MLHFQ)scores were lower than those of the control group(t=4.865,P<0.001;t=5.115,P<0.001;t=8.407,P<0.001).The 6 min walking distance of the former was longer than the latter(t=-28.731,P<0.001).Conclusion The step-type exercise can effectively improve the cardiac function,exercise endurance and self-care of CHF patients,and significantly enhance their life quality.

关键词

慢性心力衰竭/阶梯式运动康复训练/心功能/自我护理能力/生活质量/运动耐力

Key words

Chronic heart failure/Step-type exercise/Heart function/Self-care ability/Life quality/Exercise endurance

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出版年

2024
中国临床护理
中国医师协会 武汉市医学科学研究所

中国临床护理

影响因子:0.843
ISSN:1674-3768
参考文献量14
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