首页|基于计划行为理论的循环抗阻训练在慢性心力衰竭患者中的应用

基于计划行为理论的循环抗阻训练在慢性心力衰竭患者中的应用

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目的:探讨基于计划行为理论(TPB)的循环抗阻训练在慢性心力衰竭(CHF)患者中的应用.方法:选取2022 年 3 月—2023 年 3 月三明市第一医院收治的 93 例CHF患者作为试验对象.根据随机数表法将其分为对照组(46 例)和研究组(47 例).对照组采用常规循环抗阻训练,观察组采用基于TPB的循环抗阻训练.比较两组护理前后心脏功能指标、运动耐量指标、体适能测试指标、生活质量.结果:护理后,两组左室射血分数(LVEF)升高,左室舒张末期内径(LEVDD)及左室收缩末期内径(LVESD)均降低,研究组LVEF高于对照组,LVEDD、LVESD均低于对照组,差异有统计学意义(P<0.05).护理后,两组 6 分钟步行试验(6MWT)、峰值摄氧量(VO2peak)及无氧阀(AT)均明显升高,研究组6MWT、VO2peak、AT均明显高于对照组,差异有统计学意义(P<0.05).护理后,研究组上下肢肌力均高于对照组,上下肢柔韧性、下肢平衡性及明尼苏达心力衰竭生活质量量表(MLHFQ)评分均低于对照组,差异有统计学意义(P<0.05).结论:CHF患者开展基于TPB的循环抗阻训练能够显著提升其心脏功能、运动耐量、功能性体适能及生活质量.
Application of Cyclic Resistance Training Based on Theory of Planned Behavior in Patients with Chronic Heart Failure
Objective:To explore the application of cyclic resistance training based on theory of planned behavior(TPB)in patients with chronic heart failure(CHF).Method:A total of 93 CHF patients admitted to Sanming First Hospital from March 2022 to March 2023 were selected as experimental subjects.They were divided into control group(46 cases)and study group(47 cases)according to random number table method.The control group received conventional cyclic resistance training,and the observation group received cyclic resistance training based on TPB.The indexes of cardiac function,exercise tolerance indexes,physical fitness test indicators and quality of life before and after nursing were compared between the two groups.Result:After nursing,left ventricular ejection fraction(LVEF)increased,left ventricular end-diastolic diameter(LEVDD)and left ventricular end-systolic diameter(LVESD)decreased in both groups,LVEF in study group was higher than that in control group,and LVEDD and LVESD were lower than that in control group,the differences were statistically significant(P<0.05).After nursing,6-min walking test(6MWT),peak oxygen uptake volume(VO2peak)and anaerobic threshold(AT)were significantly increased in both groups,and 6MWT,VO2peak and AT in the study group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).After nursing,the muscle strength of upper and lower limbs of the study group were higher than those of the control group,and flexibility of upper and lower limbs,lower limb balance and Minnesota living with heart failure questionnaire(MLHFQ)score were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion:In CHF patients,circulatory resistance training based on TPB can significantly improve cardiac function,exercise tolerance,functional fitness and quality of life.

Chronic heart failureTheory of planned behaviorCyclic resistance trainingHeart functionFunctional physical fitness

高丽萍

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三明市第一医院 福建 三明 365000

慢性心力衰竭 计划行为理论 循环抗阻训练 心功能 功能性体适能

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(22)
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