摘要
目的探讨个案全程护理联合分级康复训练在慢性心力衰竭(CHF)患者中的运用效果.方法选取2020年9月—2022年4月我院收治的92例CHF患者为研究对象,按随机数字表法将其分为对照组和观察组,每组46例.对照组采用个案全程护理,观察组在对照组基础上联合分级康复训练,两组均持续干预至出院后6个月.对比两组心功能指标、运动耐力、生活质量、心脏不良事件发生率.结果护理后,观察组左室射血分数高于对照组,左心室舒张末期内径、左心室收缩末期内径均短于对照组,左心室舒张末期容积、左心室收缩末期容积均小于对照组,明尼苏达心力衰竭生存质量量表评分、心脏不良事件发生率均低于对照组,组间差异有统计学意义(P<0.05).结论个案全程护理联合分级康复训练能改善CHF患者的心功能水平,可增强运动耐力,减少心脏不良事件,提升生活质量.
Objective To explore the application effect of full process care for individual cases combined with graded re-habilitation training in patients with chronic heart failure(CHF).Methods 92 CHF patients admitted to our hospital from September 2020 to April 2022 were selected as the research subjects,divided into a control group and an observation group using a random number table method,with 46 cases in each group.The control group received full process care for individual cases,while the observation group combined with graded rehabilitation training on the basis of the control group,both groups continued to intervene until 6 months after discharge.Compare the cardiac function indicators,exercise endurance,quality of life,and incidence of adverse cardiac events between two groups.Results After nursing,the left ventricular ejection fraction of the observation group was higher than that of the control group,the left ventricular end diastolic diameter,left ventricular end systolic diameter were shorter than those in the control group,left ventricular end diastolic volume,left ventricular end systolic volume were less than those in the control group,Minnesota Heart Failure Quality of Life Scale score,and inci-dence of adverse cardiac events were all lower than those in the control group,the differences between groups were statis-tically significant(P<0.05).Conclusion The combination of full process care for individual cases and graded rehabilitation training can improve the cardiac function level,enhance exercise endurance,reduce adverse cardiac events,and improve the quality of life of CHF patients.
作者
张爱华
ZHANG Aihua(Department of Internal Medicine,Wudi County Hospital of Traditional Chinese Medicine,Binzhou Shandong,251900,China)
出处
《反射疗法与康复医学》
2024年第3期90-93,共4页
Reflexology And Rehabilitation Medicine
关键词
慢性心力衰竭
个案全程护理
分级康复训练
心功能
生活质量
Chronic heart failure
Full process care for individual cases
Graded rehabilitation training
Cardiac function
Quality of life
