摘要
目的:探讨运动康复护理对老年慢性心力衰竭(CHF)患者心功能恢复及遵医行为的影响。方法:选取2018年6月—2020年7月郑州市第七人民医院收治的96例老年CHF患者作为研究对象,按随机数字表法分为两组,每组各48例。对照组予以常规护理,观察组在常规护理基础上采取运动康复护理,比较两组患者干预前及干预后心功能、运动耐力、生活质量及遵医行为。结果:干预前,两组患者左心室舒张末期内径(LVEDD)、左心室射血分数(LVEF)、左心室短轴缩短率(FS)、6 min步行试验(6MWT)距离、苏明达心力衰竭生活质量问卷(MLHFQ)评分比较,差异无统计学意义(t=0.213、0.272、0.306、0.206、0.541,P>0.05)。干预后,两组患者LVEDD、LVEF、FS优于干预前;6MWT距离长于干预前,MLHFQ评分低于干预前,差异有统计学意义(t=3.029、5.709、5.241,P<0.05;t=9.791、9.248,P<0.05)。观察组LVEDD为(48.67±5.79)mm、LVEF为(53.88±5.75)%、FS为(32.69±4.38)%,优于对照组的(52.12±5.36)mm、(46.96±6.12)%、(28.43±3.54)%,差异有统计学意义(t=5.392、8.850、10.861,P<0.05)。观察组6MWT距离为(371.59±34.41)m,长于对照组的(304.35±32.86)m,MLHFQ评分为(34.38±4.60)分,低于对照组的(43.92±5.47)分,差异有统计学意义(t=15.910、27.707,P<0.05)。观察组遵医服药、康复运动、合理饮食和自我调整状态遵医率分别为97.92%、95.83%、87.50%、91.67%,高于对照组的81.25%、62.50%、66.67%、72.92%,差异有统计学意义(χ^(2)=7.144、16.168、5.897、5.790,P<0.05)。结论:运动康复护理可促进老年心力衰竭患者心功能恢复,增强运动耐力,并提升患者遵医行为,促进病情稳定。
Objective:To explore the effect of exercise rehabilitation nursing on cardiac function recovery and compliance behavior in elderly patients with chronic heart failure(CHF).Methods:A total of 96 elderly CHF patients admitted to the hospital from June 2018 to July 2020 were selected and divided into two groups according to the random number table method,with 48 cases in each group.The control group received routine nursing,and the observation group received exercise rehabilitation nursing on the basis of routine nursing.The cardiac function,exercise tolerance and medical compliance behavior were compared between the two groups before and after the intervention.Results:Before intervention,there was no statistically significant difference in left ventricular end-diastolic diameter(LVEDD),left ventricular ejection fraction(LVEF),left ventricular short-axis shortening rate(FS),6-minute walk test(6 MWT)and compliance rate between the two groups of patients(t=0.213,0.272,0.306,0.206,0.541,P>0.05).After intervention,the LVEDD,LVEF and FS of the two groups were better than before intervention,6 MWT was longer than before intervention,and the MLHFQ score was lower than before intervention,the difference was statistically significant(t=3.029,5.709,5.241,P<0.05,t=9.791,9.248,P<0.05).The LVEDD(48.67±5.79)mm,LVEF(53.88±5.75)%and FS(32.69±4.38)%of the observation group were better than(52.12±5.36)mm,(46.96±6.12)%and(28.43±3.54)%of the control group,the differences were statistically significant(t=5.392,8.850,10.861,P<0.05).The 6 MWT distance in the observation group was(371.59±34.41)m,longer than(304.35±32.86)m in the control group,the MLHFQ score in the observation group was(34.38±4.60)points,lower than(43.92±5.47)points in the control group,and the difference was statistically significant(t=15.910,27.707,P<0.05).The rates of compliance with medicine,rehabilitation exercise,reasonable diet and self-adjustment in the observation group were 97.92%,95.83%,87.50%,and 91.67%,which were higher than 81.25%,62.50%,66.67%and 7
作者
曹玉兰
甄素芳
CAO Yu-lan;ZHEN Su-fang(Department of Internal Medicine,Zhengzhou Seventh People’s Hospital,Zhengzhou,Henan,450000,China)
出处
《黑龙江医学》
2022年第1期61-63,共3页
Heilongjiang Medical Journal
基金
河南省自然科学基金项目(172404417250)。
关键词
慢性心力衰竭
运动康复
心功能
遵医行为
运动耐力
Chronic heart failure
Exercise rehabilitation
Cardiac function
Compliance
Exercise endurance
