摘要
目的探讨针对性护理联合七步法运动康复干预在冠心病(CHD)合并慢性心力衰竭(CHF)患者中的应用效果,以期为临床相关治疗提供参考。方法选取2019年1月—2021年1月淮滨县人民医院收治的88例CHD合并CHF患者为研究对象。采用随机数字表法将患者分为对照组与联合组,每组44例。对照组患者给予常规护理干预以及常规运动康复护理。联合组患者给予针对性护理联合七步法运动康复干预。比较2组患者干预前及干预后6个月时左室射血分数(LVEF)、左室舒张末内径(LVEDD)、左室收缩末内径(LVESD)、峰值功率(WR_(peak))、峰值代谢当量(MET_(peak))、6 min步行距离(6MWT)、焦虑自评量表(SAS)及抑郁自评量表(SDS)评分。结果干预前,2组患者LVEF、LVEDD及LVESD比较,差异无统计学意义(P>0.05)。干预后6个月时,2组患者LVEF均高于干预前,LVEDD、LVESD低于干预前,同时联合组患者LVEF高于对照组,LVEDD、LVESD低于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者6MWT、MET_(peak)、WR_(peak)比较,差异无统计学意义(P>0.05)。干预后6个月时,2组患者6MWT、MET_(peak)、WR_(peak)均大于干预前,且联合组大于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者SAS及SDS评分比较,差异无统计学意义(P>0.05)。干预后6个月时,2组患者SAS及SDS评分均低于干预前,且联合组低于对照组,差异均有统计学意义(P<0.05)。结论针对性护理联合七步法运动康复干预可改善CHD合并CHF患者心肺功能,提高患者运动能力,改善患者心理状态,临床效果显著,值得推广应用。
Objective To explore the effect of seven-step exercise rehabilitation combined with targeted care intervention in patients with coronary heart disease(CHD)complicated with chronic heart failure(CHF),so as to provide a reference for clinical treatment.Methods Eighty-eight patients with CHD complicated with CHF admitted to Huaibin People's Hospital from January 2019 to January 2021 were selected as the study participants.The patients were assigned to the control group and Joint group by random number table,with 44 cases in each group.Patients in the control group were given routine care intervention as well as routine exercise rehabilitation care.Patients in the Joint group were given targeted care intervention combined with a seven-step exercise rehabilitation intervention.Left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD),left ventricular end-systolic diameter(LVESD),peak metabolic equivalent(MET_(peak)),peak work rate(WR_(peak)),6-min walk test(6 MWT),self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores were compared between the two groups before and 6 months after the intervention.Results Before the intervention,there was no significant difference in LVEF,LVEDD,and LVESD between the two groups(P>0.05).At 6 months after the intervention,LVEF was higher and LVEDD and LVESD were lower in both groups than before the intervention,while LVEF was higher and LVEDD and LVESD were lower in the joint group than in the control group,and the differences were statistically significant(P<0.05).Before the intervention,there was no significant difference in 6 MWT,MET_(peak),and WR_(peak) between the 2 groups(P>0.05).At 6 months after the intervention,6 MWT,MET_(peak),and WR_(peak) were greater in the 2 groups than before the intervention with the combined group greater than the control group,and the differ-ences were statistically significant(P<0.05).Before the intervention,there was no significant difference in SAS and SDS scores between the two groups(P>0.05).At 6 mont
作者
王丽
王敬
程露萍
刘玥
Wang Li;Wang Jing;Cheng Luping;Liu Yue(Cardiology Department,Huaibin People's Hospital,Xinyang Henan 464400,China;Cardiology Department,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《保健医学研究与实践》
2022年第10期118-121,共4页
Health Medicine Research and Practice
基金
河南省医学科技攻关计划联合共建项目(LHGJ20190218)。
关键词
七步法运动康复
针对性护理
冠心病
慢性心力衰竭
Seven-step exercise rehabilitation
Targeted care
Coronary heart disease
Chronic heart failure
