摘要
目的研究在慢性心力衰竭患者中应用个体化心脏康复模式的临床效果。方法将东莞市南城医院2021年7月至2022年7月收治的120例慢性心力衰竭患者为研究对象,用随机数表法将患者分为对照组和观察组,每组各60例。两组均进行常规抗心力衰竭治疗、护理,观察组除常规治疗、护理之外对患者实施个体化心脏康复模式。比较两组患者干预3、6个月后6 min步行试验(6MWD)距离、血浆N端脑利纳肽前体(NT-proBNP)值、平均住院时间、再住院率及生活质量量表(SF-36)评分。结果干预3、6个月后观察组6MWD、SF-36评分均高于对照组,差异有统计学意义(P<0.05);干预3、6个月后观察组NT-proBNP水平均低于对照组,差异有统计学意义(P<0.05),观察组的平均住院时间以及干预3、6个月后再住院率明显低于对照组,差异有统计学意义(P<0.05)。结论在慢性心力衰竭患者中应用个体化心脏康复模式可以明显改善患者的心功能指标水平、缩短平均住院时间、降低再次住院率,从而提高患者的生活质量。
Objective To study the clinical effect of applying an individualized cardiac rehabilitation model in patients with chronic heart failure.Methods A total of 120 patients with chronic heart failure admitted to Dongguan Nancheng Hospital from July 2021 to July 2022 were sel ected as the study subjects.The patients were randomly divided into a control group and an observation group using the random number table method,with 60 patients in each group.Both groups received routine anti-heart failure treatment and care,while the observation group received an individualized cardiac rehabilitation model for patients in addition to routine treatment and care.The six minutes walk test(6MWD),N-terminal pro-B-type natriuretic peptide(NT-proBNP)values,average hospitalization time,readmission rate,and quality of life scale(SF-36)scores between two groups of patients after 3 and 6 months of intervention were compared.Results After 3 and 6 months of intervention,the scores of 6MWD and SF-36 in the observation group were higher than those in the control group,with a statistically significant difference(P<0.05).After 3 and 6 months of intervention,the average level of NTproBNP in the observation group was lower than that in the control group,with a statistically significant difference(P<0.05).The average hospitalization time and readmission rate after 3 and 6 months of intervention in the observation group were significantly lower than those in the control group,with a statistically significant difference(P<0.05).Conclusion The application of an individualized cardiac rehabilitation model in patients with chronic heart failure can significantly improve the level of cardiac function indicators,shorten the average hospitalization time,and reduce the rate of readmission,there by improving the quality of life of patients.
作者
梁婉红
张莉
梁国如
LIANG Wanhong;ZHANG Li;LIANG Guoru(Dean’s Office,Dongguan Nancheng Hospital,Guangdong,Dongguan 523000,China;Department of Internal Medicine,Dongguan Nancheng Hospital,Guangdong,Dongguan 523000,China)
出处
《中国医药科学》
2023年第15期115-118,165,共5页
China Medicine And Pharmacy
基金
广东省东莞市社会发展科技项目(20211800902952)。
关键词
慢性心力衰竭
个体化
心脏康复模式
心功能
生活质量
Chronic heart failure
Individualization
Heart rehabilitation model
Cardiac function
Quality of life
