摘要
目的:分析阶段性综合运动方案在慢性心力衰竭患者康复中的临床效果。方法:选择2020年2月—2022年12月建湖县人民医院心内科收治的96例慢性心力衰竭患者,通过随机数表法分为两组,各48例。对照组给予常规康复护理,观察组给予常规康复护理联合阶段性综合运动方案。比较两组干预前后的心功能指标、明尼苏达心衰生活质量量表(MLHFQ)评分、6 min步行距离(6MWD)、躯体症状评分、心力衰竭自我护理指数量表(SCHFI)评分。结果:干预前,两组心功能指标比较,差异无统计学意义(P>0.05);干预后,两组左心室射血分数(LVEF)均高于干预前,左心室舒张末期内径(LVEDD)、左心室收缩末期内径(LVESD)水平低于干预前,且观察组LVEF高于对照组,LVESD、LVEDD低于对照组,差异有统计学意义(P<0.05)。干预前,两组MLHFQ评分比较,差异无统计学意义(P>0.05);干预后,两组MLHFQ评分均低于干预前,且观察组MLHFQ评分均低于对照组,差异有统计学意义(P<0.05)。干预前,两组6MWD、躯体症状评分比较,差异无统计学意义(P>0.05);干预后,两组6MWD长于干预前,躯体症状评分低于干预前,且观察组6MWD长于对照组,躯体症状评分低于对照组,差异有统计学意义(P<0.05)。干预前,两组SCHFI评分比较,差异无统计学意义(P>0.05);干预后,两组SCHFI评分高于干预前,观察组SCHFI评分均高于对照组,差异有统计学意义(P<0.05)。结论:阶段性综合运动方案可改善慢性心力衰竭患者康复效果,减轻临床症状,提升其生活质量及自护能力,增强心功能。
Objective:To analyze the clinical effect of phased comprehensive exercise program in the rehabilitation of patients with chronic heart failure.Method:A total of 96 patients with chronic heart failure admitted to the Department of Cardiology of Jianhu People's Hospital from February 2020 to December 2022 were selected,and they were divided into two groups by random number table method,with 48 patients in each group.The control group was given routine rehabilitation nursing,and the observation group was given routine rehabilitation nursing combined with phased comprehensive exercise program.Cardiac function indexes,Minnesota living with heart failure questionnaire(MLHFQ)score,6-min walking distance(6MWD),somatic symptom score and the self-care of heart failure index(SCHFI)score before and after intervention were compared between the two groups.Result:Before intervention,there were no significant differences in cardiac function indexes between the two groups(P>0.05).After intervention,left ventricular ejection fraction(LVEF)in both groups were higher than those before intervention,left ventricular end-diastolic diameter(LVEDD)and left ventricular end-systolic diameter(LVESD)levels were lower than those before intervention,and LVEF in observation group was higher than that in control group,LVESD and LVEDD were lower than those in control group,the differences were statistically significant(P<0.05).Before intervention,there were no significant differences in MLHFQ scores between the two groups(P>0.05).After intervention,MLHFQ scores in both groups were lower than those before intervention,and MLHFQ scores in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Before intervention,there were no significant difference in 6MWD and somatic symptom scores between the two groups(P>0.05).After intervention,6MWD in two groups were longer than those before intervention,and somatic symptom score were lower than those before intervention,and 6MWD in observation g
作者
张雯雯
ZHANG Wenwen(Jianhu People's Hospital,Jianhu 224700,China)
出处
《中外医学研究》
2023年第36期147-151,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
阶段性综合运动方案
慢性心力衰竭
康复护理
Phased comprehensive exercise program
Chronic heart failure
Rehabilitation nursing
