医院-家庭过渡期运动干预对高龄心血管病患者功能性体适能的影响

Effect of Exercise Intervention in Hospital-family Transition Period on Functional Fitness of Elderly Patients with Cardiovascular Disease

目的探讨医院-家庭过渡期运动干预在高龄心血管病患者护理中对其功能性体适能的影响。方法选取我院2016年1月至2018年12月收治的80例高龄心血管病患者,采用随机数字表法将其分为观察组(40例)与对照组(40例)两组,对照组患者采用常规护理,观察组患者在此基础上实施医院-家庭过渡期运动干预,比较两组患者干预前后上肢肌力、下肢肌力、有氧耐力、上肢柔韧性、下肢柔韧性、灵活性/平衡性的功能性体适情况,身体质量指数(Body Mass Index,BMI)、代谢当量(Metabolic Equivalent,MET)、静态心率等指标改善情况,患者运动依从性以及护理满意度。结果干预前两组患者在上下肢肌力、有氧耐力、上下肢柔韧性、灵活性/平衡性等功能性体适能指标以及BMI、FC重复最大负荷量、静态心率接近的情况下,差异无统计学意义(P>0.05);护理后两组患者上述指标均有改善,且观察组患者改善程度优于对照组,P<0.05。观察组依从率、满意度分别为95%、97.50%,均高于对照组的65%、75%,P<0.05。结论针对高龄心血管病患者提倡积极应用医院-家庭过渡期运动干预,能够显著改善患者功能性体适能,改善预后,提高依从性,确保患者逐渐恢复,具有很高的应用价值。

Objective To investigate the influence of hospital-family transitional exercise intervention on functional fitness in the nursing of elderly patients with cardiovascular diseases.Methods Select our hospital from January 2016 to December 2018,admitted during the period of 80 years old cardiovascular disease,the random number table method is adopted to be divided into observation group(40 cases)and control group(40 cases)in the two groups,control group were treated by routine nursing,the observation group of patients on the basis of the exercise intervention in hospital-family transition period,compared two groups of patients before and after the intervention in upper limbs strength,lower extremity muscle strength and aerobic endurance,upper body flexibility,lower limbs flexibility,flexibility,balance/functional body fitness situation of body mass index(BMI),MET,static heart rate and other indicators to improve the situation,the patient compliance and nursing satisfaction.Results Before the intervention,the two groups of patients were close to functional fitness indicators such as upper and lower limb muscle strength,aerobic endurance,upper and lower limb flexibility,flexibility/balance,and BMI,FC repetitive maximum load,and resting heart rate,the difference was not statistically significant(P>0.05);the above indicators of the two groups of patients were improved after nursing,and the improvement of the observation group was better than that of the control group,P<0.05.The compliance rate and satisfaction rate of the observation group were 95% and 97.50% respectively,which were higher than those of the control group 65% and 75%,P<0.05.Conclusion The active application of hospital-family transitional exercise intervention for elderly patients with cardiovascular diseases can significantly improve patients'functional fitness,improve prognosis,improve compliance,and ensure patients'gradual recovery,which is of high application value.