子午流注择时穴位敷贴联合分级心理护理对CHF患者心功能、运动耐力及心理弹性的影响

Effects of meridian and meridian flow acupoint application combined with graded psychological nursing on cardiac function,exercise endurance and mental resilience in patients with CHF

目的:探究子午流注择时穴位敷贴联合分级心理护理对慢性心力衰竭(CHF)患者心功能、运动耐力及心理弹性的影响。方法:纳入2021年11月至2023年2月期间本院收治的CHF患者共计99例,以不同的干预方案选择分为研究组(n=52)与对照组(n=47)。对照组予以常规护理联合分级心理护理干预,研究组在其基础上联合使用子午流注择时穴位敷贴干预。比较干预前后两组的心功能指标、运动能力、心理状态与生活质量。结果:两组干预后的心功能指标LVEDD、LVEF、CO较干预前均改善,且研究组改善优于对照组(P<0.05);运动能力方面,两组干预后的心肺运动试验指标包括峰值氧脉搏、峰值摄氧量、无氧阈值以及通气效率(OUEP、VE/VCO_(2)最低值、VE/VCO_(2)斜率)较干预前均改善,且研究组改善优于对照组(P<0.05);两组的RS-25、Minnesota心力衰竭生活质量问卷评分较干预前均改善,且研究组改善更优(P<0.05)。结论:相较于常规护理方案,子午流注择时穴位敷贴联合分级心理护理对于CHF患者的干预效果更显著,能有效调节患者的心理状态、提高生活质量;增强患者的心肺功能,提升运动耐力。

Objective To explore the effects of meridian and meridian flow acupoint application combined with graded psychological nursing on cardiac function,exercise endurance and mental resilience of patients with chronic heart failure(CHF).Methods In November 2021to February 2023of CHF patients admitted in our hospital during the period of a total of 99cases,in different intervention scheme selection are divided into research group(n=52)and control group(n=47).The control group was given routine nursing combined with graded psychological nursing intervention,and the study group was given meridian flow injection timing acupoint application intervention on the basis of routine nursing.Comparing the two groups before and after the intervention of the cardiac function indexes and exercise capacity,psychological status and quality of life.Results The cardiac function indexes LVEDD,LVEF and CO of the two groups were improved after intervention,and the improvement of the study group was better than that of the control group(P<0.05).In terms of exercise ability,cardiopulmonary exercise test indexes including peak oxygen pulse,peak oxygen uptake,anaerobic threshold and ventilation efficiency(OUEP,VE/VCO_(2) minimum value,VE/VCO_(2) slope)were improved after intervention in both groups,and the improvement in the study group was better than that in the control group(P<0.05).RS-25and Minnesota heart failure quality of life questionnaire scores were improved in both groups compared with before intervention,and the improvement was better in the study group(P<0.05).Conclusion Compared with the conventional nursing plan,the intervention effect of meridian injection and time-selected acupoint application combined with graded psychological nursing is more significant for CHF patients,which can effectively regulate the psychological state of patients and improve the quality of life. Enhance patients' cardiopulmonary function and exercise endurance.