运动康复护理对老年慢性心衰患者心功能指标、机体耐力水平及预后的影响

Effect of Exercise Rehabilitation Nursing on Cardiac Function Index,Body Endurance Level and Prognosis in Elderly Patients with Chronic Heart Failure

目的 探讨运动康复护理对老年慢性心衰患者心功能指标、机体耐力水平以及预后的影响。方法 选取2019年12月-2020年12月我院收治的126例老年慢性心衰患者为研究对象,采用随机数字表法分为观察组和对照组,各63例。对照组采用常规护理,观察组采用运动康复护理,比较两组心功能指标、耐力水平、自主护理能力以及住院时间。结果 两组LVEF均高于护理前,LVEDD、LVESD、LAD、LVMI均低于护理前,且观察组LVEF高于对照组,LVEDD、LVESD、LAD、LVMI均低于对照组(P<0.05);观察组护理后6MWT高于对照组(P<0.05);观察组平均住院时间低于对照组(P<0.05);两组自我概念、自护责任感、健康知识水平、自我护理技能均高于护理前,且观察组高于对照组(P<0.05)。结论 运动康复护理在老年慢性心衰患者中具有较高的应用价值,能有效提高患者的耐力水平,引导患者养成良好的运动习惯,从而促进心功能的恢复,提高患者自主护理能力,最终达到改善患者预后的效果。

Objective To explore the effect of exercise rehabilitation nursing on cardiac function index,body endurance level and prognosis in elderly patients with chronic heart failure.Methods A total of 126 elderly patients with chronic heart failure admitted to our hospital from December 2019 to December 2020 were selected as the research objects and divided into observation group and control group by random number table method,with 63cases in each group.The control group received routine nursing,and the observation group received exercise rehabilitation nursing.The cardiac function indexes,endurance level,self-care ability and hospitalization time were compared between the two groups.Results LVEF of the two groups was higher than that before nursing,LVEDD,LVESD,LAD and LVMI were lower than those before nursing,and LVEF of the observation group was higher than that of the control group,LVEDD,LVESD,LAD and LVMI were lower than those of the control group( P<0.05).The 6 MWT after nursing in the observation group was higher than that in the control group(P<0.05).The average hospitalization time of the observation group was lower than that of the control group(P<0.05).The self-concept,self-care responsibility,health knowledge level and self-care skills of the two groups were higher than those before nursing,and the observation group was higher than the control group(P<0.05).Conclusion Exercise rehabilitation nursing has high application value in elderly patients with chronic heart failure,which can effectively improve the endurance level of patients,guide patients to develop good exercise habits,so as to promote the recovery of cardiac function,improve the self-care ability of patients,and finally achieve the effect of improving the prognosis of patients.