心力衰竭患者运动康复护理的效果被引量：11

Exercise Rehabilitation Nursing of Patients with Heart Failure

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摘要目的探讨运动康复护理对心力衰竭患者的疗效。方法81例患者随机分为实验组和对照组。实验组41例,在常规治疗护理基础上采用运动康复训练4周;对照组40例,给予常规治疗护理4周。结果治疗护理4周后,实验组与对照组均有心率下降、血压降低、心脏回缩、射血分数增加、6 min步行距离延长的表现,但实验组与对照组及同组治疗护理前后上述指标间比较,均有统计学意义(P<0.05);且实验组较对照组同组间比较改善结果更为明显。结论对心力衰竭患者实施运动康复护理可明显改善患者的心功能状况,是一种积极有效的护理方法,值得进一步推广应用。 Objective To appraise the outcome of exercise rehabilitation nursing on patients with heart failure. Methods Eighty-one patients with HF were divided into 2 groups at random. Forty-one patients in the experimental group received routine therapy and exercise rehabilitation nursing for 4 weeks;forty patients in the control group received routine therapy only for 4 weeks. Results After 4 weeks treatment, the heart rates,blood pressure,left ventriclar function and the six-minute walk test were all improved in both groups, with the improvement in the experimental group much greater than that in the control group and that after treatment better than before treatment （ P〈0.05）. Conclusion Exercise rehabilitation nursing is an effective method for improving the cardiac function in patients with heart failure and is worth populating.

作者郭庆平栗云雁

机构地区长治医学院附属和济医院心内科

出处《解放军护理杂志》 2007年第07A期15-17,共3页 Nursing Journal of Chinese People's Liberation Army

关键词心力衰竭运动康复护理 heart failure exercise rehabilitation nursing

分类号 R541.6 [医药卫生—心血管疾病] R493 [医药卫生—康复医学]

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参考文献7

1慢性收缩性心力衰竭治疗建议[J].中华心血管病杂志,2002,30(1):7-23. 被引量：2414
2纪承寅.慢性心力衰竭患者对运动的反应及其训练疗法[J].中国康复医学杂志,1994,9(3):143-144. 被引量：4
3Harrington D,Anker S D,Coats A J.Prevention of exercise capacity and lack of peripheral changes in asymptomatic patients with severely impaired left ventricular function[J].Eur Heart J,2001,22(5):392-399.
4Conley K E,Esselman P C,Jubrias S A,et al.Ageing,muscle properties and maximal O2 uptake rate in humans[J].J Physiol,2000,526(Pt 1):211-217.
5Meyer K,Schwaibold M,Westbrooks,et al.Effects of exercise training and activity restriction on 6-minte walking test performance in patients with chronic heart failure[J].Am Heart J,1997,133(4):447-453.
6侯云英,范秀珍.慢性心力衰竭患者的生活质量及其干预研究进展[J].解放军护理杂志,2005,22(9):54-56. 被引量：19
7高润霖,吴宁,胡大一,等.心血管病治疗指南和建议[M].北京:人民军医出版社,2005:158.

二级参考文献28

1Charles M,Romnie B,Leif R,et al.Health-related quality of life in elderly patients with heart failure[J].Scand Cardiovasc J,1999,33(5):278～285.
2Jeny C,Yang MH,Chen PL,et al.The influence of exercise tolerance on quality of life among patients with heart failure[J].Qual Life Res,2004,13(5):925～932.
3Nancy T,Charles G,Mitzi M.Identifying and treating depression in patients with heart failure[J].J Cardiovasc Nurs,2004,19(6 suppl):S47～56.
4Miche E,Herrmann G,Wirtz U.Effects of education,self-care instruction and physical exercise on patients with chronic heart failure[J].Z Kardiol,2003,92(12):985～993.
5Anders B,Anna S,Ulf D,et al.Sleep difficulties,daytime sleepiness,and health-related quality of life in patients with chronic heart failure[J].J Cardiovas Nurs,2004,19(4):234～242.
6Tiny J.Sexual problems in heart failure patients[J].Eur J Cardiovasc Nurs,2002,1(1):61～67.
7Cornelia HM,Robbert S,Ida M,et al.Changes in health-related quality of life in older patients with acute myocardial infarction or congestive heart failure:a prospective study[J].J Am Geriatr Soc,2001,49(8):1052～1058.
8Carels RA.The association between disease severity, functional status,depression and daily quality of life in congestive heart failure patients[J].Qual Life Res,2004,13(1):63～72.
9Degl'Innocenti A,Elmfeldt D,Hansson L,et al.Cognitive function and health-related quality of life in elderly patients with hypertension-baseline data from the study on cognition and prognosis in the elderly(SCOPE)[J].Blood Press,2002,11(3):157～165.
10Nonald A,David J.Neurocognitive functioning and improvement in quality of life following participation in cardiac rehabilitation[J].Am J Cardiol,1999,83(9):1374～1378.