运动护理干预对老年慢性心力衰竭患者心功能的影响

Influence of Exercises Nursing Intervention on the Cardiac Function in Elderly Patients with Chronic Heart Failure

目的观察运动护理干预对老年慢性心力衰竭(CHF)患者心功能的影响。方法 60例病情稳定的老年CHF患者随机分成常规治疗组和运动干预组,每组各30例,两组均给予相同的基础治疗,运动干预组患者予以运动护理干预,观察干预过程的安全性和干预后心功能分级、LVEF及6分钟步行试验(6MWT)距离的变化。结果干预8周后,运动干预组①在研究期间未发现严重心血管事件;②心功能分级和6MWT距离均有改善(分别P<0.05,P<0.01),高于对照组(均有P<0.05);③LVEF没有明显改善。结论对老年CHF患者实施合理的运动护理干预是控制其心衰、改善运动能力的安全干预方法之一。

Objective To investigate the exercises as nursing intervention on the cardiac function in elderly patients with chronic heart failure （CHF）. Methods 60 cases of elderly patients with stable CHF were randomly divided into two groups： conventional treatment group （n =30） and exercise intervention group （n =30）, all of whom were treated with the regular treatments, while the latter group were treated with extra exercise intervention. The security of the intervention, cardiac function grade, LVEF and 6 MWT were observed. Results No adverse events occurred during or after intervention; the cardiac function grade and distance of 6 MWT were improved （P〈0.05, P〈0. 01） in exercise intervention group compared with the other group （both P 〈0.05）; the LVEF had no change in both groups before and after treatment. Conclusion Reasonable exercise nursing intervention can safely improve the cardiac function of the dlderly patients with CHF.