持续运动康复方案在心力衰竭患者中的应用

Effects of continuous exercise rehabilitation program in heart failure patients

目的探讨持续运动康复方案在心力衰竭患者中的应用效果.方法采用便利抽样法,选择2017年3月-2018年3月山东省立三院收治的170例慢性心力衰竭患者为研究对象.按住院号随机分为观察组(n=85)和对照组(n=85).对照组给予常规出院宣教,观察组在此基础上进行为期4周的心力衰竭持续运动康复方案.干预前后比较两组患者的运动耐量、疲劳度、康复进程及生活质量.结果出院第28天,观察组患者的6 min步行距离长于对照组,疲劳程度得分低于对照组,差异有统计学意义(P<0.05).观察组的下床活动时间、住院时间均短于对照组,差异有统计学意义(P<0.05).观察组患者出院第28天的生活质量总分以及生理变化、睡眠状况、饮食控制3个维度得分均高于对照组,差异有统计学意义(P<0.05).结论对心力衰竭患者实施持续运动康复方案,可以提高机体活动耐力,加快康复进程,改善其生活质量.

Objective To explore the effects of continuous exercise rehabilitation program in heart failure patients.Methods From March 2017 to March 2018,we selected 170 chronic heart failure patients at Shandong Provincial Third Hospital as subjects by convenience sampling.All of the patients were randomly divided into observation group(n=85)and control group(n=85)according to admission number.Control group carried out routine discharge education.On the basis of that,observation group implemented heart failurecontinuous exercise rehabilitation program for four weeks.We compared the exercise tolerance,fatigue,rehabilitation process and quality of life(QOL)of patients between two groups before and after intervention.Results A total of 28 days after discharge,the distance of 6 min walk of patients in observation group was longer than that of patients in control group,and the fatigue degree was lower than that of patients in control group;the differences were statistical(P<0.05).The time of exercise out of bed and hospital stay of observation group was shorter than those in control group with statistical differences(P<0.05).The total score of QOL and scores of physiological change,sleep status and diet control of patients in observation group were higher than those in control group 28 days after discharge with statistical differences(P<0.05).Conclusions Application of continuous exercise rehabilitation program for heart failure patients can improve exercise tolerance,accelerate the rehabilitation process and improve their QOL.