运动康复护理在慢性心力衰竭患者中的应用效果分析

Effect of Exercise Rehabilitation Nursing in Patients with Chronic Heart Failure

目的探讨运动康复护理在慢性心力衰竭患者中的应用效果。方法方便收集2016年6月-2018年5月期间在该院心内科住院治疗的CHF患者124例,根据患者入组顺序编号,单号者纳入运动康复组,双号纳入常规组,每组62例。常规组患者给予常规护理。运动康复组除了常规护理外,还实施运动康复护理,分别在干预前、干预3个月时测量患者的心率(HR)、左室射血分数(LVEF)、6 min步行距离,评估患者的心理状况及生活质量改善情况。结果运动康复组干预后的HR、LVEF、6min步行距离分别为(76.4±6.5)次/min、(50.4±7.2)%、(450.7±34.6)m,常规组分别为(88.6±7.2)次/min、(35.7±5.3)%、(351.0±32.0)m,运动康复组干预后HR较常规组明显下降(t=9.903, P<0.05),LVEF明显高于常规组(t=12.947, P<0.05),6 min步行距离明显大于常规组(t=16.657, P<0.05)。干预后,运动康复组SDS、SAS评分(20.3±5.9)分、(21.6±6.0)分明显低于常规组患者的(27.5±6.3)分、(28.6±7.0)分(t=6.568、5.978,P<0.05),明尼苏达心力衰竭生活质量评分为(45.5±12.9)分,明显低于常规组的(57.7±11.2)分(t=5.623,P<0.05)。结论对CHF患者,运动康复护理可有效地降低其心率,提升LVEF,提高运动耐力,减轻其各种不良情绪,进而改善其生活质量,具有一定的临床价值。

Objective To explore the effect of exercise rehabilitation nursing in patients with chronic heart failure. Methods Convenient select a total of 124 patients with CHF who were hospitalized in the Department of Cardiology in the hospital from June 2016 to May 2018 were collected. The patients were numbered according to the order of enrollment. The single number was included in the exercise rehabilitation group, and the double number was included in the routine group. Each group was 62 cases. Patients in the routine group were given routine care. In addition to the routine nursing, the sports rehabilitation nursing group also implemented sports rehabilitation nursing. The patients’ heart rate(HR), left ventricular ejection fraction(LVEF), and 6-minute walking distance were measured before and 3 months after the intervention to evaluate the patient’s psychology condition and quality of life improvement. Results The HR, LVEF, and 6-minute walking distance after intervention in the sports rehabilitation group were(76.4 ±6.5) times/min,(50.4±7.2)%, and(450.7±34.6) m,compared with(88.6±7.2) times/min,(35.7±5.3)%,(351.0±32.0) m in the conventional group, the HR in the rehabilitation group was significantly lower than that in the conventional group(t=9.903, P<0.05), and the LVEF was significantly higher than that in the conventional group(t=12.947, P<0.05), and the 6-minute walking distance was significantly longer than that of the conventional group(t=16.657, P<0.05). After intervention the SDS and SAS scores of the exercise rehabilitation group were(20.3±5.9) points and(21.6±6.0) points were significantly lower than those of the conventional group(27.5±6.3) points and(28.6±7.0) points(t=6.568, 5.978, P<0.05), Minnesota heart failure quality of life score was(45.5±12.9) points, which was significantly lower than the conventional group’s(57.7 ±11.2)points(t=5.623, P<0.05). Conclusion For patients with CHF, exercise rehabilitation nursing can effectively reduce their heart rate, improve LVEF, improve exercise endurance,reduce their various negative emotions, and then improve their quality of life, which has certain clinical value.