摘要
目的探讨基于患者机体物理功能评估结果而制订的个体化康复干预对急性失代偿性心力衰竭患者临床结局的影响效果。方法选取2017年1月至2018年12月四川省宜宾市第二人民医院急性失代偿性心力衰竭老年患者152例为研究对象,采用随机数字表法将研究对象分为试验组和对照组,试验组根据患者机体的平衡力、移动力、肌力及耐力四方面的评估结果制定个体化的过渡期康复干预措施,对照组仅做常规的康复相关健康宣教及随访,比较2组完成康复训练后简易机体功能评分情况及出院后6个月全因再入院率。结果最终完成本研究的患者为144例,每组72例。试验组干预3个月后平衡试验、4 m定时行走、定时端坐起立试验、简易机体功能评估法总分分别为(3.05±1.01)、(3.74±0.58)、(2.75±0.76)、(9.44±2.16)分,对照组分别为(2.82±0.86)、(3.30±1.02)、(2.24±0.74)、(8.33±2.46)分,2组比较差异有统计学意义(t值为-5.287~-2.001,P<O.O1)。试验组出院后6个月全因再入院率为12.5%(9/72),对照组为23.6%(17/72),差异有统计学意义(t值为-0.348,P<0.05)。结论基于患者机体物理功能评估结果所制汀的个体化康复锻炼能够有效改善患者机体功能,提高生命质量;同时能够降低患者出院后6个月全因再入院率,可以为临床急性失代偿性心力衰竭老年患者的过渡期康复训练提供参考。
Objective To explore the effect of individual rehabilitation intervention on the clinical outcome of patients with acute decompensated heart failure.Methods A total of 152 elderly patients with acute decompensated heart failure in a tertiary hospital from January 2017 to December 2018 were selected and randomly assigned to the test group and the control group.The test group developed individualized interim rehabilitation interventions based on the evaluation results of balance,mobility,muscle strength and endurance of patients.The control group only performed routine rehabilitation related health care and discharge follow up,the short physical performance battery and the rate of all-cause readmission 6 months after discharge were compared between the two groups.Results Finally,144 patients finished the reseach,72 patients in each group.After 3 months of intervention,the total scores of balance test,4-meter timed walking,time to complete 5 chair rise and SPPB in the test group were 3.05±1.01,3.74±0.58,2.75±0.76,9.44±2.16,while those in the control group were 2.82±0.86,3.30±1.02,2.24±0.74,8.33±2.46.There was significant difference between the two groups(t value was from -5.287 to-2.001,P<0.01).Six months after discharge,the all-cause readmission rate was 12.5%(9/72)in the test group and 23.6%(17/72)in the control group,the difference was statistically significant(t value was-0.348,P<0.05).Conclusions The individual rehabilitation exercise based on the results of physical function evaluation can effectively improve the patients' body function and quality of life.Besides this,it can reduce the rate of all-cause readmission 6 months after discharge,which can provide reference for the transitional rehabilitation training of the elderly patients with acute decompensated heart failure.
作者
钟惠
朱正芬
张小红
Zhong Hui;Zhu Zhengfen;Zhang Xiaohong(Department of Cardiology,the Second People's Hospital of Yibin City,Yibin 644000,China)
出处
《中国实用护理杂志》
2021年第21期1628-1634,共7页
Chinese Journal of Practical Nursing
基金
宜宾市卫生健康委员会科技基金(2020YW063)。
关键词
急性失代偿性心力衰竭
老年人
康复训练
简易机体功能评分
全因再入院率
Acute decompensated heart failure
Aged
Rehabilitation training
Short physical performance battery
All-cause readmission rate