运动康复护理在老年慢性心力衰竭患者中的应用效果

Application effects of exercise rehabilitation nursing in elderly patients with chronic heart failure

目的:观察运动康复护理在老年慢性心力衰竭(心衰)患者中的应用效果。方法:选取64例老年慢性心衰患者作为研究对象,按照随机数字表法分为对照组(n=32)与观察组(n=32)。对照组实施常规护理,观察组在对照组基础上实施运动康复护理,比较两组护理前后心功能指标[左室舒张末期内径(LVEDD)、左室收缩末期内径(LVESD)与左室射血分数(LVEF)]水平、自护能力[自我护理能力测定表(ESCA)]评分、6 min步行试验(6MWT)距离和明尼苏达心力衰竭生活质量调查表(LiHFe)评分。结果:护理后,观察组LVEDD、LVESD水平和LiHFe评分均低于对照组,LVEF水平高于对照组,6MWT距离长于对照组,差异有统计学意义(P<0.05);护理后,观察组自护技能、自护责任感、自我概念和健康知识水平等ESCA各维度评分均高于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上实施运动康复护理可改善老年慢性心衰患者的心功能指标水平,降低LiHFe评分,延长6MWT距离,以及提高ESCA评分,效果优于单纯常规护理。

Objective:To observe application effects of exercise rehabilitation nursing in elderly patients with chronic heart failure.Methods:64 elderly patients with chronic heart failure were selected as the research objects,and were divided into control group(n=32)and observation group(n=32)according to the random number table method.The control group was given routine nursing,while the observation group was given exercise rehabilitation nursing on the basis of that of the control group.The levels of cardiac function indexes[left ventricular end-diastolic diameter(LVEDD),left ventricular endsystolic diameter(LVESD)and left ventricular ejection fraction(LVEF)],the self-care ability score[self-care ability assessment scale(ESCA)],the 6-minute walking test(6MWT)distance,and the Minnesota heart failure quality of life(LiHFe)score were compared between the two groups before and after the nursing.Results:After the nursing,the levels of LVEDD,LVESD and LiHFe in the observation group were lower than those in the control group;the LVEF level was higher than that in the control group;the 6MWT distance was longer than that of the control group;and the differences were statistically significant(P<0.05).Further,after the nursing,the ESCA scores of self-care skills,self-care responsibility,self-concept and health knowledge level in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the implementation of exercise rehabilitation nursing can improve the levels of cardiac function indicators in the elderly patients with chronic heart failure,reduce the LiHFe score,and improve the 6MWT distance and the ESCA score.Moreover,it is superior to single routine nursing.