慢性心力衰竭患者基于基础代谢率和心功能分级区别开展康复锻炼的效果

Effect of Rehabilitation Exercise in Patients with Chronic Heart Failure Based on Basic Metabolic Rate and Heart Function Classification

目的:探究慢性心力衰竭患者基于基础代谢率和心功能分级区别开展康复锻炼的效果。方法:回顾性分析2020年11月-2021年3月高州人民医院收治的114例慢性心力衰竭患者进行临床对照试验研究,根据干预方法的不同将患者分为对照组(常规干预)和试验组(康复锻炼干预),干预8周。比较两组患者干预前后心功能和肺功能相关参数、生活质量、运动自我效能、焦虑评分、运动功能、临床症状等,干预后比较两组患者的依从情况。结果:干预后,试验组6 min步行距离、静息心率、用力肺活量(forced vital capacity,FVC)和每分钟最大通气量(maximum volume per minute,MVV)、运动功能、自我护理行为评分、生活质量评分、运动自我效能评分和焦虑评分显著优于对照组(P<0.05);试验组康复锻炼、药物服用、心理调节依从性显著优于对照组,差异均有统计学意义(P<0.05)。试验组干预后呼吸困难、乏力、水肿、尿少、消化道反应评分均低于对照组,差异均有统计学意义(P<0.05)。结论:相比于常规干预方法,慢性心力衰竭患者根据基础代谢率和心功能的不同进行康复锻炼干预的效果更佳,患者的依从情况也相对较好。

Objective:To explore the effect of rehabilitation exercise based on basal metabolic rate and cardiac function classification in patients with chronic heart failure.Method:From November 2020 to March 2021,114 patients with chronic heart failure admitted to the People’s Hospital of Gaozhou were retrospectively analyzed for clinical controlled trials.According to different intervention methods,the patients were divided into control group(conventional intervention)and experimental group(rehabilitation exercise intervention),intervention for 8 weeks.The cardiac function and pulmonary function-related parameters,quality of life,exercise self-efficacy,anxiety score,motor function,clinical symptoms were compared between the two groups before and after the intervention,and the compliance of the two groups was compared after the intervention.Result:After intervention,the 6-min walking distance,resting heart rate,forced vital capacity(FVC)and maximum volume per minute(MVV),motor function,self-care behavior score,quality of life score,the scores of exercise self-efficacy and anxiety were significantly better than those of the control group(P<0.05);the compliance of the patients(rehabilitation exercise,drug taking,psychological adjustment)in the experimental group were significantly better than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the scores of dyspnea,fatigue,edema,oliguria and digestive tract reaction in the experimental group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Compared with conventional intervention methods,rehabilitation exercise intervention according to the difference of basal metabolic rate and cardiac function in patients with chronic heart failure is more effective,and the compliance of patients is also relatively good.