心率及个体化管理对老年扩张型心肌病患者心理状态及运动耐力的影响

Effects of heart rate and individualized management on mental state and exercise endurance of elderly patients with dilated cardiomyopathy

目的 探讨心率及个体化管理在老年扩张型心肌病(dilated cardiomyopathy,DCM)患者心理状态及运动耐力的影响。方法 选取2017年4月—2020年6月于西部战区总医院收治的老年扩张型心肌病(DCM)患者130例,按照数字表法随机分为观察组和对照组,每组65例。观察组采用心率及个体化管理进行干预,对照组采用常规护理进行干预。比较干预前后2组的负面情绪、6分钟步行距离、Borg评分、静息心率、生活质量水平,以及干预后患者的护理满意度。结果 干预后,2组焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)评分均较同组干预前降低(P<0.05),观察组SAS和SDS评分均低于对照组(P<0.05)。干预后,2组6分钟步行距离较干预前延长(P<0.05),Borg评分和静息心率较干预前降低(P<0.05);与对照组比较,观察组6分钟步行距离更长(P<0.05),Borg评分和静息心率更低(P<0.05)。干预后,2组生活质量评分较同组干预前降低,观察组生活质量水平评分低于对照组(P<0.05)。干预后,观察组护理满意度评分高于对照组(P<0.05)。结论 心率及个体化管理应用于老年DCM患者,可改善患者负面情绪,提高运动耐力,降低心率,提升其生活质量和护理满意度。

Objective To explore the effects of heart rate andindividualized management on mental state and exercise endurance of elderly patients with dilated cardiomyopathy(DCM).Methods A total of 130 elderly patients with DCM admitted to General Hospital of Western Theater from April 2017 to June 2020 were selected and randomly divided into observation group and control group according to the digital table method,with 65 patients in each group.The observation group was intervened by heart rate and individualized management,while the control group was intervened by routine nursing.The negative emotions,6-min walking distance,Borgscore,restingheart rate and quality of life before and after intervention,and nursing satisfaction after intervention were compared between the two groups.Results After the intervention,the scores of Self-Rating Anxiety Scale(SAS) and Self-Rating Depression Scale(SDS) of the two groups were lower than those of the same group before the intervention(P<0.05),and the scores of SAS and SDS of the observation group were lower than those of the control group(P<0.05).After the intervention,the 6-minute walking distance of the two groups was longer than that of the same group before the intervention(P<0.05),Borg score and the resting heart rate were lower than thoseof the same group before the intervention(P<0.05).Compared with the control group,the 6-minute walking distance of the observation group was longer(P<0.05),and the Borg score and resting heart rate were lower(P<0.05).After the intervention,the scores of quality of life of the two groups were lower than those of the same group before the intervention,and the scores of quality of life of the observation group was lower than that of the control group(P<0.05).After the intervention,the nursing satisfaction score of the observation group was higher than that of the control group(P<0.05).Conclusion The application of heart rate and individualized management to elderly patients with DCM can relieve their negative emotions,enhance exercise tolerance,reduce heart rate,and improve their quality of life and nursing satisfaction.