家庭康复运动指导在慢性心力衰竭患者中的应用效果

Application effect of home rehabilitation exercise guidance in patients with chronic heart failure

目的:探讨家庭康复运动指导在慢性心力衰竭(CHF)患者中的应用效果。方法:选取2020年2月至2021年11月该院收治的92例CHF患者进行前瞻性研究,按随机数字表法分为观察组和对照组各46例。对照组采取常规心脏康复指导,观察组实施家庭康复运动指导,两组均持续干预6个月。比较两组干预前后心功能指标[左心室射血分数(LVEF)、左心室舒张末期内径(LVEDD)及左心室收缩末期内径(LVESD)]、运动耐力[6 min步行试验距离(6MWD)]、生命质量[明尼苏达心力衰竭生活质量量表(MLHF)],以及心脏不良事件发生率。结果:干预后,观察组LVEF、6MWD值均大于对照组,LVEDD、LVESD水平均低于对照组,MLHF评分低于对照组,差异有统计学意义(P<0.05);观察组心脏不良事件发生率为2.17%(1/46),低于对照组的17.39%(8/46),差异有统计学意义(P<0.05)。结论:家庭康复运动指导可有效改善CHF患者的心功能和运动耐力,提高生命质量,降低心脏不良事件发生率,效果优于常规心脏康复指导。

Objective:To explore application effects of family rehabilitation exercise guidance in patients with chronic heart failure(CHF).Methods:A prospective study was conducted on 92 patients with CHF admitted to the hospital from February 2020 to November 2021.They were divided into observation group and control group according to the random number table method,46 cases in each.The control group received routine cardiac rehabilitation guidance,while the observation group was given the family rehabilitation exercise guidance.Both groups were continuously intervened for 6 months.The cardiac function index levels[left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD)and left ventricular end-systolic diameter(LVESD)],the exercise tolerance[6-minute walking test distance(6MWD)],the quality of life[Minnesota quality of life scale-heart failure(MLHF)],and the incidence of adverse cardiac events were compared between the two groups before and after the intervention.Results:After the intervention,the LVEF and 6 MWD values of the observation group were higher than those of the control group,the LVEDD and LVESD levels were lower than those of the control group,and the MLHF score was lower than that of the control group,and the differences were statistically significant(P<0.05).The incidence of adverse cardiac events of the observation group was 2.17%(1/46),which was lower than 17.39%(8/46)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The family rehabilitation exercise guidance can effectively improve the cardiac function and the exercise endurance of the CHF patients and improve the quality of life and reduce the incidence of adverse cardiac events.Moreover,it is superior to routine cardiac rehabilitation guidance.