双心护理联合运动康复护理在慢性心力衰竭患者中的应用效果

Application effect of double heart nursing combined with sports rehabilitation nursing in patients with chronic heart failure

目的 研究双心护理联合运动康复护理在慢性心力衰竭患者中的应用效果。方法 选取2021年1月至2022年1月收治的80例慢性心力衰竭患者为研究对象,依据随机数字表法将其分为对照组(40例,常规护理)和观察组(40例,双心护理联合运动康复护理)。比较两组的自我管理能力、负性情绪、生活质量、心功能及满意度。结果 干预后,观察组的自我管理能力各维度评分高于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的明尼苏达心力衰竭生活质量问卷(MLHFQ)各维度评分低于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的左心室射血分数(LVEF)、N末端B型利钠肽原(NT-proBNP)水平、6 min步行试验距离(6MWD)优于对照组,差异具有统计学意义(P<0.05)。观察组的满意度高于对照组,差异具有统计学意义(P<0.05)。结论 双心护理联合运动康复护理可提高慢性心力衰竭患者的自我管理能力及生活质量,缓解负性情绪。

Objective To explore the application effect of double heart nursing combined with sports rehabilitation nursing in patients with chronic heart failure.Methods Eighty patients with chronic heart failure admitted from January 2021 to January 2022 were selected as the research objects and divided into control group(40 cases,conventional nursing)and observation group(40 cases,double heart nursing combined with sports rehabilitation nursing)according to random number table method.Self-management ability,negative emotion,quality of life,cardiac function and satisfaction were compared between the two groups.Results After intervention,the scores of each dimension of self-management ability of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of each dimension of Minnesota Living Heart Failure Questionnaire(MLHFQ)of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After intervention,left ventricular ejection fraction(LVEF),N-terminal pro-B-type natriuretic peptide(NT-proBNP)level and 6 minute walk distance(6MWT)in the observation group were better than those in the control group,and the differences were statistically significant(P<0.05).The satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Double heart nursing combined with sports rehabilitation nursing can improve self-management ability and quality of life of patients with chronic heart failure,and alleviate negative emotions.