基于代谢当量的运动康复护理结合运动-心理-睡眠护理对老年慢性心力衰竭患者心脏康复、睡眠质量及心理弹性的影响

Effects of exercise rehabilitation nursing based on metabolic equivalents combined with exercise-psychology-sleep nursing on cardiac rehabilitation,sleep quality and psychological resilience in elderly patients with chronic heart failure

目的探讨基于代谢当量(METs)的运动康复护理结合运动-心理-睡眠护理对老年慢性心力衰竭(CHF)患者心脏康复、睡眠质量及心理弹性的影响。方法择取2020年1月至2021年2月我院收治的80例老年CHF患者为研究对象,根据护理方案不同将其分为对照组和观察组,各40例。对照组给予常规护理,观察组在对照组基础上给予基于METs的运动康复护理结合运动-心理-睡眠护理。比较两组的干预效果。结果干预后,观察组的左室舒张末期内径(LVDd)、左室收缩末期内经(LVDs)小于对照组,左室射血分数(LVEF)高于对照组(P<0.05)。干预后,观察组的匹兹堡睡眠质量指数(PSQI)评分低于对照组,6 min步行试验(6MWT)距离长于对照组(P<0.05)。干预后,观察组的自强、乐观、坚韧评分高于对照组(P<0.05)。结论基于METs的运动康复护理结合运动-心理-睡眠护理可有效改善老年CHF患者睡眠质量及心理弹性,促进心脏康复,值得推广。

Objective To explore the effects of exercise rehabilitation nursing based on metabolic equivalents(METs)combined with exercise-psychology-sleep nursing on cardiac rehabilitation,sleep quality and psychological resilience in elderly patients with chronic heart failure(CHF).Methods A total of 80 elderly patients with CHF admitted in our hospital from January 2020 to February 2021 were selected as the research objects and divided into control group and observation group according to different nursing schemes,with 40 cases in each group.The control group was given routine nursing,and the observation group was given exercise rehabilitation nursing based on METs combined with exercise-psychology-sleep nursing on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the left ventricular enddiastolic diameter(LVDd)and left ventricular end systolic diameter(LVDs)in the observation group were smaller than those in the control group,and the left ventricular ejection fraction(LVEF)was higher than that in the control group(P<0.05).After intervention,the Pittsburgh Sleep Quality Index(PSQI)score of the observation group was lower than that of the control group,and the 6-Minute Walk Test(6MWT)distance was longer than that of the control group(P<0.05).After intervention,the scores of self-improvement,optimism and tenacity in the observation group were higher than those in the control group(P<0.05).Conclusion Exercise rehabilitation nursing based on METs combined with exercise-psychology-sleep nursing can effectively improve the sleep quality and psychological resilience of elderly patients with CHF,and promote cardiac rehabilitation,which is worthy of promotion.