多模态运动干预在老年心力衰竭合并衰弱患者中的应用

Application of multimodal exercise intervention in elderly patients with heart failure

目的探讨多模态运动干预策略对老年心力衰竭合并衰弱患者的影响。方法采用便利抽样法,选取2021年5月-2022年5月江西省某三级甲等医院心内科收治的老年心力衰竭合并衰弱患者160例,按患者所在病区将其分为对照组和干预组,每组80例。对照组采用常规护理,干预组在常规护理基础上实施多模态运动干预,比较2组干预前后衰弱水平得分、6 min步行距离、健康状况。结果干预8周后,干预组衰弱得分低于对照组(t=3.871,P<0.001),6 min步行距离长于对照组(t=2.612,P=0.001),简明健康量表(the MOS item short from health survey,SF-36)得分高于对照组(P<0.05)。结论多模态运动干预可有效改善老年心力衰竭合并衰弱患者水平及运动耐力,进而改善其健康状况,值得临床推广。

Objective To explore the effect of multimodal exercise intervention on elderly patients with heart failure and frailty.Methods A total of 160 elderly patients with heart failure and admitted to the department of cardiology of a grade-A tertiary hospital in Jiangxi province between May 2021 and May 2022 were selected by using the convenient sampling method.They were randomly divided into an intervention group and a control group,each of 80.Both groups were given routine nursing,while the intervention group was additionally provided with multimodal exercise intervention.Before and after the intervention,the frailty,health status and 6-minute walking distance were compared between the two groups.Results After 8-week intervention,the frailty score of the intervention group was significantly lower than that of the control group(t=3.871,P<0.001),while the 6-minute walking distance was significantly longer than that of the control group(t=2.612,P=0.001),with the MOS short from health survey(SF-36)score significantly higher than that of the control group(P<0.05).Conclusion Multimodal exercise intervention can effectively relieve the frailty level and better the exercise tolerance of elderly patients with heart failure,thereby improving their health status.