运动APP在慢性心力衰竭患者心脏康复中的应用

Application of sports APP in cardiac rehabilitation of patients with chronic heart failure

目的分析居家康复期间予以慢性心力衰竭患者移动医疗技术指导进行临床干预的效果。方法选取2021年8月至2022年8月该院收治的60例慢性心力衰竭患者作为研究对象,将其分为对照组和观察组,每组30例。对照组行常规家庭指导,观察组予以移动医疗技术指导家庭心脏康复管理,随访24周,分析2组6 min步行试验(6MWT)、明尼苏达心力衰竭生活质量(MLHFQ)评分、心功能指标、心率、血压、再住院率和心血管不良事件(MACE)发生率等。结果通过随访,观察组患者6MWT、MLHFQ评分较对照组提高,差异均有统计学意义(P<0.05)。观察组患者心功能指标、血压、心率改善程度优于对照组,差异均有统计学意义(P<0.05)。观察组和对照组再住院率分别为6.66%、26.66%,MACE发生率分别为13.33%、40.00%,2组比较,差异均有统计学意义(P<0.05)。结论临床干预慢性心力衰竭患者予以移动医疗技术指导,能够显著提高患者居家康复情况,降低其不良反应发生率,提高患者康复依从性,改善患者心功能指标,全面提高患者日常生活质量。

Objective To analyze the effect of mobile medical technology guidance on clinical interven-tion in patients with chronic heart failure during home rehabilitation.Methods A total of 60 patients with chronic heart failure admitted to Bishan Hospital of Chongqing Medical University from August 2021 to Au-gust 2022 were selected as the research objects and divided into the control group and the experimental group,with 30 cases in each group.The control group was given routine family guidance,while the experimental group received mobile medical technology guidance for home heart rehabilitation management.Follow-up after 24 weeks,the 6-minute walk test(6MWT),Minnesota Heart Failure Quality of Life(MLHFQ)scores,heart function index,heart rate,blood pressure,readmission rate,and incidence of major adverse cardiac events(MACE)were comprehensively analyzed.Results The scores of 6MWT and MLHFQ in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).The improvement of cardiac function index,blood pressure and heart rate in the experimental group were bet-ter than those in the control group,with statistically significant differences(P<0.05).The rehospitalization rates of the experimental group and the control group were 6.66%and 26.66%,respectively;and the inci-dence of MACE was 13.33%and 40.00%,respectively,with statistically significant differences(P<0.05).Conclusion Clinical intervention for patients with chronic heart failure to be guided by mobile medical tech-nology can significantly improve the home rehabilitation of patients,reduce the occurrence of adverse reac-tions,improve the rehabilitation compliance of patients,improve the cardiac function index of patients,and comprehensively improve the quality of daily life of patients.