基于时机理论的舒心护脉操在慢性心力衰竭患者康复中的应用

Application of Shuxin Humai exercise based on the timing theory in the rehabilitation for patients with chronic heart failure

目的研究基于时机理论的舒心护脉操在慢性心力衰竭患者康复中的应用,探讨对患者生活质量及心储备功能的影响。方法选取2022年1月至2023年2月广东省第二中医院心血管科收治的慢性心力衰竭患者60例作为研究对象,按随机数字表法将其分为对照组和观察组,各30例。观察组中男18例,女12例;年龄53~78(60.37±5.51)岁;病程3~20(7.34±2.38)年。对照组中男20例,女10例;年龄56~76(61.85±3.56)岁;病程3~23(7.46±2.49)年。对照组按照心力衰竭诊疗规范进行治疗及常规护理,在患者出院前48 h给予常规出院宣教及运动康复指导,并定期随访;观察组在对照组的基础上给予为期6个月的基于时机理论的舒心护脉操抗阻运动,出院后电话回访时给予技术指导。比较两组护理前后患者的心储备功能、治疗有效率、护理满意度。进行独立样本t检验、χ^(2)检验。结果(1)两组患者心储备功能比较,干预后观察组各项疗效指标优于对照组,差异均有统计学意义(均P<0.05)。(2)观察组和对照组治疗总有效率分别为90.0%(27/30)和63.3%(19/30),两组间比较,差异有统计学意义(P<0.05)。(3)观察组和对照组患者护理满意度为100.0%(30/30)和76.7%(23/30),两组间比较,差异有统计学意义(P<0.05)。结论循序渐进地坚持舒心护脉操抗阻运动不仅可有效改善心力衰竭患者的心储备功能,还可以提高患者生活质量。

Objective To study the application of Shuxin Humai exercise based on the timing theory in the rehabilitation for patients with chronic heart failure,and to explore the influence on patients'life quality and cardiac reserve function.Methods A total of 60 patients with chronic heart failure who were admitted to the Cardiovascular Department of Guangdong Second Traditional Chinese Medicine Hospital from January 2022 to February 2023 were selected and were divided into a control group and an observation group by the random number table method,with 30 cases in each group.In the observation group,there were 18 males and 12 females,the age was 53-78(60.37±5.51)years old,and the course of disease ranged from 3 to 20(7.34±2.38)years.In the control group,there were 20 males and 10 females,the age was 56-76(61.85±3.56)years old,and the course of disease ranged from 3 to 23(7.46±2.49)years.The control group received treatment and routine care according to the diagnosis and treatment norms of heart failure,which was given routine discharge education and exercise rehabilitation guidance 48 h before discharge,and followed up regularly.The observation group was given 6-month Shuxin Humai resistance exercise based on the timing theory on the basis of the control group,and was given technical guidance during the telephone visit after discharge.The cardiac reserve function,treatment efficiency,and nursing satisfaction were compared between the two groups before and after nursing.Independent sample t test and χ^(2) test were performed.Results(1)The comparison of cardiac reserve function between the two groups showed that the therapeutic indexes in the observation group were significantly better than those in the control group after intervention,with statistically significant differences(all P<0.05).(2)The total effective rate of the observation group was 90.0%(27/30),and that of the control group was 63.3%(19/30),with a statistically significant difference between the two groups(P<0.05).(3)The nursing satisfaction of the observation group was 100.0%(30/30),and that of the control group was 76.7%(23/30),with a statistically significant difference between the two groups(P<0.05).Conclusion Progressive adherence to Shuxin Humai resistance exercise can not only effectively improve the cardiac reserve function in patients with heart failure,and can also improve their quality of life.