基于系统化健康教育的心脏康复护理对心力衰竭患者心血管不良事件及生活质量的影响

Effects of Cardiac Rehabilitation Nursing Based on Systematic Health Education on Cardiovascular Adverse Events and Quality of Life in Patients with Heart Failure

目的探究基于系统化健康教育的心脏康复护理对心力衰竭患者心血管不良事件及生活质量的影响。方法选取2020年1月-2023年1月我院收治的98例心力衰竭患者进行研究。以随机数字表法均分为2组。对照组(49例):常规护理。观察组(49例):基于系统化健康教育的心脏康复护理。比较6 MWD、心血管不良事件发生率及生活质量评分。结果与对照组干预前的6 MWD相比,观察组同时期变化差异不显著(t=0.335,P=0.738),干预后,两组6 MWD均显著提升(P<0.05),且观察组(402.41±65.25)高于对照组的(372.52±78.48)分,差异显著(t=2.050,P=0.043)。与对照组16.33%的心血管不良事件发生率相比,观察组(4.08%)显著降低,差异显著(χ^(2)=4.009,P=0.045)。与对照组干预前的生活质量评分相比,观察组同时期变化差异不显著(t=0.631,P=0.530),干预后,两组生活质量评分均显著提升(P<0.05),且观察组(46.37±3.20)分高于对照组的(41.25±3.74)分,差异显著(t=7.281,P=0.000)。结论基于系统化健康教育的心脏康复护理能够提升心力衰竭患者运动耐力及生活质量,降低心血管不良事件发生率。

Objective To explore the effects of cardiac rehabilitation nursing based on systematic health education on cardiovascular adverse events and quality of life in patients with heart failure.Methods 98 patients with heart failure admitted to our hospital from January 2020 to January 2023 were studied.They were divided into 2 groups by random number table method.Control group(49 cases):routine nursing.Observation group(49 cases):cardiac rehabilitation nursing based on systematic health education.MWD,incidence of cardiovascular adverse events and quality of life scores were compared.Results Compared with the control group before intervention,there was no significant difference in 6 MWD in the observation group at the same time(t=0.335,P=0.738).After intervention,6 MWD in both groups was significantly increased(P<0.05),and the observation group(402.41±65.25)m was higher than the control group(372.52±78.48).The difference was significant(t=2.050,P=0.043).The incidence of cardiovascular adverse events in the observation group(4.08%)was significantly lower than that in the control group(16.33%)(χ^(2)=4.009,P=0.045).Compared with the control group before intervention,there was no significant difference in the quality of life score in the observation group during the same period(t=0.631,P=0.530).After intervention,the quality of life score of the two groups was significantly improved(P<0.05),and the score of the observation group(46.37±3.20)was higher than that of the control group(41.25±3.74).The difference was significant(t=7.281,P=0.000).Conclusion Cardiac rehabilitation nursing based on systematic health education can improve the exercise endurance and quality of life of patients with heart failure,and reduce the incidence of cardiovascular adverse events.