循序渐进的运动康复护理对慢性心衰患者运动耐力、生活质量及不良心脏事件的影响

Effect of Progressive Exercise Rehabilitation Nursing on Exercise Endurance,Quality of Life and Adverse Cardiac Events in Patients with Chronic Heart Failure

目的探究循序渐进的运动康复护理对慢性心衰患者运动耐力、生活质量及不良心脏事件的影响。方法选取2022年6月-2023年6月我院收治的106例慢性心衰患者进行研究。以随机数字表法均分为2组。对照组(53例):基础护理。观察组(53例):循序渐进的运动康复护理。比较6 MWD、生活质量、不良心脏事件、满意度。结果干预前,两组6 MWD相比差异不显著(t=0.267,P=0.790),干预3个月后,两组6 MWD均显著提升(t=11.710,P=0.000,t=8.469,P=0.000),且观察组(403.18±62.11)m高于对照组(375.51±68.43)分,差异显著(t=2.180,P=0.032)。干预前,两组生活质量评分相比差异不显著(t=1.690,P=0.094),干预3个月后,两组生活质量评分均显著提升(t=14.053,P=0.000,t=8.409,P=0.000),且观察组(47.11±3.16)分高于对照组(42.34±3.28)分,差异显著(t=7.625,P=0.000)。与对照组16.98%的心衰加重、心源性再入院、急性心肌梗死、心律失常等不良心脏事件总发生率相比,观察组(3.77%)显著降低,差异显著(χ^(2)=4.970,P=0.026)。观察组满意度(90.57%)优于对照组(75.47%),差异显著(χ^(2)=4.283,P=0.039)。结论循序渐进的运动康复护理在提升慢性心衰患者运动耐力方面有积极意义。该护理能够提高患者生活质量及满意度,降低不良心脏事件的发生率。

Objective To explore the effects of progressive exercise rehabilitation nursing on exercise endurance,quality of life and adverse cardiac events in patients with chronic heart failure.Methods 106 patients with chronic heart failure admitted to our hospital from June 2022 to June 2023 were studied.They were divided into 2 groups by random number table method.Control group(53 cases):basic nursing.Observation group(53 cases):gradual exercise rehabilitation nursing.MWD,quality of life,adverse cardiac events and satisfaction were compared.Results Before intervention,there was no significant difference in 6 MWD between the two groups(t=0.267,P=0.790).After 3 months of intervention,6 MWD in both groups was significantly increased(t=11.710,P=0.000,t=8.469,P=0.000).Moreover,the observation group(403.18±62.11)m was higher than the control group(375.51±68.43),the difference was significant(t=2.180,P=0.032).Before intervention,there was no significant difference in QOL scores between the two groups(t=1.690,P=0.094).After 3 months of intervention,QOL scores in both groups were significantly improved(t=14.053,P=0.000,t=8.409,P=0.000).The score of observation group(47.11±3.16)was higher than that of control group(42.34±3.28),the difference was significant(t=7.625,P=0.000).Compared with the control group,the total incidence of heart failure aggravation,cardiac readmission,acute myocardial infarction,arrhythmia and other adverse cardiac events was significantly reduced in the observation group(3.77%),with significant difference(χ^(2)=4.970,P=0.026).The satisfaction of observation group(90.57%)was better than that of control group(75.47%),and the difference was significant(χ^(2)=4.283,P=0.039).Conclusion Progressive exercise rehabilitation nursing has positive significance in improving exercise endurance of patients with chronic heart failure.This nursing can improve patients'quality of life and satisfaction,and reduce the incidence of adverse cardiac events.