中青年心衰患者早期运动康复与持续康复干预研究

Intervention effects of early exercise rehabilitation and continuous rehabilitation on young and middle-Aged patients with heart failure

目的探讨早期运动康复与持续康复对中青年心衰患者的干预效果。方法选取收治的72例中青年心衰患者通过方便抽样法随机分为参照组(36例)和康复组(36例)。参照组进行常规基础疾病治疗及持续康复干预,康复组在参照组持续康复干预基础上予以早期运动康复。比较两组运动耐量、运动峰耗氧量(PVO2)、6min步行距离(6MWT)、心输出量(CO)、左室射血分数(LVEF)、左室舒张末期内径(LVEDD)、自我效能(ESE)评分、疾病不确定感量表(MUIS-A)评分、生活质量评分及康复效果。结果康复干预3个月后,两组运动耐量、PVO2、6MWT、CO、LVEF与干预前相比显著升高,LVEDD与干预前相比显著降低,且康复组明显优于参照组(P<0.05);两组ESE评分、生活质量各项评分与干预前相比显著升高,MUIS-A评分与干预前相比显著降低,且康复组总有效率显著优于参照组(P<0.05)。结论在中青年心衰患者持续康复干预过程中增加早期运动康复训练,可以增强患者心功能和运动能力,一定程度改善内皮功能,同时有助于提高其自我效能感、生活质量及降低疾病不确定感。

Objective To investigate the intervention effects of early exercise rehabilitation and continuous rehabilitation on young and middle-aged patients with heart failure.Methods 72 young and middle-aged patients with heart failure treated were randomly divided into the reference group(36 cases)and the rehabilitation group(36 cases).The reference group received conventional treatment and continuous rehabilitation intervention.On this basis,the rehabilitation group received early exercise rehabilitation.The two groups were compared on exercise tolerance,peak oxygen consumption(PVO2),6-minute walking distance(6MWT),cardiac output(CO),left ventricular ejection fraction(LVEF),left ventricular end diastolic diameter(LVEDD),Exercise Self-Efficacy Scale(ESE)score,Mishel Uncertainty in Illness Scale for Adults(MUIS-A)score,quality of life score,and rehabilitation effect.Results After 3 months of rehabilitation intervention,exercise tolerance,PVO2,6MWT,CO,and LVEF in the two groups were significantly higher than those before intervention.LVEDD was significantly lower than that before intervention.Above indicators in the rehabilitation group were significantly better than those in the reference group(P<0.05).ESE scores and quality of life scores of the two groups were significantly higher than those before intervention.MUIS-A scores were significantly lower than those before intervention.The total effective rate of the rehabilitation group was significantly better than that of the reference group(P<0.05).Conclusion Applying early exercise rehabilitation training in continuous rehabilitation intervention for young and middle-aged patients with heart failure can enhance their cardiac function and exercise capacity,improve endothelial function,help to improve self-efficacy and quality of life,and reduce disease uncertainty.