摘要
目的:分析运动康复对老年慢性心力衰竭(CHF)患者LVEF水平的改善效果。方法:选取2021年2—12月北华大学附属医院收治的80例CHF患者作为研究对象,随机分为对照组和试验组,每组各40例。对照组开展常规护理,试验组开展运动康复护理,比较两组患者心功能指标、心率、6 min步行试验(6 MWT)及生活质量评分情况。结果:干预前,试验组与对照组心功能指标相比较,差异无统计学意义(t=0.1542、0.5020、0.1070,P>0.05);干预后,试验组左心室舒张末期内径(LVESD)、左心室射血分数(LVEF)高于对照组,左心室收缩末期内径(LVEDD)低于对照组,差异有统计学意义(t=4.4450、3.6952、6.6206,P<0.05);干预后,两组患者6MWT均比干预前时间长,心率均比干预前低,其中试验组的变化优于对照组,差异有统计学意义(t=11.8733、7.0324,P<0.05);干预前,两组患者各项生活质量评分相比较,差异无统计学意义(P>0.05);干预后,两组患者的各项生活质量评分高于干预前,试验组患者的心理状态、健康水平、躯体功能、社会功能评分高于对照组,差异有统计学意义(t=9.1034、8.9950、15.6503、10.8665,P<0.05)。结论:积极开展运动康复护理利于改善老年慢性心力衰竭患者的心功能,提升患者生活质量。
Objective:To analyze the effect of exercise rehabilitation on the improvement of LVEF levels in elderly patients with chronic heart failure(CHF).Methods:80 patients were randomly divided into control group and experimental group,40 cases in each group.The control group carried out conventional nursing,and the experimental group carried out exercise rehabilitation nursing.Cardiac function indexes,heart rate,6-minute walk test(6 MWT)and quality of life scores were compared between the two groups.Results:Before the intervention,there was no statistically significant difference in cardiac function indices between the test and control groups(t=0.1542,0.5020,0.1070,P>0.05).After the intervention,the left ventricular end-diastolic internal diameter(LVESD)and left ventricular ejection fraction(LVEF)of the test group were higher than those of the control group,and the left ventricular end-systolic internal diameter(LVEDD)was lower than those of the control group,and the differences were statistically significant(t=4.4450,3.6952,6.6206,P<0.05).After the intervention,the 6 MWT of both groups was longer than the pre-intervention time,and the heart rate was lower than the pre-intervention time,in which the changes in the experimental group were better than the control group,and the difference was statistically significant(t=11.8733,7.0324,P<0.05).Before the intervention,there was no statistically significant difference in all quality of life scores between the two groups(P>0.05).After the intervention,all the quality of life scores of the patients in the two groups were higher than those before the intervention,and the psychological state,health level,somatic function,and social function scores of the patients in the experimental group were higher than those of the control group,and the difference was statistically significant(t=9.1034,8.9950,15.6503,10.8665,P<0.05).Conclusion:Active exercise rehabilitation nursing facilitates the improvement of cardiac function in elderly patients with chronic heart failure and enhances their quality of life.
作者
鞠英实
Ju Yingshi(Affiliated Hospital of Beihua University,Jilin,Jilin,132011,China)
出处
《黑龙江医学》
2023年第23期2912-2914,共3页
Heilongjiang Medical Journal
关键词
慢性心力衰竭
心功能
老年患者
运动康复
Chronic heart failure
Cardiac function
Elderly patients
Exercise rehabilitation
