基于运动的心脏康复护理在老年慢性心力衰竭患者中的应用效果

Abstract
Figure/Table
References (23)
Related Citation (15)

Download: PDF (0 KB) HTML (38 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the application effect of exercise-based cardiac rehabilitation nursing in elderly patients with chronic heart failure(CHF).Methods A total of 70 CHF elderly patients hospitalized in the Second Affiliated Hospital of the University of South China from March to July 2020 were selected as the research objects.According to the random number table method,they were divided into the control group(n=35)and the observation group(n=35).The control group received routine nursing,and the observation group added exercise rehabilitation training.The effective rate of nursing,the changes of cardiac function index and exercise ability before and after nursing were compared between the two groups.Results The total effective rate in the observation group was higher than that of the control group,the difference was statistically significant(P＜0.05).There were no significant differences in cardiac function and exercise ability between the two groups before nursing(P＞0.05).After nursing,the heart ejection fraction of the observation group was higher than that before nursing and the control group,the difference was statistically significant(P＜0.05);the left ventricular end systolic diameter and end diastolic diameter of the two groups after nursing were lower than those before nursing,and the left ventricular end systolic diameter and end diastolic diameter of the observation group after nursing were lower than those of the control group,the differences were statistically significant(P＜0.05);the six min walking distance of the two groups after nursing were longer than those before nursing,the six min walking distance of the observation group after nursing was longer than that of the control group,the differences were statistically significant(P＜0.05).Conclusion Exercise based cardiac rehabilitation nursing can significantly improve the clinical effect during elderly patients with CHF the patients，cardiac indicators and exercise tolerance have been significantly improved,that plays an important role in reducing the impact of various complications.

Key words： Exercise heart rehabilitation Clinical effect Chronic heart failure Heart function Exercise ability

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	XIAO Yan-lan
	XIAO Lin
	YANG Min

Cite this article:

XIAO Yan-lan,XIAO Lin,YANG Min. Application effect of exercise based cardiac rehabilitation nursing in elderly patients with chronic heart failure[J]. 中国当代医药, 2021, 28(26): 240-243.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I26/240

[1]	彭文君，方胜先，郭盛，等.N 末端脑钠肽前体评价慢性心力衰竭患者心脏康复治疗效果[J].临床和实验医学杂志，2011，10（12）：893-894
[2]	袁建涛，赵丹，卢亚改.舒适护理对老年慢性心力衰竭患者心理状态、运动耐力和生活质量的效果[J].中国现代医生，2020，58（1）：173-176.
[3]	Braunwald E.The war against heart failure：the Lancet lecture[J].Lancet，2015，385（9970）：812-824.
[4]	周京敏.心力衰竭治疗的新概念[J].上海医学，2019，42（12）：711-714.
[5]	中国心血管健康与疾病报告2019 概要[J].中国循环杂志，2020，35（9）：833-854.
[6]	Cowie A，Buckley J，Doherty P，et al.Standards and core components for cardiovascular disease prevention and rehabilitation[J].Heart，2019，105（7）：510-515.
[7]	袁丽霞，丁荣晶.中国心脏康复与二级预防指南解读[J].中国循环杂志，2019，34（S1）：86-90.
[8]	中华医学会心血管病学分会心力衰竭学组，中国医师协会心力衰竭专业委员会，中华心血管病杂志编辑委员会.中国心力衰竭诊断和治疗指南2018[J].中华心血管病杂志，2018，46（10）：760-789.
[9]	张苗苗，颜语，李雪，等.心肺联合康复在心力衰竭康复中的作用[J].中国实用内科杂志，2019，39（1）：86-89.
[10]	徐俊波，黄刚，蔡琳，等.法国心脏协会心力衰竭患者体力活动立场声明解读[J].心血管病学进展，2020，41（6）：646-649.
[11]	莫然，谭慧琼，刘少帅，等.我国心力衰竭患者疾病认知程度的现况调查[J].中国循环杂志，2020，35（4）：355-360.
[12]	张学正，李静，王琼，等.老年慢性心力衰竭患者运动康复的研究进展[J].医学综述，2020，26（10）：1973-1977.
[13]	中华医学会，中华医学会杂志社，中华医学会全科医学分会，等.慢性心力衰竭基层诊疗指南（2019年）[J].中华全科医师杂志，2019，18（10）：936-947.
[14]	王华，梁延春.中国心力衰竭诊断和治疗指南2018[J].中华心血管病杂志，2018，46（10）：760-789.
[15]	孙佩伟，马建新.冠心病的康复进展[J].中国康复理论与实践，2015，21（12）：1425-1429.
[16]	郑筱萸.中药新药临床研究指导原则（试行）[M].北京：中国医药科技出版社，2002：78-85.
[17]	Swedberg K.Editorial commentary：Guidelines for the treatment of chronic heart failure[J].Trends Cardiovasc Med，2017，27（5）：324-325.
[18]	吴宇红，任强，林如明，等.增强型体外反搏对慢性心力衰竭患者心功能指标的影响[J].中华老年多器官疾病杂志，2018，17（3）：207-210.
[19]	刘博罕，何昆仑，董蔚.心力衰竭的影像学评价[J].中国医学影像学杂志，2019，27（11）：866-868.
[20]	Taylor RS，Walker S，Smart NA，et al.Impact of exercise rehabilitation on exercise capacity and quality-of-life in heart failure：individual participant meta-analysis[J].J Am Coll Cardiol，2019，73（12）：1430-1443.
[21]	张成，王建军.卡托普利与美托洛尔联合治疗老年慢性心力衰竭患者的远近期疗效[J].实用医学杂志，2016，32（19）：3280-3281.
[22]	刘素梅，史婷婷，郁锋玲.不同心脏康复模式对急性心肌梗死PCI 术后心功能与心脏不良事件改善效果分析[J].护理实践与研究，2019，16（23）：56-58.
[23]	陈欣，余露.心脏康复管理对心力衰竭患者运动能力的影响[J].护士进修杂志，2019，34（19）：1798-1800.