医院-家庭过渡期运动干预对高龄心血管病患者功能性体适能的影响  

Effect of exercise-based transitional care on functional fitness in older adults with cardiovascular diseases

作　　者：李雪玉[1] 李榕彬[2] 王爽[2] 王鹤洁[2] 岳玉萍[2] 高原[2] 王建荣[3] 

机构地区：[1]沈阳军区总医院护理部,沈阳市110840 [2]解放军总医院心内科 [3]解放军总医院护理部

出　　处：《中华护理杂志》2015年第6期650-655,共6页Chinese Journal of Nursing

基　　金：军队保健专项科研课题(13BJZ54)

摘　　要：目的探讨医院-家庭过渡期运动干预对高龄心血管病患者功能性体适能的影响。方法采用临床对照、单盲试验，2013年12月至2014年2月入院符合标准的40例患者为对照组，2014年3～5月入院符合标准的37例患者为干预组。对照组在出院前1日给予常规出院宣教。干预组接受为期12周的过渡期运动训练和随访干预。患者在入组时和出院后12周分别测量功能性体适能指标。对完成随访、资料完整的61例患者（对照组29例，干预组32例）的数据进行分析。结果两组患者各项功能性体适能指标的主效应（组别效应）无统计学意义（P〉0．05），但是下肢肌力、上肢肌力、有氧耐力、灵活性／平衡性指标存在组别和时间的交互效应（组别×时间效应），差异有统计学意义（P〈O．05）．干预组较对照组改善明显。结论过渡期运动干预能够改善高龄老年心血管病患者的功能性体适能。Objective To evaluate the effect of exercise-based transitional care on functional fitness in older adults with cardiovascular diseases. Methods This study was a controlled,single-blinded clinical trial. Forty patients with cardiovascular diseases in the control group accepted routine nursing care before and after discharge,while 37 patients in the experimental group received a 12-week exercise-based transitional care program. All patients were assessed using Senior Fitness Test（SFT） at baseline and 12 weeks after discharge. Totally 61 cases（29 cases in the control group and 32 cases in the experimental group） completed the trial. Results No significant group main effect was found in each index of fitness（P〉0.05）,while there were significant time-group interaction effects in the lower limb strength,upper limb strengthen,aerobic endurance,and agility/dynamic balance（P〈O.05）,demonstrating significant improvement in the experimental group than that of the control group. Conclusion The exercise-based transitional care is useful to improve functional fitness of older adults with cardiovascular diseases.

关 键 词：老年人 心血管疾病 身体锻炼 康复护理 临床试验 

分 类 号：R473.5[医药卫生—护理学]