运动康复护理对冠心病慢性心力衰竭患者预后的影响  

Effect of Exercise Rehabilitation Nursing on Prognosis in Patients With Coronary Heart Disease and Chronic Heart Failure

作　　者：郑春风[1] 陈瑶琴[1] ZHENG Chunfeng;CHEN Yaoqin(Department of Cardiology,The First Affiliated Hospital of Xiamen University,Xiamen Fujian 361003,China)

机构地区：[1]厦门大学附属第一医院心内科,福建厦门361003

出　　处：《中国卫生标准管理》2018年第21期183-185,共3页China Health Standard Management

摘　　要：目的探讨运动康复护理在冠心病慢性心力衰竭患者中的应用价值。方法选取2015年9月—2017年6月我院收治的的冠心病慢性心力衰竭患者84例,依据入院时间分为两组,各42例。对照组采用常规护理干预,观察组在常规护理的基础上采用运动康复护理干预,疗程3周,随访半年,比较干预前及干预6个月两组患者的自我管理行为及心功能。结果与对照组比较,观察组患者的CSMS各维度评分均较高,左室射血分数、左室舒张末径、左房内径及6 min步行距离均较优,差异有统计学意义(P <0.05)。结论对冠心病慢性心力衰竭患者实施运动康复护理干预,能明显提升患者的自我管理行为,有利于改善心功能。Objective To investigate the value of exercise rehabilitation nursing in patients with coronary heart disease(CHD)and chronic heart failure(CHF).Methods 84 patients with CHD and CHF treated in our hospital from September 2015 to June 2017 were divided into two groups by admission time,with 42 cases in each group.Control group was given routine nursing intervention,while observation group was given exercise rehabilitation nursing intervention based on routine nursing,with 3 weeks of treatment in two groups.After half-year follow-up,the self-management behavior and cardiac function before intervention and after intervention for 6 months were compared between the two groups.Results Compared with control group,the scores of CSMS in observation group were higher,the left ventricular ejection fraction,left ventricular end-diastolic diameter,left atrial diameter,6-min walking distance in observation group were better(P<0.05).Conclusion Exercise rehabilitation nursing intervention for CHD and CHF patients can increase self-management behavior and improve cardiac function.

关 键 词：运动康复护理 冠心病 慢性心力衰竭 心功能 自我管理行为 预后 

分 类 号：R473[医药卫生—护理学]