连续性运动康复训练对老年慢性心力衰竭患者的影响  

Effects of continuous exercise rehabilitation training on elderly patients with chronic heart failure

作　　者：梅洁[1] 林依青 丁云[1] 蔡钰 王冬梅[1] 杨希[1] 沈益敏 张建芳[1] MEI Jie;LIN Yiqing;DING Yun;CAI Yu;WANG Dongmei;YANG Xi;SHEN Yimin;ZHANG Jianfang(Department of Cardiovascular Internal Medicine,the Affiliated Suzhou Hospital of Nanjing Medical University,Suzhou 215008)

机构地区：[1]南京医科大学附属苏州市立医院北区心血管内科,苏州215008

出　　处：《南通大学学报（医学版）》2020年第5期446-450,共5页Journal of Nantong University(Medical sciences)

基　　金：江苏省苏州市卫生和计划生育委员会基金项目(SYSD2015116)。

摘　　要：目的:探讨院内外的连续性运动康复训练对老年慢性心力衰竭(chronic hearts failure,CHF)患者心功能、生活质量和自理能力的影响。方法:选择2015年6月—2016年5月在苏州市立医院北区心血管内科住院诊疗的CHF老年患者109例,随机分为干预组(58例)和对照组(51例)。两组均予个性化的抗心力衰竭治疗,在此基础上,干预组予阶段化的运动康复训练护理,对照组则接受传统整体护理,所有患者随访6个月,期间观察两组6 min步行距离(6 minutes walking distance,6MWD)、生活质量、自理能力、6个月内因心力衰竭住院率及心原性死亡率。结果:与对照组相比,干预组经过运动康复训练后,6MWD增长(P<0.001),生活质量、自理能力提高(P<0.05)。6个月内患者因心力衰竭再次住院率明显减少(P<0.05)。结论:连续性运动康复训练在改善老年CHF患者临床症状的同时,能促进心功能恢复,提高自理能力和生活质量。Objective:To investigate the effects of continuous exercise rehabilitation training on the cardiac function,quality of life and self-care ability in elderly patients with chronic heart failure(CHF).Methods:A total of 109 the elderly with CHF were randomly divided into two groups,including a control group(51 patients)and an intervention group(58 patients),who were hospitalized in the Department of Cardiology of Suzhou Municipal Hospital(North)from June 2015 to May 2016.The patients in both of groups accepted individual medical treatment.On this basis,the intervention group was received continuous exercise rehabilitation training,the control group received traditional nursing care.The follow-up lasted for 6 mouths.In both of these two groups,6 minute walking distance(6MWD),life quality,self-care ability,rehospitalization rate and death rate within 6 months were collected and recorded as a standard of evaluating rehabilitation.Results:Compared with the control group,the 6MWD of the intervention group increased(P<0.001),the quality of life and self-care ability were improved(P<0.05).The readmission rate of patients with heart failure within 6 months was significantly reduced(P<0.05).Conclusion:Continuous exercise rehabilitation training can not only improve the clinical symptoms of elderly patients with CHF,but also promote the recovery of cardiac function,improve self-care ability and quality of life.

关 键 词：心力衰竭 康复护理 运动 生活质量 

分 类 号：R541.6[医药卫生—心血管疾病]