“身心灵”全人健康模式在慢性心力衰竭患者心脏康复中的应用  

Application of"Body-mind-spirit"Holistic Health Model in the Cardiac Rehabilitation of Patients with Chronic Heart Failure

作　　者：李燕萍[1] 肖桂芳[1] 黄婷婷[1] 罗月宏 Li Yanping;Xiao Guifang;Huang Tingting(GuangDong Second Traditional Chinese Medicine Hospital,Guangzhou Guangdong 510095,China)

机构地区：[1]广东省第二中医院,广东省中医院工程技术研究院,广东广州510095

出　　处：《齐鲁护理杂志》2022年第17期13-16,共4页Journal of Qilu Nursing

基　　金：广东省中医药局科研项目(编号:20221035)。

摘　　要：目的:探讨“身心灵”全人健康模式(BMS)在慢性心力衰竭(CHF)患者心脏康复中的应用效果。方法:选取2019年6月1日~2021年6月1日收治的200例CHF患者为研究对象,随机分为心脏康复组和全人健康组各100例,心脏康复组采用常规心脏康复护理,全人健康组采用BMS干预,两组均干预3个月;比较干预前后两组康复依从性、心肺储备功能[包括左心室射血分数(LVEF)、第一秒用力呼气容积占其预计值的百分比(FEV_(1)/FVC%)]、运动耐量[采用6分钟步行距离(6MWD)]、灵性需求程度[采用中文完整版灵性需求问卷(SPNQ)]、生活质量[采用明尼苏达州心功能不全生命质量量表(MHLFQ)]。结果:干预后,两组SPNQ、MHLFQ评分均低于干预前(P<0.01),且全人健康组低于心脏康复组(P<0.05,P<0.01);干预3个月后,两组康复依从性、LVEF、FEV_(1)/FVC%、6MWD均高于干预前(P<0.05),且全人健康组高于心脏康复组(P<0.05,P<0.01)。结论:将BMS应用于CHF患者心脏康复中,可促进患者心肺储备功能,降低灵性需求程度,提高其生活质量。Objective:To explore the application effect of"body-mind-spirit"holistic health model(BMS)in the cardiac rehabilitation of patients with chronic heart failure(CHF).Methods:A total of 200 patients with CHF admitted were selected as the study objects between June 1,2019 and June 1,2021,and were randomly divided into the cardiac rehabilitation group and the holistic health group each with 100 cases.The cardiac rehabilitation group received conventional cardiac rehabilitation nursing,while the holistic health group adopted BMS model intervention,and both groups were intervened for 3 months.The rehabilitation compliance,cardiopulmonary reserve function of left ventricular ejection fraction(LVEF),forced expiratory volume in 1 s/forced vital capacity(FEV_(1)/FVC%),exercise tolerance by 6min walking distance(6MWD),spiritual needs by Chinese Version of Spiritual Needs Questionnaire(SPNQ)and quality of life by Minnesota Living with Heart Failure Questionnaire(MHLFQ)were compared between the two groups before and after intervention.Results:After intervention,the scores of SPNQ and MHLFQ in both groups were lower than those before intervention(P<0.01),and those in the holistic health group were lower than those in the cardiac rehabilitation group(P<0.05,P<0.01).After 3 months of intervention,the rehabilitation compliance,LVEF,FEV_(1)/FVC% and 6MVD were higher than those before intervention(P<0.05),and higher in the holistic health group than those in the ardiac rehabilitation group(P<0.05,P<0.01).Conclusion:Application of BMS model in the cardiac rehabilitation of patients with CHF can promote the recovery of cardiopulmonary reserve function,reduce the spiritual needs,and improve the quality of life in patients.

关 键 词：“身心灵”全人健康模式 慢性心力衰竭 心脏康复 生活质量 

分 类 号：R473.54[医药卫生—护理学]