风险评估下序贯式综合性康复训练方案在老年慢性心力衰竭病人中的应用  

Application of sequential comprehensive rehabilitation training program under risk assessment in elderly patients with chronic heart failure

作　　者：蒋家银 宣蕊洁 李启伟 薛礼[1] JIANG Jia-yin;XUAN Rui-jie;LI Qi-wei;XUE Li(Department of Cardiovascular Medicine,Affiliated Hospital of West Anhui Health Vocational College,Lu′an Anhui 237005;School of Clinical Medical,Bengbu Medical College,Bengbu Anhui 233030,China)

机构地区：[1]皖西卫生职业学院附属医院心血管内科,安徽六安237005 [2]蚌埠医学院临床医学院,安徽蚌埠233030

出　　处：《蚌埠医学院学报》2023年第4期526-529,533,共5页Journal of Bengbu Medical College

基　　金：安徽省高校自然科学研究一般项目(KJ2020B001)。

摘　　要：目的:探讨风险评估下序贯式综合性康复训练方案在老年慢性心力衰竭病人中的应用效果。方法:选取56例老年慢性心力衰竭病人,按照住院时间的先后顺序分为对照组和观察组,各28例。对照组进行常规康复锻炼护理,观察组应用风险评估下序贯式综合性康复训练。比较2组病人干预1个月后运动恐惧感、运动依从性、6 min步行距离(6MWD)、左心室射血分数(LVEF)和3个月后生活质量及再次入院率。结果:干预前,2组病人运动依从率、运动恐惧评分和6MWD、LVEF及生活质量评分差异均无统计学意义(P>0.05);干预1个月后,观察组运动依从率和6MWD、LVEF均高于对照组(P<0.05),运动恐惧评分明显低于对照组(P<0.01);干预3个月后,观察组QOL生活质量评分明显低于对照组(P<0.01),观察组病人再次入院率为0.00%(0/28),低于对照组的17.86%(5/28)(P<0.05)。结论:风险评估下序贯式综合性康复训练方案可有效缓解老年慢性心力衰竭病人锻炼过程中的恐惧情绪,促进康复训练运动依从性,改善心脏功能的康复,提高生活质量,降低再次入院率。Objective:To explore the effect of sequential comprehensive rehabilitation training program under risk assessment in elderly patients with chronic heart failure.Methods:A total of 56 cases of senile chronic heart failure were selected and divided into control group(n=28)and observation group(n=28)according to the order of hospitalization time.The patients in the control group received routine rehabilitation nursing,while patients in the observation group received sequential comprehensive rehabilitation training under risk assessment.The fear of exercise,exercise compliance,6-minute walking distance(6MWD),left ventricular ejection fraction(LVEF)after one month,quality of life and readmission rate after three months were compared between the two groups.Results:Before intervention,there were no statistically significant differences in exercise compliance rate,exercise fear score,6MWD,LVEF,and quality of life scores between the two groups(P>0.05).After one month of intervention,the exercise compliance rate,6MWD,LVEF of the observation group were higher than those of the control group(P<0.05),and the exercise fear score was significantly lower than that of the control group(P<0.01).After 3 months of intervention,the quality of life score of the observation group was significantly lower than that of the control group(P<0.01),and the readmission rate of patients in the observation group was 0.00%(0/28),which was lower than 17.86%(5/28)of the control group(P<0.05).Conclusions:The sequential comprehensive rehabilitation training program under risk assessment can effectively alleviate the fear of exercise in elderly patients with chronic heart failure,promote the compliance of rehabilitation training,and improve the rehabilitation of cardiac function,raise the quality of life,and reduce the readmission rate.

关 键 词：心力衰竭 序贯式综合性康复训练 风险评估 

分 类 号：R541.6[医药卫生—心血管疾病]