个性化康复指导对老年心力衰竭患者生活质量的影响研究  

Study on effect of individualized rehabilitation guidance on quality of life of elderly patients with heart failure

作　　者：王宁 WANG Ning(Department of Cardiology,Jinzhou District Hospital of Traditional Chinese Medicine,Dalian 116100,China)

机构地区：[1]大连市金州区中医医院心病科,116100

出　　处：《中国实用医药》2023年第13期160-162,共3页China Practical Medicine

摘　　要：目的 分析老年心力衰竭患者开展个性化康复指导对其生活质量的影响。方法 88例老年心力衰竭患者,依据随机抽签法分为常规组和实验组,每组44例。常规组患者予以基础康复指导,实验组患者予以个性化康复指导。对比两组患者干预前及干预后6个月心功能指标、生活质量评分。结果 干预前,两组患者左心室收缩末期内径(LVESD)、左心室舒张末期内径(LVEDD)及左心室射血分数(LVEF)对比,差异无统计学意义(P>0.05)。干预后6个月,两组患者的LVESD、LVEDD均小于本组干预前,LVEF高于本组干预前,且实验组患者LVESD、LVEDD分别为(32.18±0.72)、(45.08±3.51)mm,均小于常规组的(36.95±0.96)、(50.05±3.32)mm,LVEF(55.76±2.39)%高于常规组的(45.60±2.03)%,差异有统计学意义(P<0.05)。干预前,两组患者生理功能、躯体疼痛、社会功能及精神健康评分对比,差异无统计学意义(P>0.05)。干预后6个月,两组患者生理功能、躯体疼痛、社会功能及精神健康评分均高于本组干预前,且实验组患者生理功能、躯体疼痛、社会功能及精神健康评分分别为(68.95±5.32)、(70.09±5.32)、(67.94±5.31)、(68.95±5.36)分,高于常规组的(62.37±5.01)、(65.34±5.27)、(60.62±5.03)、(56.97±5.05)分,差异有统计学意义(P<0.05)。结论 老年心力衰竭患者实施个性化康复指导,能够改善其心功能,提升生活质量水平,具有一定干预效果。Objective To analyze the role of individualized rehabilitation guidance on quality of life of elderly patients with heart failure.Methods A total of 88 elderly patients with heart failure were divided into conventional group and experimental group according to random lottery method,with 44 cases in each group.Patients in the conventional group were given basic rehabilitation guidance,and patients in the experimental group were given individualized rehabilitation guidance.The cardiac function and quality of life score were compared between the two groups before intervention and 6 months after intervention.Results Before intervention,there was no statistically significant difference between the two groups in terms of left ventricular end-systolic diameter(LVESD),left ventricular end-diastolic diameter(LVEDD)and left ventricular ejection fraction(LVEF)(P>0.05).6 months after intervention,LVESD and LVEDD in both groups were lower than those before intervention in this group,while LVEF was higher than that before intervention in this group;LVESD and LVEDD were(32.18±0.72)and(45.08±3.51)mm in the experimental group,which were less than those of(36.95±0.96)and(50.05±3.32)mm in the conventional group;LVEF level of(55.76±2.39)%in the experimental group was higher than that of(45.60±2.03)%in the conventional group;the differences were statistically significant(P<0.05).Before intervention,there were no statistically significant differences between the two groups in terms of physiological function,physical pain,social function and mental health scores(P>0.05).6 months after intervention,the scores of physical functioning,bodily pain,social functioning and mental health in both groups were higher than those before intervention in this group;the scores of physical functioning,bodily pain,social functioning and mental health were(68.95±5.32),(70.09±5.32),(67.94±5.31)and(68.95±5.36)points in the experimental group,which were higher than those of(62.37±5.01),(65.34±5.27),(60.62±5.03),and(56.97±5.05)points in the con

关 键 词：心力衰竭 个性化康复指导 生活质量 心功能 老年 

分 类 号：R541.6[医药卫生—心血管疾病] R493[医药卫生—内科学]