基于“双心”模式下健康指导结合有氧操干预在冠心病合并慢性心力衰竭患者中的应用效果  

Application effect of health guidance based on"psycho-cardiacology"mode combined with aerobic exercise intervention in patients with coronary heart disease complicated with chronic heart failure

作　　者：董晨 杨艳妮 郭艳杰 张录兴 杨桦 曾广伟 张荣 DONG Chen;YANG Yanni;GUO Yanjie;ZHANG Luxing;YANG Hua;ZENG Guangwei;ZHANG Rong(Xi'an International Medical Center Hospital,Xi'an 710100;PLA Air Force Military Medical University,Xi'an 710032,China)

机构地区：[1]西安国际医学中心医院,陕西西安710100 [2]中国人民解放军空军军医大学,陕西西安710032

出　　处：《临床医学研究与实践》2024年第16期142-145,共4页Clinical Research and Practice

基　　金：陕西省重点研发计划项目(No.2018SF-085);西安国际医学中心医院院级课题项目(No.2022QN26)。

摘　　要：目的探讨基于“双心”模式下健康指导结合有氧操干预在冠心病合并慢性心力衰竭患者中的应用效果。方法选取2021年5月至2022年5月收治的140例冠心病合并慢性心力衰竭患者为研究对象,经抽签法将其分为常规组(70例,基础护理)和研究组(70例,基于“双心”模式下健康指导结合有氧操干预)。比较两组的护理效果。结果干预后,研究组的焦虑自评量表(SAS)、压力知觉量表(PSS)及抑郁自评量表(SDS)评分低于常规组(P<0.05)。干预后,研究组的健康知识掌握情况各方面评分及左心室射血分数(LVEF)高于常规组,左心室舒张末期内径(LVEDD)小于常规组,6 min步行试验(6MWT)长于常规组(P<0.05)。研究组的不良事件总发生率低于常规组(P<0.05)。结论基于“双心”模式下健康指导结合有氧操干预应用于冠心病合并慢性心力衰竭患者效果确切,值得推广。Objective To explore the application effect of health guidance based on"psycho-cardiacology"mode combined with aerobic exercise intervention in patients with coronary heart disease complicated with chronic heart failure.Methods A total of 140 patients with coronary heart disease complicated with chronic heart failure admitted from May 2021 to May 2022 were selected as the research objects.The patients were divided into conventional group(70 cases,basic nursing)and study group(70 cases,health guidance based on"psycho-cardiacology"mode combined with aerobic exercise intervention)by drawing lots.The nursing effects of the two groups were compared.Results After intervention,the scores of Self-Rating Anxiety Scale(SAS),Perceived Stress Scale(PSS)and Self-Rating Depression Scale(SDS)in the study group were lower than those in the conventional group(P<0.05).After intervention,the scores of health knowledge mastery in all aspects and left ventricular ejection fraction(LVEF)in the study group were higher than those in the conventional group,the left ventricular end diastolic diameter(LVEDD)was smaller than that in the conventional group,and the 6-minute walking test(6MWT)was longer than that in the conventional group(P<0.05).The total incidence of adverse events in the study group was lower than that in the conventional group(P<0.05).Conclusion Health guidance based on"psycho-cardiacology"mode combined with aerobic exercise intervention is effective in patients with coronary heart disease complicated with chronic heart failure,which is worthy of promotion.

关 键 词：“双心”模式 健康指导 有氧操干预 冠心病 慢性心力衰竭 心功能 

分 类 号：R473.5[医药卫生—护理学]