老年综合评估护理干预对老年慢性心力衰竭患者运动耐力及心功能的影响  

Effect of comprehensive geriatric assessment nursing intervention on exercise tolerance and cardiac function in elderly patients with chronic heart failure

作　　者：石建克 樊相楠 SHI Jianke;FAN Xiangnan(Department of Cardiovascular Medicine,Pingdingshan Second People’s Hospital,Pingdingshan Henan 467000,China)

机构地区：[1]平顶山市第二人民医院心血管内科,河南平顶山467000

出　　处：《实用心电与临床诊疗》2025年第1期112-114,119,共4页PRACTICAL ELECTROCARDIOLOGY AND CLINICAL TREATMENT

摘　　要：目的探究老年综合评估(comprehensive geriatric assessment,CGA)护理干预对老年慢性心力衰竭(chronic heart failure,CHF)患者运动耐力及心功能的影响。方法按照随机数字表法将60例老年CHF患者分为两组,每组30例。对照组实施常规护理干预,观察组实施CGA护理干预。两组均持续干预至患者出院,并随访观察3个月。比较两组运动耐力[6 min步行试验(6-minute walk test,6MWT)距离]和心功能指标。结果观察组干预后左心室射血分数明显高于对照组,左心室舒张末期内径、左心室收缩末期内径均明显低于对照组(均P<0.01);观察组干预后6MWT距离明显长于对照组(P<0.01)。结论CGA护理干预能够有效提高老年CHF患者的运动耐力,改善其心功能和预后。Objective To explore the effect of comprehensive geriatric assessment(CGA)nursing interventions on exercise tolerance and cardiac function in elderly patients with chronic heart failure(CHF).Methods Sixty elderly patients with CHF were divided into two groups by using the random number table method,with 30 cases in each group.The control group received routine nursing intervention,while the observation group received nursing intervention based on CGA.Both groups received continuous intervention until discharge,and were made follow-up observation for 3 months.The exercise tolerance[6-minute walk test(6MWT)distance]and cardiac function indexes were compared between the two groups.Results After intervention,LVEF in the observation group was significantly higher than that in the control group,while the left ventricular end-diastolic and end-systolic diameters were lower than those in the control group(all P<0.01).After intervention,the 6MWT distance of the observation group was longer than that of the control group(P<0.01).Conclusion CGA based nursing intervention can effectively improve the exercise tolerance,cardiac function,and prognosis of elderly patients with CHF.

关 键 词：慢性心力衰竭 老年综合评估 运动耐力 心功能 

分 类 号：R541.6[医药卫生—心血管疾病]