远程网络延续性护理联合弹力带抗阻运动干预对慢性心衰患者运动耐力及自我管理能力的影响  

Effect of Remote Network Continuous Nursing Combined with Elastic Band Resistance Exercise Intervention on Exercise Endurance and Self-Management Ability of Patients with Chronic Heart Failure

作　　者：宋建梅 孙楠[1] 张媛媛[1] SONG Jianmei;SUN Nan;ZHANG Yuanyuan(Department of Cardiology,the 80th Group Army Hospital of the People's Liberation Army of China,Weifang262700,China)

机构地区：[1]中国人民解放军陆军第八十集团军医院心内科,山东潍坊262700

出　　处：《反射疗法与康复医学》2024年第23期80-83,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨远程网络延续性护理联合弹力带抗阻运动干预对慢性心衰患者的影响。方法选取2020年5月—2023年5月中国人民解放军陆军第八十集团军医院收治的70例慢性心衰患者为研究对象,按随机数字表法将其分为对照组和观察组,每组35例。对照组采用弹力带抗阻运动干预,观察组在对照组基础上采用远程网络延续性护理干预。比较两组患者的运动耐力、心肺功能、自我管理能力及生活质量。结果干预后,观察组的无氧阈值、峰值摄氧量均大于对照组,6 min步行试验距离长于对照组,组间差异有统计学意义(P<0.05);观察组的用力肺活量、左心室射血分数、最大通气量均大于对照组,组间差异有统计学意义(P<0.05);观察组的欧洲心力衰竭自我护理行为量表、明尼苏达心力衰竭生活质量表评分分别为(15.66±2.61)分、(21.13±3.17)分,均低于对照组的(27.61±3.24)分、(35.77±4.61)分,组间差异有统计学意义(P<0.05)。结论远程网络延续性护理联合弹力带抗阻运动干预,可改善慢性心衰患者的心肺功能,提升其运动耐力,有助于提高其生活质量。Objective To investigate the effect of remote network continuous nursing combined with elastic band resistance exercise intervention on patients with chronic heart failure.Methods A total of 70 patients with chronic heart failure admitted to the 80th Group Army Hospital of the People's Liberation Army of China from May 2020 to May 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 35 cases in each group.The control group received elastic band resistance exercise intervention,and the observation group received remote network continuous nursing on the basis of the control group intervention.The exercise endurance,cardiopulmonary function,self-management ability and quality of life were compared between the two groups.Results After intervention,the anaerobic threshold and peak oxygen uptake in the observation group were greater than those in the control group,and the 6 min walking test distance was longer than that in the control group,the differences between the groups were statistically significant(P<0.05);the forced vital capacity,left ventricular ejection fraction and maximal ventilation volume in the observation group were greater than those in the control group,and the differences between the groups were statistically significant(P<0.05);the scores of the European Heart Failure Self-care Behaviour Scale 9 and the Minnesota living with heart failure questionnaire in the observation group were(15.66±2.61)points and(21.13±3.17)points,respectively,which were lower than(27.61±3.24)points and(35.77±4.61)points in the control group,the differences between the groups were statistically significant(P<0.05).Conclusion Remote network continuous nursing combined with elastic band resistance exercise intervention can improve the cardiopulmonary function,exercise endurance and quality of life of patients with chronic heart failure.

关 键 词：慢性心衰 弹力带抗阻运动 远程网络延续性护理 自我管理能力 运动耐力 

分 类 号：R473[医药卫生—护理学]