基于心功能及活动能力的分层运动康复训练模式对慢性心力衰竭患者心功能与运动耐量的影响  

Effect of hierarchical exercise rehabilitation training model based on cardiac function and movement capability on cardiac function and exercise tolerance of patients with chronic heart failure

作　　者：郭丽[1] 郭婷 刘娟[1] 王科润 Guo Li;Guo Ting;Liu Juan;Wang Kerun(General Practice Department,the First Affiliated Hospital of Nanyang Medical College,Nunyung 473000 China)

机构地区：[1]南阳医学高等专科学校第一附属医院全科医学科,南阳473000

出　　处：《国际护理学杂志》2025年第7期1307-1313,共7页international journal of nursing

基　　金：河南省医学科技攻关项目(LHGJ20220139)。

摘　　要：目的:探讨基于心功能及活动能力的分层运动康复训练模式对慢性心力衰竭患者心功能与运动耐量的影响。方法:纳入2023年1月至2024年1月于南阳医学高等专科学校第一附属医院收治的92例慢性心力衰竭的患者,通过计算机随机法将患者按1∶1比例随机分配到对照组与试验组,各46例。其中对照组接受常规护理,试验组在对照组的基础上接受基于心功能及活动能力的分层运动康复训练模式。对比两组患者的心功能、运动耐量、运动自我效能、生活质量及照顾者负担。结果:两组患者干预前的LVEDD、LVEF、FS指标对比差异无统计学意义(P>0.05);两组干预后与干预前对比LVEF指标升高,且试验组与对照组对比LVEF指标更高,差异有统计学意义(P<0.05),而LVEDD、FS指标干预后差异无统计学意义(P>0.05)。两组干预前的6MWT对比差异无统计学意义(P>0.05),两组干预后,6MWT较干预前有所改善,且试验组的6MWT长于对照组,差异有统计学意义(P<0.05)。两组干预前运动自我效能对比,在身体因素、心理因素、物理因素、环境因素各维度及总体分值上差异无统计学意义(P>0.05),两组干预后运动自我效能各维度及总体分值都有所提升,且试验组提升更显著,差异有统计学意义(P<0.05)。两组经干预后试验组的照顾者负担量表(ZBI)的个人负担、责任负担及总负担分值对比对照组更低,差异有统计学意义(P<0.05)。两组患者干预前的生活质量评估,在身体、情绪、其他方面及总分对比上差异无统计学意义(P>0.05);两组干预后生活质量各方面的分值及总分值都较干预前降低,且试验组降低幅度更大,差异有统计学意义(P<0.05)。结论:基于心功能及活动能力的分层运动康复训练模式能够有效改善慢性心力衰竭患者的心功能和运动耐量,同时有助于患者运动自我效能感和生活质量的提高,降低了照顾者负担。Objective:To explore the effect of hierarchical exercise rehabilitation training model based on cardiac function and movement capability on cardiac function and exercise tolerance of patients with chronic heart failure.Methods:A total of 92 patients with chronic heart failure treated in the First Affiliated Hospital of Nanyang Medical College from January 2023 to January 2024 were included in this study.Using the computer randomized grouping method,they were assigned to the control group and the experimental group at a ratio of 1∶1.The control group(46 cases)received routine nursing,while the experimental group(46 cases)received hierarchical exercise rehabilitation training model based on cardiac function and movement capability on the basis of the control group.The cardiac function,exercise tolerance,exercise self-efficacy,quality of life and caregiver burden were compared between the two groups.Results:There were no significant differences in LVEDD,LVEF and FS indexes between the two groups before intervention(P>0.05).Compared with before intervention,the LVEF index of the two groups increased after intervention,and the LVEF index of the experimental group was higher than that of the control group,and the differences were statistically significant(P<0.05).However,there were no statistically significant differences in LVEDD and FS indices after intervention(P>0.05).There was no statistically significant difference in 6MWT between the two groups before intervention(P>0.05).After intervention,the 6MWT of the two groups was improved compared with that before intervention,and the 6MWT of the experimental group was longer than that of the control group,with statistical significance(P<0.05).There were no significant differences in physical factors,psychological factors,physical factors,environmental factors and overall scores between the two groups before intervention(P>0.05).After intervention,all dimensions and overall scores of exercise self-efficacy in the two groups were improved,and the improvement in the expe

关 键 词：慢性心力衰竭 分层运动康复训练 心功能 运动耐量 生活质量 

分 类 号：R541.6[医药卫生—心血管疾病]