摘要
目的 探讨基于代谢当量的运动康复护理对老年慢性心力衰竭患者心功能及心血管不良事件的影响。方法 选择临沂高新医院2019年9月—2020年9月收治的老年慢性心力衰竭患者86例,采用随机数字表法分成两组,每组43例。对照组采用常规护理,观察组采用基于代谢当量的运动康复护理,均持续干预3个月。对比两组患者的心功能、运动耐力、生活质量及心血管事件发生率。结果 干预前,两组的心功能、运动耐力、生活质量相比,组间差异无统计学意义(P>0.05);干预后,观察组的左心室收缩末期内径、左心室舒张末期内径均短于对照组,左心室射血分数、健康调查简表中各维度评分均高于对照组,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)。观察组的心血管不良事件发生率6.98%低于对照组的23.26%,差异有统计学意义(P<0.05)。结论 基于代谢当量的运动康复护理能够帮助患者心功能恢复至正常水平,提高其运动耐力,减少心血管不良事件的发生,提升患者生活质量,临床应用价值高。
Objective To investigate the effect of metabolic equivalent-based exercise rehabilitation nursing on cardiac function and adverse cardiovascular events in elderly patients with chronic heart failure.Methods A total of 86 elderly patients with chronic heart failure admitted to Linyi High-tech Hospital from September 2019 to September 2020 were selected and divided into two groups by random number table method,with 43 cases in each group.The control group received routine nursing,and the observation group received exercise rehabilitation nursing based on metabolic equivalents,and the intervention continued for 3 months.The cardiac function,exercise tolerance,quality of life and incidence of cardiovascular events were compared between the two groups.Results Before the intervention,there were no significant differences in cardiac function,exercise tolerance and quality of life between the two groups(P>0.05);after the intervention,the left ventricular end-systolic diameter and left ventricular end-diastolic diameter of the observation group were shorter than those of the control group,the left ventricular ejection fraction and the scores of each dimension in the health questionnaire were higher than those of the control group,and the 6-min walking test distance was longer than that of the control group,the differences between groups were statistically significant(P<0.05).The incidence of cardiovascular adverse events in the observation group was 6.98%lower than that in the control group,which was 23.26%,and the difference was statistically significant(P<0.05).Conclusion Metabolic equivalent-based exercise rehabilitation nursing can help patients return to normal levels of cardiac function,improve exercise tolerance,reduce the occurrence of adverse cardiovascular events,and improve patients'quality of life,with high clinical application value.
作者
宋艳艳
SONG Yanyan(Department of Internal Medicine,Linyi High Tech Hospital,Linyi Shandong,276000,China)
出处
《反射疗法与康复医学》
2021年第10期151-154,共4页
Reflexology And Rehabilitation Medicine
关键词
慢性心力衰竭
代谢当量
康复护理
心功能
生活质量
Chronic heart failure
Metabolic equivalent
Rehabilitation nursing
Cardiac function
Quality of life
