摘要
目的探讨BORG等级评分指导心脏康复运动联合认知行为疗法对慢性心力衰竭(CHF)患者心肺功能及睡眠质量的影响。方法选取医院慢性心力衰竭患者90例,按照两组性别、年龄、纽约心脏病协会(NYHA)心功能分级具有可比性的方法分为对照组和观察组,各45例。对照组予以常规护理,观察组在对照组基础上实施BORG等级评分指导下的心脏康复运动+认知行为疗法,比较两组患者心肺功能各项指标、睡眠质量情况。结果干预后,观察组左心室射血分数(LVEF)、左心室收缩末期容积(LVESV)、左心室舒张末期容积(LVEDV)等心脏超声参数优于对照组;观察组血浆脑钠肽水平(NT-proBNP)水平明显低于对照组;观察组无氧阈(AT)、最大摄氧量(VO 2max)、氧脉搏(O 2pules)、最大通气量(MVV)优于对照组;观察组匹兹堡睡眠质量指数(PSQI)评分低于对照组;差异均有统计学意义(P<0.05)。结论BORG等级评分指导心脏康复运动联合认知行为疗法可促进CHF患者认知功能与心肺功能恢复,改善睡眠障碍。
Objective To explore the effect of BORG grade scoring guided cardiac rehabilitation exercise combined with cognitive behavioral therapy on the cardiopulmonary function and sleep quality of chronic heart failure(CHF)patients.Methods To select 90 cases of patients with chronic heart failure in hospital were selected and divided into a control group and an observation group with 45 cases in each group according to the comparable methods of gender,age,and New York Heart Association(NYHA)heart function classification.The control group received routine nursing care,and the observation group implemented cardiac rehabilitation exercise+cognitive behavior therapy guided by the BORG grade score on the basis of the control group to compare the indicators of cardiopulmonary function and sleep quality between the two groups.Results After intervention,the observation group's left ventricular ejection fractions(LVEF),left ventricular end-systolic volume(LVESV),left ventricular end-diastolic volume(LVEDV)and other cardiac ultrasound parameters were better than those of the control group,the observation group's plasma brain natriuretic peptide(NT-proBNP)level was significantly lower than that of the control group,and the observation group's anaerobic threshold(AT),maximum oxygen uptake(VO 2max),oxygen pulse(O 2pules),and maximal voluntary ventilation(MVV)were superior to the control group,the Pittsburgh sleep quality index(PSQI)score in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion The BORG grade scoring guided cardiac rehabilitation exercise combined with cognitive behavioral therapy can promote the recovery of cognitive function and cardiopulmonary function in patients with CHF,and improve sleep disorders.
作者
冼海
苏彩娟
吴春艳
甘雪东
XIAN Hai;SU Cai-juan;WU Chun-yan;GAN Xue-dong
出处
《护理实践与研究》
2020年第24期60-62,共3页
Nursing Practice and Research
关键词
慢性心力衰竭
BORG等级评分
心脏康复运动
认知行为疗法
心肺功能
睡眠质量
Chronic heart failure
BORG grade score
Cardiac rehabilitation exercise
Cognitive behavioral therapy
Cardiopulmonary function
Sleep quality
