运动康复护理在慢性心力衰竭患者中的应用效果

目的探讨慢性心力衰竭患者运动康复护理的可行性和效果。方法将77例慢性心力衰竭患者采用随机数字表法分研究组和对照组，研究组40例根据病情除了一般常规护理外，进行运动康复护理，对照组37例采取常规护理，两组均进行健康教育和患者自我管理的培训，并将两组进行比较。结果两组试验前一般情况和心功能指标相当，差异无统计学意义（P〉0．05），两组试验后心功能指标均有进步，但是通过运动康复护理心衰患者的心衰症状和生活质量明显改善，康复护理后心脏射血分数为（50．5±7．2）％，而对照组护理后心脏射血分数为（35．5±5．2）％，康复护理后明显高于对照组，差异具有统计学意义（t=2．45，P〈0．05），康复护理组和对照组治疗后心率分别为（76．5±6．8）次／min和（88．6±7．3）次／min，心率都有下降，但是康复护理组明显低于对照组，差异具有统计学意义（t=2．14，P〈0．05）。康复护理组和对照组治疗后6min步行距离分别为（451．4±35．5）m和（350．8±31．5）in，较观察前有增加，而康复护理组较对照组明显增加，差异具有统计学意义（t=13．17，P〈0．叭）。结论慢性心功能衰竭患者适时进行运动康复护理可降低慢性心衰患者的心率，提高心脏射血分数，提高6rain步行距离，也就是表明能改善慢性心衰患者心功能和生活质量。

Effects of exercise rehabilitation nursing on the patients with chronic heart failure

Objective To explore the effect and feasibility of exercise rehabilitation nursing on patients with chronic heart failure （CHF）. Methods Seventy-seven patients with CHF were randomly divided into exercise rehabihtation nursing group （ n = 40 cases） and control group （ n = 37 cases）. Exercise rehabilitation nursing group received routine exercise rehabilitation nursing, control group only received routine nursing, and both group received health education and the training of serf-management. Results There was no difference in general condition and heart function index in two groups before intervention （P 〉 0. 05 ）. After intervention, heart function index and life quality of all patients were improved. The average heart ejection fraction in exercise rehabilitation nursing group was （50.5 ± 7.2 ）% ] and that in control group was （ 35.5 ± 5.2）% ] ,and the difference was statistically significant （P 〈 0.05 ）. The heart rate of exercise rehabilitation nursing group（ 76.5 ± 6.8） was significantly lower than that of control group （ 88.6 ± 7.3 ） times per minute , although all patients＇ heart rate were decreased（ t =2. 14 ,P 〈 0. 05）. The six-minute walk test results were improved after intervention in both group, exercise rehabilitation nursing group was（451.4 ±35.5）meters and control group was （350.8 ± 31.5） meters, and the difference was statistically significant （ t = 13. 17, P 〈 0. 01 ）. Conclusions Exercise rehabilitation nursing is an effective method to improve the cardiac function and life quality due to decreasing heart rate,increasing ejection fraction and improving six-minute walk distance in patients with chronic heart failure.