以医院主导的家庭心脏康复护理在心力衰竭患者中的效果观察

摘要/Abstract

摘要： 目的探讨与观察以医院主导的家庭心脏康复护理在心力衰竭患者中的效果。方法选择2021年2月—2023年2月在甘肃省天水市第一人民医院诊治的70例心力衰竭患者作为研究对象,依据随机数表法将其分为观察组与对照组,各35例。对照组给予常规护理,观察组在对照组护理的基础上给予以医院主导的家庭心脏康复护理,两组护理观察时间均为2个月。比较两组患者心功能状况、血脂水平、躯体功能及自我护理能力。结果两组患者护理2个月后的左室舒张末期容积、左室收缩末期容积均低于护理前,且观察组的左室舒张末期容积、左室收缩末期容积与对照组相比也显著降低,差异有统计学意义（P<0.05）。两组患者护理2个月后的甘油三酯、总胆固醇均低于护理前,且观察组的甘油三酯、总胆固醇与对照组相比也显著降低,差异有统计学意义（P<0.05）。两组患者护理2个月后的6 min步行距离、30 s手臂屈曲试验结果也明显高于护理前,两组10次坐-立体位试验结果也明显低于护理前,且观察组护理2个月后的上述躯体功能指标与对照组相比也有明显差异,差异有统计学意义（P<0.05）。两组患者护理2个月后的自我护理能力评分均明显高于护理前,且护理2个月后观察组的自我护理能力评分也明显高于对照组,差异有统计学意义（P<0.05）。结论以医院主导的家庭心脏康复护理在心力衰竭患者中的应用能改善心功能,降低血脂水平,改善患者的躯体功能,提高患者的自我护理能力。

关键词: 家庭心脏康复护理, 心力衰竭, 心功能, 血脂水平, 躯体功能, 自我护理能力

Abstract: Objective To explore and observe the effectiveness of hospital led home cardiac rehabilitation nursing in patients with heart failure. Methods From February 2021 to February 2023, 70 patients with heart failure diagnosed and treated in the First People's Hospital of Tianshui City, Gansu Province, were selected as the study objects.Accorded to the 1:1 random number table method, 70 patients were divided into the observation group of 35 cases and the control group of 35 cases. The control group was given routine nursing, and the observation group was given hospital-led home cardiac rehabilitation nursing on the basis of the control group. The nursing observation time of the two groups was 2 months. The cardiac function, lipid level, physical function and self-care ability of the two groups were compared. Results After 2 months of nursing care, the left ventricular end diastolic volume and left ventricular end systolic volume of both groups were significantly lower than before nursing care (P<0.05). After 2 months of nursing care, the left ventricular end diastolic volume and left ventricular end systolic volume of the observation group were also significantly reduced compared to the control group (P<0.05). After 2 months of care, the triglycerides and total cholesterol levels in both groups were significantly lower than before care (P<0.05). After 2 months of care, the triglycerides and total cholesterol levels in the observation group were also significantly lower than those in the control group (P<0.05). The 6-minute walking distance and 30 second arm flexion test results of the two groups after 2 months of nursing care were also significantly higher than those before nursing care (P<0.05), and the results of the 10 sit stereoscopic tests were also significantly lower than those before nursing care (P<0.05). The above physical function indicators of the observation group after 2 months of nursing care were also significantly different from those of the control group (P<0.05). The self-care ability scores of both groups after 2 months of nursing care were significantly higher than those before nursing care (P<0.05), and the self-care ability scores of the observation group were also significantly higher than those of the control group after 2 months of nursing care (P<0.05). Conclusion The application of hospital led home cardiac rehabilitation nursing in patients with heart failure can improve heart function, reduce blood lipid levels, improve physical function, and enhance patients' self-care ability.

Key words: family cardiac rehabilitation nursing, heart failure, cardiac function, blood lipid levels, physical function, self care ability

中图分类号:

R473.5

朱维宁, 张云云. 以医院主导的家庭心脏康复护理在心力衰竭患者中的效果观察[J]. 中华养生保健, 2024, 42(17): 96-98.

ZHU Wei-ning, ZHANG Yun-yun. Observation on the Effectiveness of Hospital Led Home Cardiac Rehabilitation Nursing in Patients with Heart Failure[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(17): 96-98.

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