中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
12期
1409-1411
,共3页
刘力平%朱晓征%肖玉娟%张晓彤%范儒
劉力平%硃曉徵%肖玉娟%張曉彤%範儒
류력평%주효정%초옥연%장효동%범유
康复护理%心力衰竭%心功能
康複護理%心力衰竭%心功能
강복호리%심력쇠갈%심공능
Rehabilitation nursing%Heart failure%Heart function
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)m,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＜0.01).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6 min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.
目的 探討慢性心力衰竭患者運動康複護理的可行性和效果.方法 將77例慢性心力衰竭患者採用隨機數字錶法分研究組和對照組,研究組40例根據病情除瞭一般常規護理外,進行運動康複護理,對照組37例採取常規護理,兩組均進行健康教育和患者自我管理的培訓,併將兩組進行比較.結果 兩組試驗前一般情況和心功能指標相噹,差異無統計學意義(P＞0.05),兩組試驗後心功能指標均有進步,但是通過運動康複護理心衰患者的心衰癥狀和生活質量明顯改善,康複護理後心髒射血分數為(50.5±7.2)％,而對照組護理後心髒射血分數為(35.5±5.2)％,康複護理後明顯高于對照組,差異具有統計學意義(t =2.45,P＜0.05),康複護理組和對照組治療後心率分彆為(76.5±6.8)次/min和(88.6±7.3)次/min,心率都有下降,但是康複護理組明顯低于對照組,差異具有統計學意義(t=2.14,P＜0.05).康複護理組和對照組治療後6min步行距離分彆為(451.4±35.5)m和(350.8±31.5)m,較觀察前有增加,而康複護理組較對照組明顯增加,差異具有統計學意義(t=13.17,P＜0.01).結論 慢性心功能衰竭患者適時進行運動康複護理可降低慢性心衰患者的心率,提高心髒射血分數,提高6 min步行距離,也就是錶明能改善慢性心衰患者心功能和生活質量.
목적 탐토만성심력쇠갈환자운동강복호리적가행성화효과.방법 장77례만성심력쇠갈환자채용수궤수자표법분연구조화대조조,연구조40례근거병정제료일반상규호리외,진행운동강복호리,대조조37례채취상규호리,량조균진행건강교육화환자자아관리적배훈,병장량조진행비교.결과 량조시험전일반정황화심공능지표상당,차이무통계학의의(P＞0.05),량조시험후심공능지표균유진보,단시통과운동강복호리심쇠환자적심쇠증상화생활질량명현개선,강복호리후심장사혈분수위(50.5±7.2)％,이대조조호리후심장사혈분수위(35.5±5.2)％,강복호리후명현고우대조조,차이구유통계학의의(t =2.45,P＜0.05),강복호리조화대조조치료후심솔분별위(76.5±6.8)차/min화(88.6±7.3)차/min,심솔도유하강,단시강복호리조명현저우대조조,차이구유통계학의의(t=2.14,P＜0.05).강복호리조화대조조치료후6min보행거리분별위(451.4±35.5)m화(350.8±31.5)m,교관찰전유증가,이강복호리조교대조조명현증가,차이구유통계학의의(t=13.17,P＜0.01).결론 만성심공능쇠갈환자괄시진행운동강복호리가강저만성심쇠환자적심솔,제고심장사혈분수,제고6 min보행거리,야취시표명능개선만성심쇠환자심공능화생활질량.
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 rehabilitation 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 self-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.
