CAJ | 학술논문

目的：通过循证护理探讨老年慢性心力衰竭患者运动训练的安全有效性。方法通过计算机检索中国知网、重庆维普网、医知网等数据库和手工检索相关文献得到可靠程度高的最佳护理证据，根据所得到的最佳证据并结合自己的临床经验，为老年慢性心力衰竭患者实施安全合理的运动训练措施。结果训练前后比较，运动训练后患者的心功能改善， LVEF明显升高（P＜0．05），6分钟步行试验距离显著增加（P＜0．01），KCCQ评分明显提高（P＜0．01）。结论循证护理老年慢性心力衰竭患者运动训练安全有效，在严密监护及持续督导下老年慢性心力衰竭患者进行心肺功能康复运动是可行的，能够改善患者心功能，无严重心血管事件发生，提高了患者的生活质量。
목적：통과순증호리탐토노년만성심력쇠갈환자운동훈련적안전유효성。방법통과계산궤검색중국지망、중경유보망、의지망등수거고화수공검색상관문헌득도가고정도고적최가호리증거，근거소득도적최가증거병결합자기적림상경험，위노년만성심력쇠갈환자실시안전합리적운동훈련조시。결과훈련전후비교，운동훈련후환자적심공능개선， LVEF명현승고（P＜0．05），6분종보행시험거리현저증가（P＜0．01），KCCQ평분명현제고（P＜0．01）。결론순증호리노년만성심력쇠갈환자운동훈련안전유효，재엄밀감호급지속독도하노년만성심력쇠갈환자진행심폐공능강복운동시가행적，능구개선환자심공능，무엄중심혈관사건발생，제고료환자적생활질량。
Objectives To demonstrate the safety and effectiveness of exercise training for the elderly patients with chronic heart failure through evidence-based nursing.Methods Acquiring the reliable Nursing evidence through database and manual re-trieval on the CNKI net,the VIP net,the yz365 net.According to the evidence acquired,combined with our own clinical experiences, implement safe and rational exercise training measure for the elderly patients with chronic heart failure.Results Comparing the effect before and after the exercise,the patients cardio-pulmonary fuction has improved,the LVEF goes up(P<0.01),the 6MWT in-creases and the KCCQ evaluation improved significantly(P<0.01).Conclusions Evidence-based nursing in the exercise training for the elderly patients with chronic heart failure is safe and effective.Under Close monitoring and continuous supervision,the elderly patients with chronic heart failure undergone cardio-pulmonary recovery is feasible,It can improve the patients’ cardio-pulmonary fuction,no severe cardiovascular emergency occurs,the patients’ life quality has greatly improved.