摘要
目的分析七步法运动联合抗阻训练在老年冠心病(CHD)康复护理中的应用效果.方法选取2021年9月—2022年8月商河县人民医院收治的90例老年CHD患者为研究对象,使用随机数字表将其分为对照组及研究组,每组45例.对照组采用常规护理,研究组在此基础上采用康复护理,即七步法运动联合抗阻训练.比较两组患者的心功能﹑运动耐量﹑日常生活活动能力﹑生活质量及主要不良心血管事件(MACE)发生率.结果干预后,研究组的左室射血分数高于对照组,心输出量大于对照组,6 min步行距离长于对照组,组间差异有统计学意义(P<0.05).干预后,研究组的改良Barthel指数量表﹑简明健康调查量表评分均高于对照组,组间差异有统计学意义(P<0.05).随访6个月,研究组的MACE发生率为4.44%,低于对照组的17.78%,差异有统计学意义(P<0.05).结论七步法运动联合抗阻训练在老年CHD康复护理中的应用效果理想,能改善患者心功能,提高运动耐量,保障其日常生活活动能力及生活质量,且降低了MACE的发生率.
Objective To analyze the effect of seven-step exercise combined with resistance training in rehabilitation nursing of elderly patients with coronary heart disease(CHD).Methods 90 elderly patients with CHD admitted to Shanghe County People's Hospital from September 2021 to August 2022 were selected as the study objects and were divided into a control group and a study group using random number table,with 45 cases in each group.The control group was treated with routine nursing,and the study group was treated with rehabilitation nursing on this basis,namely seven-step exercise combined with resistance training.The cardiac function,exercise tolerance,activities of daily living,quality of life and incidence of major adverse cardiovascular events(MACE)were compared between the two groups.Results After intervention,the left ventricular ejection fraction of the study group were higher that those of the control group,cardiac output of the study group were greater than that of the control group,and 6-min walking distance of the study group were longer than that of the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the scores of the modified Barthel index scale and the MOS item short from health survey in the study group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After 6 months of follow-up,the incidence of MACE in the study group was 4.44%,which was lower than 17.78%in the control group,and the difference was statistically significant(P<0.05).Conclusion The application effect of seven-step exercise combined with resistance training in elderly CHD rehabilitation nursing is ideal,which can improve the heart function of patients,increase exercise tolerance,guarantee their activities of daily living and quality of life,and reduce the incidence of MACE.
作者
刘琳
LIU Lin(Chronic Disease Management Center,Shanghe County People's Hospital,Jinan Shandong,251600,China)
出处
《反射疗法与康复医学》
2023年第20期64-67,共4页
Reflexology And Rehabilitation Medicine
关键词
老年冠心病
七步法运动
抗阻训练
康复护理
Elderly coronary heart disease
Seven-Step exercise
Resistance training
Rehabilitation nursing
作者简介
刘琳(1970-),女,山东济南人,本科,主管护师,研究方向:慢病管理与护理.
