摘要
目的探讨基于时机理论的步行运动法对老年慢性心力衰竭患者的影响。方法2019年9月至2020年5月,便利抽样选取老年慢性心力衰竭患者124例为研究对象,按时间先后将其分为对照组(n=61)和观察组(n=63)。对照组给予常规康复指导,观察组在常规康复指导基础上实施基于时机理论的步行运动干预,比较两组患者6 min步行试验(6-min walking test,6MWT)评分、运动自我效能及运动恐惧情况。结果干预后,观察组6-MWT评分、运动自我效能评分均高于对照组(均P<0.01);运动恐惧评分低于对照组(P<0.01)。结论基于时机理论的步行运动法,能提高老年慢性心力衰竭患者有氧耐力与心功能水平,改善运动自我效能,降低患者运动恐惧,适用于老年慢性心力衰竭患者的院外康复治疗。
Objective To explore the effect of walking exercise method based on timing theory in elderly patients with chronic heart failure(CHF).Methods 124 elderly patients with CHF were selected by convenience sampling method,and were randomly divided into a control group(n=61)and an observation group(n=63).The control group was given conventional rehabilitation guidance,and the observation group implemented walking exercise intervention based on timing theory on the basis of conventional rehabilitation guidance.The 6-minute walking test(6MWT)scores,exercise self-efficacy and exercise fear of the two groups were compared.Results After intervention,the 6MWT score and exercise self-efficacy score of the observation group were significantly higher than those of the control group(all P<0.01)while the exercise fear score was significantly lower than that of the control group(P<0.01).Conclusions Walking exercise based on timing theory can improve the aerobic endurance and heart function level of elderly patients with CHF,improve exercise self-efficacy,and reduce the patients’fear of exercise.It is suitable for out-of-hospital rehabilitation of elderly patients with CHF.
作者
李玉
陈可英
周黎辉
LI Yu;CHEN Keying;ZHOU Lihui(Outpatient Department,Health Training School of Xiangshan County,Ningbo 315700,Zhejiang Province,China;Orthopedics Department,Medical Health Group of First People’s Hospital of Xiangshan County,Ningbo 315700,Zhejiang Province,China)
出处
《解放军护理杂志》
CSCD
北大核心
2021年第6期72-75,共4页
Nursing Journal of Chinese People's Liberation Army
基金
宁波市卫生健康委员会科研课题(2018A63)。
关键词
慢性心力衰竭
步行运动
运动自我效能
运动恐惧
康复护理
chronic heart failure
walking exercise
exercise self-efficacy
exercise fear
rehabilitation care
作者简介
李玉,本科,副主任护师,从事临床护理与护理管理;通信作者:陈可英,电话:0574-65736751。
