坐式八段锦对心功能Ⅲ～Ⅳ级稳定期心衰患者生活质量的影响
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摘要
目的探讨坐式八段锦康复运动对心功能Ⅲ～Ⅳ级稳定期心衰患者生活质量的影响。方法选取2017年04月～2018年04月在我院心内科住院的心功能Ⅲ～Ⅳ级稳定期心衰患者80例作为研究对象,将其随机分为观察组和对照组。对照组实施常规心衰病健康教育、出院指导。观察组在对照组的基础上教会患者坐式八段锦康复运动,出院后、电话回访时给予技术指导。比较出院6个月、12个月患者的生活质量评分、再入院率。结果两组患者入院时症状、体力限制、社会限制、情绪及生活质量总分比较,差异无统计学意义(P>0.05);干预后6月、12月,观察组患者生活质量各项评分及总分均明显低于对照组,差异有统计学意义(P<0.05)。干预后,两个时间段的观察组患者的再住院率较对照组均有明显下降,差异有统计学意义(P<0.05)。结论坚持坐式八段锦康复运动可有效改善心衰患者的心功能,提高患者生活质量。
Objective To investigate the effect of sitting-style Ba Duan Jin rehabilitation exercise on the quality of life of patients with heart function Ⅲ～Ⅳ stable heart failure.Methods Eighty patients with heart function class Ⅲ～Ⅳ stable heart failure who were hospitalized in our department of cardiology from April 2017 to April 2018 were randomly divided into observation group and control group.The patients in the control group were given regular health education and discharge guidance for heart failure.On the basis of the control group,the observation group taught the patient to take the Ba Duan Jin rehabilitation exercise,and gave technical guidance after the discharge and telephone call.The quality of life score and readmission rate of patients who were discharged from hospital for 6 months and 12 months were compared.Results There were no signi?cant differences in symptoms,physical limitations,social limitations, mood and quality of life between the two groups(P>0.05).After 6 and 12 months of intervention, the quality of life scores and total scores of the observation group were signi?cantly different.Lower than the control group(P<0.05).After the intervention, the rehospitalization rate of the observation group in the two time periods was signi?cantly lower than that in the control group(P<0.05).Conclusion Adherence to sitting-style Ba Duan Jin rehabilitation exercise can effectively improve the heart function of patients with heart failure and improve the quality of life of patients.
Objective To investigate the effect of sitting-style Ba Duan Jin rehabilitation exercise on the quality of life of patients with heart function Ⅲ～Ⅳ stable heart failure.Methods Eighty patients with heart function class Ⅲ～Ⅳ stable heart failure who were hospitalized in our department of cardiology from April 2017 to April 2018 were randomly divided into observation group and control group.The patients in the control group were given regular health education and discharge guidance for heart failure.On the basis of the control group,the observation group taught the patient to take the Ba Duan Jin rehabilitation exercise,and gave technical guidance after the discharge and telephone call.The quality of life score and readmission rate of patients who were discharged from hospital for 6 months and 12 months were compared.Results There were no signi?cant differences in symptoms,physical limitations,social limitations, mood and quality of life between the two groups(P>0.05).After 6 and 12 months of intervention, the quality of life scores and total scores of the observation group were signi?cantly different.Lower than the control group(P<0.05).After the intervention, the rehospitalization rate of the observation group in the two time periods was signi?cantly lower than that in the control group(P<0.05).Conclusion Adherence to sitting-style Ba Duan Jin rehabilitation exercise can effectively improve the heart function of patients with heart failure and improve the quality of life of patients.
引文
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[12]单守勤,张中,钟伟.八段锦功法对海勤官兵心血管功能及身体素质的影响[J].实用医药杂志,2015,32(5):388-391.
[2]中国心血管病报告编写组.《中国心血管病报告2016》概要[J].中国循环杂志,2017,32(6):521-523.
[3]刘自娜,丁四清.跨理论模型对心血管疾病患者健康行为管理方案的构建[J].上海护理,2017,17(5):79-82.
[4]朱正刚,陈燕.坐式八段锦锻炼对慢性阻塞性肺疾病患者活动耐力和生活质量的影响[J].中国老年学,2016,36(9):2265-2266.
[5]王燕萍.健康教育结合个体化心理护理对慢性心衰患者心功能及生存质量的影响[J].当代护士(下旬刊),2017,2(2):158-160.
[6]李浩杰,宋云虎,朱晓东,等.单中心室间隔心肌切除术治疗肥厚型梗阻性心肌病中远期结果分析[J].中国循环杂志,2016,31(6):573-577.
[7]李欧,柳威,赵英强,等.强心颗粒治疗慢性心力衰竭疗效观察[J].辽宁中医杂志,2016,43(8):1662-1663.
[8]王晓燕.综合护理干预对老年慢性心力衰竭患者心理状况及治疗依从性的影响[J].内科,2015,10(3):413-415.
[9]崔长军.运动康复改善老年慢性心衰患者心功能和生活质量的研究[J].泰山医学院学报,2017,38(1):96-97.
[10]石永乐,李继平.人际关系理论在一例高血压并发慢性心力衰竭患者临床护理实践中的应用[J].中华现代护理杂志,2016,22(17):2492-2494.
[11]朱正刚,方森,梁百慧,等.坐式八段锦锻炼对重度稳定期COPD患者气道炎性反应的影响研究[J].护理管理杂志,2017,17(1):55-57.
[12]单守勤,张中,钟伟.八段锦功法对海勤官兵心血管功能及身体素质的影响[J].实用医药杂志,2015,32(5):388-391.