张静

【摘 要】目的：探究运动康复改善慢性心力衰竭患者的效果。方法：将2019年1月至2021年6月入选的60例患者作为此次研究对象，并根据随机法分为对照组和观察组，各30例。对照组采用常规护理方式，观察组采用运动康复护理方式。比较两组心功能指标、生活质量、运动耐量、Barthel评分和患者护理满意度。结果：观察组患者护理满意度高于对照组（P<0.05）。护理后，观察组患者运动耐量高于对照组，Barthel 评分高于对照组（P<0.05）。观察组患者运动功能、自我认同、社会功能、睡眠质量评分高于对照组（P<0.05）。观察组患者SBP、HR、DBP低于对照组，观察组LVEF高于对照组（P<0.05）。结论：针对慢性心力衰竭患者采取运动康复干预方式，可以提高患者运动耐量，改善患者生活质量，提高患者运功功能和护理满意度，值得推广。

【关键词】运动康复；慢性心力衰竭；影响

Discussion on the effect of exercise rehabilitation on patients with chronic heart failure

ZHANG Jing

Jiangsu Provincial Hospital of Traditional Chinese Medicine， Nanjing， Jiangsu 210000， China

【Abstract】Objective： To explore the effect of exercise rehabilitation on improving the effects of patients with chronic heart failure. Methods： Sixty patients selected from January 2019 to June 2021 were selected as the research objects， and were divided into control group and observation group according to random method， with 30 cases in each group. The control group adopts conventional nursing methods， and the observation group adopts sports rehabilitation nursing methods. Compare the two groups of cardiac function indicators， quality of life， exercise tolerance， Barthel score and patient care satisfaction.Results： The nursing satisfaction of patients in the observation group was higher than that in the control group（P<0.05）.After nursing， the exercise tolerance of the observation group was higher than that of the control group， and the Barthel score was higher than that of the control group（P<0.05）.The motor function， self-identification， social function， and sleep quality scores of the observation group were higher than those of the control group（P<0.05）.The SBP， HR， and DBP of the observation group were lower than those of the control group， and the LVEF of the observation group was higher than that of the control group（P<0.05）.Conclusion： Taking exercise rehabilitation interventions for patients with chronic heart failure can improve the patient’s exercise tolerance， improve the quality of life of the patients， and improve the patient’s motor function and nursing satisfaction. It is worthy of promotion.

【Key？Words】exercise rehabilitation； chronic heart failure； impact

慢性心力衰竭多發生在老年群体中，主要是由于患者心脏不能搏出，无法为身体组织代谢提供足够的血液，从而导致患者出现相应的症状[1]。据相关研究显示，慢性心力衰竭在临床中发病率已达到0.9%，其中男性发病率高于女性患者，主要表现为失眠乏力、心悸、肺水肿等。对于该病需要采取药物进行控制，并结合有效的护理方法改善患者生活质量，促进患者心功能恢复[2]。本研究对60例患者进行分析，现报道如下。

1.1 一般资料

将2019年1月至2021年6月入选的60例患者作为此次研究对象，并根据随机法分为对照组和观察组，各30例。对照组，男16例，女14例，年龄56岁～79岁，平均年龄（65.02±1.02）岁。观察组，男17例，女13例，年龄57岁～79岁，平均年龄（66.30±2.45）岁。……