摘要
Abstract
Objective To investigate the influence of exercise rehabilitation nursing based on Orem model on cardiac function and the quality of life of patients with chronic heart failure (CHF).Methods 100 patients with CHF were randomly divided into control group and observation group with 50 cases in each group.The patients of two groups received prescribed drug treatment.Control group received routine nursing care;on the basis of control group,observation group received exercise rehabilitation nursing based on Orem self-care model (formulating plan and amount of exercise according to the grade of cardiac function).Observed daily life self-care ability,LVEF,resting heart rate of the two groups 14 d after the intervention (T1) and on the day of discharge (T2);evaluated the quality of life 12 months after discharge.Results Compared with control group,ejection fraetion,living self-care ability,walking distance of the observation group at T1 and T2 increased more significantly (P＜0.01),heart rate decreased more significantly (P＜0.01).12 months after discharge,the score of quality of life in observation group and control group were (42.5±8.2) and (57.6± 10.5),life quality level of observation group was obviously higher than that on admission and that of control group (P＜0.01).Conclusions Exercise rehabilitation nursing based on Orem self-care model can significantly improve physiological and psychological function in patients with chronic heart failure,effectively slow heart rate,reduce the risk of ventricular remodeling,delay the deterioration,improve the quality of life in patients,simple,with good repeatability,close to daily life,with high feasibility and clinical application value.关键词
Orem模式/运动康复/慢性心衰/心功能/生活质量Key words
Orem model/Exercise rehabilitation/Chronic heart failure/Cardiac function/Quality of life
