健康教育及步行训练在心房颤动合并心力衰竭患者延续性护理中的应用OA
Application of health education and walking training in the continuous care for patients with atrial fibrillation and heart failure
目的 探讨健康教育联合步行训练在心房颤动(简称"房颤")合并心力衰竭(简称"心衰")患者延续性护理中的应用效果.方法 选取南京医科大学附属常州第二人民医院2020年8月至2021年8月收治的98例房颤合并心衰患者作为研究对象,对其临床资料进行回顾分析,根据护理干预方案的不同分为2组,各49例.对照组实施常规护理和出院指导,观察组实施健康教育及步行训练的延续性护理指导.对比2组的应用效果.结果 出院6个月后,观察组心功能Ⅱ级和Ⅲ级患者的6分钟步行试验距离均较对照组更远,且2组心功能Ⅱ级和Ⅲ级患者的上述距离均较入院时更远,均有明显统计学差异(P均＜0.05).2组在出院6个月后的左室射血分数均较入院时增大,左室舒张末期内径、左室收缩末期内径均较入院时减小,明尼苏达心衰患者生活质量量表各项评分均较入院时降低,且观察组的上述指标和评分均比同期对照组更优,均有明显统计学差异(P均＜0.05).出院3个月和6个月后,与对照组比较,观察组的Morisky用药依从性问卷评分均更高(P均＜0.05).结论 健康教育联合步行训练有助于改善房颤合并心衰患者的运动耐量和心功能指标,在提高患者用药依从性和生活质量方面具有积极意义.
Objective To explore the application effect of health education combined with walking training in the continuous care for patients with atrial fibrillation and heart failure.Methods A total of 98 patients with atrial fibrillation and heart failure admitted to Changzhou NO.2 People's Hospital affiliated to Nanjing Medical University from August 2020 to August 2021 were selected as the research subjects.Their clinical data were retrospectively analyzed and they were divided into two groups with 49 cases in each group based on different nursing intervention plans.The control group received routine nursing and discharge guidance,while the observation group received continuous care guidance through health education and walking training.The application effects were compared between the two groups.Results After 6 months of discharge,the 6-minute walk test distance of patients with grade Ⅱ and grade Ⅲ heart function in the observation group was farther than that of the control group,and the above distance of patients with grade Ⅱ and grade Ⅲ heart function in the two groups was farther than that at admission,with significant statistical differences(all P＜0.05).After 6 months of discharge,the left ventricular ejection fraction of both groups increased compared to admission,and the left ventricular end-diastolic diameter and left ventricular end-systolic diameter decreased compared to admission.The scores of the Minnesota Living with Heart Failure Questionnaire decreased in all aspects compared to admission.Moreover,the above indicators and scores of the observation group were better than those of the control group during the same period,with significant statistical differences(all P＜0.05).After 3 and 6 months of discharge,compared with the control group,the Morisky Medication Adherence Scale-8 scores of the observation group were higher(all P＜0.05).Conclusion The combination of health education and walking training can help improve exercise tolerance and cardiac function indicators in patients with atrial fibrillation and heart failure,and has positive significance in improving medication compliance and quality of life.
庄毅;郭佳;刘洋;罗洁;柴丽郁;毛一鸣;祁金丹
南京医科大学附属常州第二人民医院,江苏常州,213000
临床医学
心房颤动心力衰竭健康教育步行训练延续性护理
atrial fibrillationheart failurehealth educationwalking trainingcontinuous care
《中西医结合护理（中英文）》 2024 (007)
21-24 / 4
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