护理与康复2025，Vol.24Issue(1)：1-8,8.DOI:10.3969/j.issn.1671-9875.2025.01.001
基于时机理论的多组分运动方案在老年慢性心力衰竭患者中的应用研究
Study on the application of a multi-component exercise program based on theory of timing in elderly patients with chronic heart failure
摘要
Abstract
Objective To develop a multi-component exercise program based on theory of timing and explore its impact on elderly patients with chronic heart failure.Methods A total of 84 elderly patients with chronic heart failure admitted to the cardiology department of the Second Hospital of Jiaxing from January to October 2023 were selected as study subjects.The patients were divided into an observation group and a control group,with 42 cases in each group,based on different inpa-tient floors.The control group received routine rehabilitation nursing care and follow-up management,while the observation group received the multi-component exercise program based on theory of timing in addition to the control group.The inter-vention effects on both groups were evaluated using cardiac function indicators,6-minute walking distance(6MWD),the Chinese version of the Self-Efficacy for Exercise Scale(SEE-C),and the Minnesota Living with Heart Failure Questionnaire(MLHFQ).Results A total of 39 cases in the observation group and 42 cases in the control group completed the intervention.The differences in left ventricular ejection fraction between the two groups were statistically significant in time and time×group interac-tion(Ftime=83.371,Ftime×group=43.910,P＜0.001).The differences in brain natriuretic peptide between the two groups were sta-tistically significant in time and timeXgroup interaction(Ftime=177.057,Ftime×group=31.209,P＜0.001).The differences in the 6MWD between the two groups were statistically significant(Ftime=325.480,Fgroup=9.002,Ftime×group=90.895,P＜0.05).Be-fore and after the intervention,the difference in SEE-C scores and MLHFQ scores in the observation group were higher than that in the control group,with statistically significant differences(t=3.497/7.483,P＜0.001).Conclusion The multi-component exercise program based on theory of timing can improve cardiac function and quality of life in elderly patients with chronic heart failure,as well as enhance their exercise endurance and self-efficacy.关键词
时机理论/多组分运动/老年/心力衰竭Key words
theory of timing/multi-component exercise/elderly/heart failure分类
医药卫生引用本文复制引用
沈娟琴,黄萍,陆琴,张学萍,王婷,施锋杰,郑叶平..基于时机理论的多组分运动方案在老年慢性心力衰竭患者中的应用研究[J].护理与康复,2025,24(1):1-8,8.基金项目
浙江省医药卫生科技计划项目,编号2023KY1203 （）
