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| 慢性心衰患者多组分运动方案的应用研究 |
| Application research of multi-component exercise program for patients with chronic heart failure |
| 投稿时间：2025-01-15 修订日期：2025-02-18 |
| DOI： |
| 中文关键词: 多组分运动方案 慢性心力衰竭 衰弱 |
| 英文关键词: Multicomponent exercise program chronic heart failure frailty |
| 基金项目:江西省吉安市2024年指导性科技计划项目(20244-049506) |
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| 中文摘要: |
| 目的: 探究老年慢性心衰患者多组分运动方案对其日常活动能力、生活质量及衰弱状态的影响。方法:选择2023年10月—2024年03月在吉安市中心人民医院心内科住院的50例慢性心衰伴衰弱患者作为研究对象,分组方法采用随机对照设计。对照组常规护理,研究组常规护理加多组分运动方案,期限为12周。干预结束后比较两组衰弱量表、日常活动能力Barthel指数及生活质量得分。结果：组间比较衰弱状态TFI总分及其各维度得分、日常活动能力Barthel指数得分、生活质量SF-12躯体健康及心理健康得分研究组与对照组相比有显著差异 (P<0.05)。同组比较研究组衰弱状态TFI总分及其各维度得分、日常生活活动能力Barthel指数得分、生活质量SF-12躯体健康及SF-12心理健康得分与干预前均有显著差异 (P<0.05)；对照组TFI总分及其躯体维度得分较干预前下降(P<0.05),但心理维度和社会维度得分、日常生活能力Barthel指数得分、生活质量SF-12躯体健康及心理健康得分无统计差异(P＞0.05)。结论：老年慢性心衰患者多组分运动方案能够改善其衰弱状态及其生活质量,多组分运动方案为老年慢性心衰患者开辟了新的康复途径。 |
| 英文摘要: |
| Objective: To investigate the effects of a multi-component exercise program on the activities of daily living, quality of life, andty status of elderly patients with chronic heart failure. Methods: A total of 50 patients with chronic heart failure and frailty who were hospitalized in the Department ofiology of Ji"an Central People"s Hospital from October 2023 to March 2024 were selected as the study subjects. The grouping method used randomized controlled design. The control group received routine nursing, while the study group received routine nursing plus a multi-component exercise program for a period of 12 weeks. the intervention, the two groups were compared in terms of the frailty scale, Barthel index of activities of daily living, and quality of life scores. Results: were significant differences in the total score of the TFI and its various dimensions, the Barthel index score of activities of daily living, and the SF-12 and mental health scores between the study group and the control group (P < 0.05). Within-group comparison showed that the total score of the TFI its various dimensions, the Barthel index score of activities of daily living, and the SF-12 physical and mental health scores of the study group were significantly different those before the intervention (P < 0.05); the total score of the TFI and its physical dimension score of the control group decreased compared to before intervention (P<0.05), but there was no statistical difference in the psychological dimension and social dimension scores, the Barthel index score of activities of living, and the SF-12 physical and mental health scores (P > 0.05). Conclusion: A multi-component exercise program for elderly patients with heart failure can improve their frailty status and quality of life. The multi-component exercise program has opened up a new rehabilitation pathway for elderly patients with chronic heart failure |
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