Application effect of standardized stage Ⅰ exercise rehabilitation in elderly patients with chronic heart failure / 中国实用护理杂志

ABSTRACT

Objective To explore the effect of standardized phase Ⅰ exercise rehabilitation on heart and lung function and quality of life in elderly patients with chronic heart failure, and to evaluate its clinical efficacy and significance. Methods A total of 100 elderly patients of department of cardiology into Fuxin Central Hospital with chronic heart failure (heart function NYHA Ⅱ-Ⅲ) were divided evenly into experimental and control groups by the method of random number table. In the experimental group, patients were undergoing routine treatment and nursing while undergoing standardized phase Ⅰ motor rehabilitation. In the control group, patients were treated with routine treatment and nursing only. The two groups of patients were assessed for heart and lung function by using the 6-minute walking distance test (6MWT) on the second day of admission and at hospital discharge; the quality of life was assessed by using the Minnesota Heart Failure Quality of Life Questionnaire (MLHFQ) on admission and 4 weeks after discharge. Results Cardio- pulmonary function in the experimental group, the 6-minute walking distance (6MWD) was (367.92 ± 34.53) meters before intervene, and (469.72 ± 31.09) meters after. The difference had statistical significance (t=15.482 4, P<0.01). In the control group, the 6MWD was (366.36± 33.78) meters before intervene, and (390.68 ± 33.57) meters after. The difference had no statistical significance (t=2.126 2, P>0.01). Compared with the control group, the increase in the experimental group was more significant. The difference between two groups was statistically significant (t=-13.760 4, P< 0.01). Quality of life In the experimental group, the Minnesota Heart Failure Quality of Life Questionnaire score was (36.28 ± 8.50) points before intervene, and (15.60 ± 4.57) points after. The difference had statistical significance (t=-15.152 3, P<0.01). In control group, the score was (38.20±8.93) points before intervene, and (37.24±11.21) points after. The difference had no statistical significance (t=-0.473 5, P>0.01). Comparing two groups after treatment, the experimental group was more significantly reduced than the control group. The difference between two groups was statistically significant (t=12.640 0, P<0.01). Conclusion The standardized phase Ⅰ exercise rehabilitation treatment significantly improves heart and lung function and quality of life in elderly patients with chronic heart failure.