摘要
目的 为有效提升老年心衰患者心功能及运动耐受性，改善患者生活质量与睡眠质量，对专项呼吸训练联合体位指导护理的应用效果作进一步探究，为临床提供有效参考依据。方法 回顾性分析2020年1月-2020年12月期间在本院接受治疗的老年心衰患者为研究对象，共计70例，按组间基本资料匹配原则平均分为对照组和观察组（每组各35例），对比观察采用专项呼吸训练联合体位指导护理干预的观察组与采用常规护理干预的对照组的临床护理效果。结果 统计研究表明，两组患者在采取不同的护理方法后，通过专项呼吸训练联合体位指导护理干预措施的观察组患者心功能指标、运动耐受性指标、生活质量、睡眠质量均明显优于对照组，组间数据差异明显，P＜0.05，说明存在对比意义。结论 分析表明，专项呼吸训练联合体位指导护理干预对老年心衰患者的心功能及运动耐受性有显著提升作用，并且有效改善患者的生活质量与睡眠质量，护理效果显著，应用价值良好，对此护理方案建议大力推广应用。
关键词： 老年心衰患者；专项呼吸训练；体位指导护理；心功能；运动耐受性；生活质量；睡眠质量
Abstract
Objective: In order to effectively improve the cardiac function and exercise tolerance of elderly patients with heart failure, improve the quality of life and sleep quality of patients, to further explore the application effect of special breathing training combined with body position guidance nursing, and to provide an effective reference for clinical practice. Methods: A total of 70 elderly patients with heart failure who were treated in our hospital from January 2020 to December 2020 were retrospectively analyzed, and they were equally divided into the control group and the observation group (each group) according to the matching principle of basic data between groups. 35 cases in each group), to compare and observe the clinical nursing effect of the observation group using special breathing training combined with body position guidance nursing intervention and the control group using routine nursing intervention. Results: Statistical research showed that after taking different nursing methods, the cardiac function index, exercise tolerance index, quality of life and sleep quality of the observation group were significantly better than those of the observation group through special breathing training combined with body position guidance nursing intervention measures. In the control group, the data between the groups was significantly different, P < 0.05, indicating that there is a comparative significance. Conclusion : The analysis shows that the special breathing training combined with body position guidance nursing intervention can significantly improve the cardiac function and exercise tolerance of elderly patients with heart failure, and can effectively improve the quality of life and sleep quality of the patients. The nursing effect is significant and the application value is good. It is recommended to vigorously promote the application of this nursing program.
Key words： Elderly Patients with Heart Failure; Special Breathing Training; Postural Guidance Nursing; Cardiac Function; Exercise Tolerance; Quality of Life; Sleep Quality
参考文献 References
[1] 王明芹,唐俊.专项呼吸训练联合体位指导在老年心衰患者中的护理效果[J]. 中外医学研究,2021,19(10): 122-125.
[2] 李莉.实施运动康复护理对老年慢性心衰患者心功能及生活质量的改善效果[J].中国社区医师,2019,(17):159.
[3] 吕培虹.心衰康复期患者的运动锻炼联合生活指导护理[J].中国急救复苏与灾害医学杂志,2020,(z1):95-96.
[4] 夏畅达,任芳,杨文雯,等.主动呼吸康复训练对改善老年心力衰竭病人运动耐力的效果分析[J].实用老年医学,2018,32(3):218-220,225.
[5] 吴晖,王燕,任耀龙,等.中药穴位贴敷联合缩唇-腹式呼吸训练对慢性顽固性心力衰竭伴睡眠障碍患者睡眠质量、心功能及负性情绪的影响[J].临床医学研究与实践,2021,6(16):159-162.
[6] 鄢晓丽.运动康复对老年慢性心力衰竭患者症状群及其左心室收缩功能的影响研究[D].重庆:重庆医科大学,2018.
[7] 赵冬琰,胡菱,孙洁,等.八段锦联合呼吸训练对老年慢性心衰患者心肺功能的影响[J].中国老年保健医学,2020,18(4):8-11.
[8] 李志刚,袁媛,郑太祖,等.呼吸康复训练在老年呼吸衰竭患者治疗中的临床效果观察[J].医药前沿,2022, 12(8): 94-96.