Research on the current status of exercise fear in elderly heart failure patients and multidimensional nursing intervention strategies
老年心力衰竭患者运动恐惧现状及多维度护理干预策略研究

摘要

目的 分析讨论老年心力衰竭患者运动恐惧现状及多维度护理干预策略。方法 选择我院2024年1月-2024年12月所接收的80例老年心力衰竭患者为研究对象，以问卷形式调查患者运动恐惧影响因素，再随机分为观察组（多维度护理干预）与对照组（常规护理干预），比较两组患者护理前后心功能、SAS、SF-36评分、运动功能。结果 影响患者运动恐惧主要因素为学历、病程、心理；护理后观察组心功能指标[左心室射血分数（58.31±4.25）%，血浆NT-proBNP（1.59±0.12）ng/mL，6分钟步行距离（227.07±21.05）m，左心室舒张末径（46.13±4.17）mm]均高于对照组，SAS、SF-36评分[SAS（40.32±4.43）分，SF-36（93.41±4.72）分]与运动功能（75.15±14.52分，61.87±10.25分）均优于对照组（P<0.05）。结论 老年心力衰竭患者运动恐惧现状主要与患者自身学历、病程、心理有关，对老年心力衰竭患者开展多维度护理干预实施效果明显，值得广泛推广与应用。

Abstract

Objective To analyze and discuss the current status of exercise fear in elderly patients with heart failure and multidimensional nursing intervention strategies.
Methods 80 elderly heart failure patients admitted to our hospital from January 2024 to December 2024 were selected as the research subjects. The influencing factors of patients' exercise fear were investigated in the form of a questionnaire, and then randomly divided into an observation group (multidimensional nursing intervention) and a control group (conventional nursing intervention). The cardiac function, SAS, SF-36 score, and exercise function of the two groups of patients were compared before and after nursing.
Results The main factors affecting patients' fear of exercise are education level, disease duration, and psychology; The cardiac function indicators of the observation group after nursing care, including left ventricular ejection fraction (58.31 ± 4.25)%, plasma NT proBNP (1.59±0.12) ng/mL, 6-minute walking distance (227.07±21.05) m, and left ventricular end diastolic diameter (46.13 ± 4.17) mm, were higher than those of the control group. The SAS and SF-36 scores [SAS (40.32 ± 4.43) points, SF-36 (93.41 ± 4.72) points] and motor function (75.15±14.52 points, 61.87 ± 10.25 points) were better than those of the control group (P<0.05).
Conclusion   The current status of exercise fear in elderly patients with heart failure is mainly related to their own education, disease course, and psychology. Multi dimensional nursing interventions for elderly patients with heart failure have significant effects and are worthy of wide promotion and application.