摘要
目的 探讨系统化运动康复护理对老年慢性心力衰竭患者中的应用效果分析；方法 抽样法选择2024年1月—2025年7月在我院确诊并住院治疗的老年慢性心力衰竭患者46例作为研究对象，随机法将46例患者分为观察组和对照组，每组23例，对照组患者给予常规药物治疗及一般护理，观察组在常规护理的基础上实施个体化运动康复护理，为期12周。比较两组干预前后左心室射血分数、N端B型利钠肽前体、6分钟步行试验成绩及明尼苏达心力衰竭生活质量问卷评分；结果 干预后观察组左心室射血分数显著高于对照组，N端B型利钠肽前体明显低于对照组，6分钟步行试验成绩及明尼苏达心力衰竭生活质量问卷评分均优于对照组（P<0.05）；结论 系统化运动康复护理可有效改善老年慢性心力衰竭患者的心功能、提升运动耐力并提高生活质量，具有推广价值。
关键词： 运动康复护理；慢性心力衰竭；老年患者；心功能；生活质量
Abstract
Objective To explore the application effect of systematic exercise rehabilitation nursing for elderly patients with chronic heart failure. Methods A total of 46 elderly patients diagnosed and hospitalized at our hospital from January 2024 to July 2025 were selected through sampling. The 46 patients were randomly divided into an observation group (23 cases) and a control group (23 cases). The control group received conventional drug therapy and general nursing care, while the observation group received individualized exercise rehabilitation nursing based on routine care for 12 weeks. Comparison of left ventricular ejection fraction, N-terminal B-type natriuretic peptide (NTN-β), 6-minute walk test performance, and Minnesota Heart Failure Quality of Life Questionnaire (MHHQ) scores before and after intervention. Results After intervention, the observation group showed significantly higher left ventricular ejection fraction and lower NTN-β levels compared to the control group. Both the 6-minute walk test performance and MHHQ scores were also superior to those of the control group (P<0.05). Conclusion Systematic exercise rehabilitation nursing can effectively improve cardiac function, enhance exercise endurance, and improve quality of life in elderly patients with chronic heart failure, demonstrating broad applicability.
Key words： Exercise rehabilitation nursing; Chronic heart failure; Elderly patients; Cardiac function; Quality of life
参考文献 References
[1] 汪晴煜.基于运动的心脏康复护理在老年慢性心力衰竭患者中的应用效果研究[J/OL].中文科技期刊数据库（文摘版）医药卫生,2025(4)[2025-04-21].
[2] 田雪艳,孟祥旭.自我效能辅助运动康复护理在慢性心力衰竭患者中的应用效果[J].中国民康医学,2025,37(13): 166-169.
[3] 梁倩,汪晓丽,刘梦琪,等.多组分运动护理干预在老年慢性心力衰竭合并衰弱患者中的应用[J].中华护理杂志, 2023, 58(23):2821-2828.
[4] 王雨琪,邹莺,吕磊,等.基于健康行为改变整合理论的老年慢性心力衰竭患者居家营养管理体验的质性研究[J].医学研究与战创伤救治,2025,38(04):416-419.
[5] 李春华,占凤,齐玉波.整体干预模式下阶段性综合运动训练方案在老年慢性心力衰竭患者中的应用[J].中国老年学杂志,2023,43(13):3082-3085.
[6] 武文娟.运动康复护理用于慢性心力衰竭患者的分析——评《慢性心力衰竭心脏康复》[J].世界中医药,2024, 19(04): I0002-I0002.
[7] 祝海香,韩小雪,冯燕,等.老年慢性心力衰竭患者医疗照护方案的构建及应用研究[J].中华护理杂志,2024,59(24): 2949-2956.
[8] 严莉,李筠,耿丽,等.多学科合作团队延续护理在慢性心力衰竭易损期患者中的应用及效果评价[J].中国护理管理,2019,19(12):1865-1872.
[9] 谢静.奥塔戈运动训练联合萧氏双C护理模式在老年脑梗死偏瘫患者中的应用效果研究[J].中国全科医学,2019, 22(11):1364-1368+1371.