The influence of the intervention of the cardiac rehabilitation graded nursing special team on the cardiac function and exercise endurance of elderly patients with coronary heart disease
心脏康复分级护理专项团队干预对老年冠心病患者心功能、运动耐力的影响

摘要

目的 将心脏康复分级护理专项团队干预用于老年冠心病患者中，探究其对患者心功能、运动耐力的影响。方法 选取2023年1月-2025年5月本院收治的100例老年冠心病患者，随机分组，对照组50例行常规护理，观察组50例行心脏康复分级护理专项团队干预，对两组干预结果进行比较。结果 干预前，两组SV、LVEF、LVEDD心功能指标比较，不具显著差异（P>0.05），干预后，观察组SV、LVEF水平更高，LVEDD水平更低（P<0.05）；干预前，两组6MWT、Borg评分比较，不具显著差异（P>0.05），干预后，观察组6MWT更高、Borg评分更低（P<0.05）；两组护理满意度比较，观察组96.0%更高（P<0.05）。结论 对老年CHD患者来说，应用心脏康复分级护理专项团队干预既能改善患者心功能，还可提高运动耐力及护理满意度，具有较高应用价值。

Abstract

Objective To apply the intervention of the cardiac rehabilitation graded nursing special team to elderly patients with coronary heart disease and explore its impact on the patients' cardiac function and exercise endurance.
Methods A total of 100 elderly patients with coronary heart disease admitted to our hospital from January 2023 to May 2025 were selected and randomly divided into groups. Fifty patients in the control group received routine care, and 50 patients in the observation group received intervention by the special team for graded cardiac rehabilitation care. The intervention results of the two groups were compared.
Results Before the intervention, there was no significant difference in the cardiac function indicators of SV, LVEF, and LVEDD between the two groups (P>0.05). After the intervention, the levels of SV and LVEF in the observation group were higher, while the level of LVEDD was lower (P<0.05). Before the intervention, there was no significant difference in 6MWT and Borg scores between the two groups (P>0.05). After the intervention, the 6MWT was higher and the Borg score was lower in the observation group (P<0.05). The comparison of nursing satisfaction between the two groups showed that 96.0% was higher in the observation group (P<0.05).
Conclusion   For elderly patients with CHD, the intervention of the cardiac rehabilitation graded nursing special team can not only improve the cardiac function of patients, but also enhance exercise endurance and nursing satisfaction, which has high application value.