| Objective: With the aging and increasing social pressure in China,chronic heart failure has become the main cause of death for residents in China.With the continuous improvement of China’s economic level and living conditions of residents,patients with coronary heart disease have become ubiquitous,and patients with heart failure caused by coronary heart disease have gradually increased.Due to the imperfect community hospital and family medical system in China,most patients with coronary heart disease and heart failure lack rehabilitation guidance after discharge,and the condition is prone to recurrence,which great influences the quality of life and prognosis of patients.Nowadays,the research direction of medicine has gradually shifted to focus on the prevention and treatment of various chronic diseases.This study explored the role of diversified behavioral intervention in the recovery and prognosis of patients with chronic heart failure,in order to provide evidence for the treatment of chronic heart failure.Method:(1)Through consulting literature and clinical practice guidelines,a diversified behavioral intervention program for patients with chronic heart failure was constructed.(2)The study subjects were 82 patients with chronic heart failure who met the research criteria and were hospitalized in the Department of Cardiology,Affiliated Hospital of Jining Medical College from October 2021 to September 2022.Randomize the study subjects into groups,The control group and the intervention group used the same clinical treatment methods.In addition to conventional clinical treatment,the intervention group also received diversified behavioral interventions.Statistical methods were used to comprehensively analyze the differences in the readmission rate,changes in electrocardiogram indicators(QTc interval,QRS time limit,QRS voltage),and changes in exercise tolerance indicators(exercise volume,exercise time,and the probability of angina pectoris during exercise)on the day before discharge and after 3 and 6 months after discharge.(3)Specific intervention measures:(1)Establish a diversified intervention team;(2)Establish personal electronic files;(3)Basic intervention;(4)Psychological counseling science popularization;(5)Follow up intervention.(4)SPSS22.0 statistical software was used to analyse the statistical data.Result:(1)Changes in ECG indicators: Repeated measurement variance results showed that QTc interval,QRS time limit value,QRS voltage value: intra subject effect(F time,F interaction),inter subject effect(F group effect)(P < 0.05).After 3 and 6 months of discharge,patients in the intervention group were monitored again to compare the changes in ECG indicators between the two groups.It was found that the QTc interval and QRS time limit values in the intervention group were lower than those in the control group,while the QRS voltage value was higher than that in the control group(P<0.05)。(2)Changes in exercise endurance indicators: Repeated measurement of variance results showed that there was a significant difference between the intervention group and the control group in exercise volume and exercise time(P<0.05).After 6months of discharge,the amount and duration of exercise in the intervention group were significantly improved(P<0.05).(3)Average hospitalization time and readmission rate: The average hospitalization time of patients in the intervention group was(10.60±2.24)days,while the average hospitalization time of patients in the control group was(15.95 ± 2.22)days;The readmission rates within 6 months in the intervention group and the control group after implementing diversified behavior intervention were 7.14% and 17.5%,respectively(P<0.05).(4)Changes in cardiac function indicators: After implementing multiple behavioral interventions,cardiac function indicators such as NT-pro BNP and 6MWD in the intervention group were significantly improved compared with the control group and before the intervention(P<0.05).Conclusion: Clinical treatment of chronic heart failure based on multiple behavioral interventions can improve the condition and prognosis of patients and reduce the incidence of adverse events.In clinical practice,attention should be paid to the emotional changes of patients while participating in sports diversified behavior intervention,and timely counseling and intervention can help improve the enthusiasm of patients to participate in treatment and rehabilitation activities,which is conducive to the recovery of the disease. |
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