| 【Objective】By implementing a phased extended cardiac rehabilitation exercise intervention for patients with chronic heart failure,to explore the effect of cardiac rehabilitation exercise on the heart function,quality of life,daily life ability,and rehospitalization rate of patients with chronic heart failure,to develop safety for clinical chronic heart failure patients,Effective cardiac rehabilitation exercise and provide basis for the management of such patients.【Method】In this study,76 patients with chronic heart failure who met the inclusion criteria were selected as the research object.The research objects were divided into a control group(38 cases,routine intervention)and an intervention group(38 cases,conventional intervention + cardiac rehabilitation exercise).The control group was given conventional anti-heart failure treatment,disease-related knowledge guidance and encouraged patients to combine their own hobbies with appropriate exercise within the scope of their abilities to ensure their safety;the intervention group cooperated with cardiac rehabilitation exercises in addition to anti-heart failure treatment,according to chronic heart failure The disease status of the declining patients and the evaluation results of the six-minute walking test comprehensively formulate individualized exercise prescriptions.The patients carry out planned and individualized exercise according to the exercise prescriptions and intervene for 65months.The six-minute walking test distance,NT-pro BNP,quality of life score,daily life ability score,and rehospitalization rate of the patients in the control group and the intervention group before intervention,after 3 months of intervention,and after 6months of intervention were collected.Changes in the six-minute walking test distance,NT-pro BNP,quality of life score,daily life ability score,and rehospitalization rate of patients in the group.【Result】1 This study pre-defined 76 patients with chronic heart failure as the research object,7 patients were lost during the study,and finally completed a total of 69 research objects,including 35 cases in the intervention group and 34 in the control group For example,the difference in baseline data between the two groups was not statistically significant(P﹥0.05).2 Cardiac function(six-minute walking test distance,NT-pro BNP): After 3 and 6months of intervention,the six-minute walking test distance of the intervention group was better than the control group,and the difference between the two groups was statistically significant Significance(P <0.05);After 3 months of intervention,the plasma NT-pro BNP levels of the two groups of patients improved to a certain extent,but there was no statistically significant difference between the two groups(P﹥0.05).The level of serum NT-pro BNP decreased in the group was significantly higher than that in the control group,and the difference between the two groups was statistically significant(P<0.05).3 Quality of life: After 3 months and 6 months of intervention,the total quality of life scores of the intervention group and the scores of the three dimensions of physical activity,emotion,and other areas fell better than the control group,and the two groups were different.It is statistically significant(P <0.05).4 Daily living ability: After 3 months and 6 months of intervention,the total daily living ability score and instrumental life self-care score of patients in the intervention group decreased better than the control group,and the difference between the two groups was statistically significant(P<0.05);after 3 months of intervention,the physical sexual self-care scores of the two groups of patients decreased to some6extent,but the difference was not statistically significant(P ﹥ 0.05),but after 6months of intervention,the body of the intervention group The decrease in self-care scores of sexual life was significantly better than the control group,and the difference between the two groups was statistically significant(P<0.05).5 Rehospitalization rate: After 3 months of intervention,the rehospitalization rate of the two groups of patients decreased to a certain degree compared with the baseline,but the difference between the two groups was not statistically significant(P﹥0.05).The rehospitalization rate of the patients in the group was better than the control group,and the difference between the two groups was statistically significant(P<0.05).6 Chronic heart failure disease related knowledge score: At the baseline of the intervention group,the average scores of chronic heart failure disease related knowledge at 3 months and 6 months after intervention were 36.5 points,48.1 points,and 72.3 points respectively;at the baseline of the control group,3 interventions Monthly and 6 months later,the average scores of chronic heart failure-related knowledge were 37.1,56.6,and 72.3 points respectively;at baseline,the average scores of chronic heart failure-related knowledge scores of the two groups of patients were not different,but 3 interventions After 6 months and 6 months,the average score of knowledge related to chronic heart failure in the intervention group was significantly higher than that in the control group.【Conclusion】1 Cardiac rehabilitation exercise can improve the exercise endurance and heart function of CHF patients,increase the six-minute walking test distance,and improve the serum NT-pro BNP level,but the short-term effect is not obvious.2 Cardiac rehabilitation exercises have a better effect on the overall quality of life scores of CHF patients,physical activity,mood and other fields,suggesting that cardiac rehabilitation exercises can improve the quality of life of CHF patients and reduce the rehospitalization rate of patients.3 Cardiac rehabilitation exercise has a significant improvement effect on the total score of daily life ability,instrumental life self-care score and physical life self-carescore,indicating that cardiac rehabilitation exercise can improve the daily life ability of CHF patients.4 Health education in the process of cardiac rehabilitation can improve the mastery of CHF patients on heart failure disease and cardiac rehabilitation related knowledge,thus ensuring patient compliance and improving rehabilitation efficacy.5 The cardiac rehabilitation exercise prescription based on the six-minute walking test,the patient’s own disease situation and the patient’s risk stratification is suitable for the rehabilitation treatment of CHF patients in and out of the hospital. |
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