Abstract：Objective To study the effects of seamless nursing and exercise rehabilitation nursing on cardiac function index and self-management ability in patients with heart failure. Methods A total of 96 patients with heart failure who were treated in Tangdu Hospital of Air Force Medical University from January to December 2021 were selected as research objects. According to different nursing methods, they were divided into seamless group (seamless nursing, 34 cases), exercise group (exercise rehabilitation nursing, 32 cases) and control group (routine nursing, 30 cases). The cardiac function and self-management ability of the three groups were compared before and after intervention. Results After intervention, the self-care skills, health knowledge level, self-care responsibility, and self-concept of the three groups were higher than those before intervention, while those of the seamless group were higher than those of the exercise group and the control group, and those of the exercise group were higher than those of the control group, and the differences were statistically significant (P＜0.05). After intervention, the end systolic diameter of left ventricle, end diastolic diameter of left ventricle, and brain natriuretic peptide of all groups were lower than those before intervention, while those of the seamless group were lower than those of exercise group and control group, and those of exercise group were lower than those of control group, and the differences were statistically significant (P＜0.05); the left ventricular ejection fraction in each group were higher than that before intervention, and that of the seamless group was higher than that of the exercise group and the control group, while that of the exercise group was higher than that of the control group, and the differences were statistically significant (P＜0.05). Conclusion Seamless nursing can restore heart function in patients with heart failure and increase their self-management ability.
乔娇 薛淑敏 尹姣 张倩 王娟▲. 无缝隙护理与运动康复护理对心力衰竭患者心功能指标、自我管理能力的影响[J]. 中国医药导报, 2023, 20(1): 174-177.
QIAO Jiao XUE Shumin YIN Jiao ZHANG Qian WANG Juan▲. Effect of seamless nursing and exercise rehabilitation nursing on cardiac function index and self-management ability in patients with heart failure. 中国医药导报, 2023, 20(1): 174-177.
[1] Heusch G. Coronary blood flow in heart failure：cause，consequence and bystander [J]. Basic Res Cardiol，2022，117（1）：1.
[2] Greenberg B. Medical Management of Patients With Heart Failure and Reduced Ejection Fraction [J]. Korean Circ J，2022，52（3）：173-197.
[3] 孙晓燕，卫曼曼，常莎，等.住院姑息照护在终末期心力衰竭患者中的应用效果[J].中华现代护理杂志，2022，28（7）：954-957.
[4] 于甜栖，孙国珍，高敏.心力衰竭患者运动康复依从性影响因素质性研究的Meta整合[J].中华现代护理杂志，2022， 28（5）：568-574.
[5] 王瑞娜.无缝隙护理在强心利尿剂联合硝普钠治疗心力衰竭中的应用及对患者QOL评分的影响[J].国际护理学杂志，2021，40（10）：1819-1822.
[6] 王理亚，单艳华，王东，等.运动强度对慢性心力衰竭患者心肺功能及康复效果的影响[J].郑州大学学报（医学版），2022，57（1）：107-110.
[7] 吴昕泽，郭琪.运动训练对心力衰竭不同病程时期的作用效果及其机制[J].心血管康复医学杂志，2022，31（1）：80-84.
[8] 中华医学会心血管病学分会心力衰竭学组，中国医师协会心力衰竭专业委员会，中华心血管病杂志编辑委员会等.中国心力衰竭诊断和治疗指南2018[J].中华心血管病杂志，2018，46（10）：760-789.
[9] 施小青，曹伟新，吴蓓雯，等.心力衰竭病人自我管理量表的初步构建[J].护理研究，2012，26（35）：3347-3350.
[10] Withaar C，Lam CSP，Schiattarella GG，et al. Heart failure with preserved ejection fraction in humans and mice：embracing clinical complexity in mouse models [J]. Eur Heart J，2021，42（43）：4420-4430.
[11] Klenk C，Brunner H，Nickel T，et al. Cardiac structure and function in response to a multi-stage marathon over 4486 km [J]. Eur J Prev Cardiol，2021，28（10）：1102-1109.
[12] DeVore AD，Granger BB，Fonarow GC，et al. Effect of a Hospital and Postdischarge Quality Improvement Intervention on Clinical Outcomes and Quality of Care for Patients With Heart Failure With Reduced Ejection Fraction：The Connect-HF Randomized Clinical Trial [J]. JAMA，2021， 326（4）：314-323.
[13] 肖涛，吴文琴，黄楷森，等.步行运动在射血分数保留的心力衰竭患者中的应用效果[J].心血管康复医学杂志，2022，31（1）：12-15.
[14] 赵晓换，杨和银.无缝隙护理在阿司匹林联合瑞替普酶治疗心肌梗死的应用研究[J].重庆医学，2020，49（11）：1884-1887.
[15] 陈娟，杨萍.无缝隙护理在急性心肌梗死患者护理中的应用[J].山西医药杂志，2021，50（8）：1372-1374.
[16] 王志强.运动训练对射血分数降低型心力衰竭患者的影响[J].海南医学，2022，33（5）：652-655.
[17] 张振英，孙兴国，席家宁，等.门诊和住院运动锻炼为核心的整体管理对慢性心力衰竭患者心脏康复治疗效果影响的临床研究[J].中国应用生理学杂志，2021，37（1）：89-95.
[18] 骆荣，蒋慧，曾肖娜，等.心脏运动康复对射血分数保留的心力衰竭患者疗效影响的Meta分析[J].实用心脑肺血管病杂志，2021，29（3）：18-24.
[19] 王慧洁，徐军晓，薄树伟.抗阻运动训练在老年心力衰竭中的效果[J].临床心电学杂志，2021，30（1）：36-38， 42.
[20] 刘洪强，黄达民，王朝霞，等.心脏康复运动对慢性心力衰竭患者的临床疗效[J].心血管康复医学杂志，2021， 30（6）：665-670.
[21] 谢剑，肖青叶，朱慧，等.个体化运动训练在射血分数保留型心力衰竭患者中的应用[J].心脑血管病防治，2021， 21（1）：87-89.
[22] Singh H. Mitochondrial ion channels in cardiac function [J]. Am J Physiol Cell Physiol，2021，321（5）：C812-C825.
[23] Nusier M，Shah AK，Dhalla NS. Structure-function relationships and modifications of cardiac sarcoplasmic reticulum Ca2+-transport [J]. Physiol Res，2021，70（Suppl4）：S443-S470.
[24] Wang H，Zhang C. Effects of hemodialysis combined with calcitriol on cardiac function and BNP in nephrotic patients with secondary hyperparathyroidism [J]. Minerva Surg，2021.DOI：10.23736/S2724-5691.21.09216-9.
[25] Kuwahara K. The natriuretic peptide system in heart failure：Diagnostic and therapeutic implications [J]. Pharmacol Ther，2021，227：107863.
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