| 张艳梅,徐玉兰,梁 媛,黄海霞,黄 坤.个体化心脏运动康复训练联合简式太极训练对稳定性慢性心力衰竭患者心肺功能、心理状态和生活质量的影响[J].,2022,(11):2057-2060 |
| 个体化心脏运动康复训练联合简式太极训练对稳定性慢性心力衰竭患者心肺功能、心理状态和生活质量的影响 |
| Effects of Individualized Heart Exercise Rehabilitation Training Combined with Simple Tai Chi Training on Cardiopulmonary Function, Psychological State and Quality of Life in Patients with Stable Chronic Heart Failure |
| 投稿时间：2021-11-30 修订日期：2021-12-24 |
| DOI：10.13241/j.cnki.pmb.2022.11.010 |
| 中文关键词: 个体化心脏运动康复训练 简式太极训练 稳定性慢性心力衰竭 心肺功能 心理状态 生活质量 |
| 英文关键词: Individualized cardiac exercise rehabilitation training Simple Tai Chi training Stable chronic heart failure Cardiopulmonary function Psychological state Quality of life |
| 基金项目:湖北省卫生计生委面上项目（WJ2017M108） |
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| 中文摘要: |
| 摘要 目的：观察稳定性慢性心力衰竭（CHF）患者经简式太极训练联合个体化心脏运动康复训练后，患者心理状态、心肺功能和生活质量的变化情况。方法：选取2019年7月~2021年4月在我院接受治疗的102例稳定性CHF患者。根据随机数字表法分为对照组（常规治疗的基础上开展个体化心脏运动康复训练）和观察组（对照组的基础上增加简式太极训练），各为51例。对比干预前后两组心肺功能、生活质量和心理状态。结果：干预后，两组峰值摄氧量(VO2peak)、峰值心率升高，二氧化碳通气当量斜率(VE/VCO2slope)下降（P<0.05）；观察组干预后VE/VCO2slope低于对照组，峰值心率、VO2peak高于对照组（P<0.05）。干预后，两组焦虑自评量表（SAS）、抑郁自评量表（SDS）评分下降（P<0.05）；观察组干预后SAS、SDS评分低于对照组（P<0.05）。干预后，两组症状、心理情绪、体力受限、社会受限评分及总分下降（P<0.05）；干预后观察组体力受限、心理情绪、社会受限、症状评分及总分较对照组低（P<0.05）。结论：个体化心脏运动康复训练联合简式太极训练可促进稳定性CHF患者心肺功能和心理状态改善，进而提高患者生活质量。 |
| 英文摘要: |
| ABSTRACT Objective: To observe the changes of psychological state, cardiopulmonary function and quality of life in patients with stable chronic heart failure (CHF) after simple Tai Chi training combined with individualized heart exercise rehabilitation training. Methods: 102 patients with stable CHF who were treated in our hospital from July 2019 to April 2021 were selected. According to the random number table method, they were divided into control group(individualized heart exercise rehabilitation training based on routine treatment) and observation group (simple Tai Chi training was added to the control group), with 51 cases each. The cardiopulmonary function, quality of life and psychological state of the two groups were compared before and after intervention. Results: After intervention, the peak oxygen uptake(VO2peak) and peak heart rate increased, and the ventilatory carbon dioxide slope (VE/VCO2slope) decreased in the two groups(P<0.05). After intervention, VE/VCO2slope in the observation group was lower than that in the control group, peak heart rate and VO2peak were higher than those in the control group (P<0.05). After intervention, the scores of self rating Anxiety Scale (SAS) and self rating Depression Scale (SDS) decreased in the two groups(P<0.05). After intervention, SAS and SDS scores in the observation group were lower than those in the control group(P<0.05). After intervention, the scores of symptoms, psychological emotion, physical restriction, social restriction and total scores decreased in the two groups(P<0.05). After intervention, the scores of physical restriction, psychological emotion, social restriction, symptoms and total scores in the observation group were lower than those in the control group (P<0.05). Conclusion: Individualized heart exercise rehabilitation training combined with simple Tai Chi training can improve the cardiopulmonary function and psychological state of patients with stable CHF, and then improve the quality of life of patients. |
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