Volume 24 Issue 3
Mar.  2026
Turn off MathJax
Article Contents
CHANG Yan, MA Weitao, WANG Lin, SHI Zenggang. Observation of the clinical effect of cardiac rehabilitation in patients with chronic heart failure[J]. Chinese Journal of General Practice, 2026, 24(3): 442-446. doi: 10.16766/j.cnki.issn.1674-4152.004415
Citation: CHANG Yan, MA Weitao, WANG Lin, SHI Zenggang. Observation of the clinical effect of cardiac rehabilitation in patients with chronic heart failure[J]. Chinese Journal of General Practice, 2026, 24(3): 442-446. doi: 10.16766/j.cnki.issn.1674-4152.004415

Observation of the clinical effect of cardiac rehabilitation in patients with chronic heart failure

doi: 10.16766/j.cnki.issn.1674-4152.004415
Funds:

 20220119

 2024AH051280

  • Received Date: 2024-10-26
    Available Online: 2026-06-02
  •   Objective  Exploring the impact of cardiac rehabilitation on cardiopulmonary function, self-management ability, and quality of life in patients with chronic heart failure.  Methods  99 patients with chronic heart failure admitted to Bengbu Third People's Hospital from March 2022 to March 2024 were randomly divided into two groups. The control group (50 cases) received routine nursing care, while the study group (49 cases) received cardiac rehabilitation nursing care. Observe the cardiopulmonary function indicators, self-care ability, and quality of life before and after intervention in two groups, as well as the 3-month recurrence rate of heart failure and adverse cardiac events.  Results  After intervention, both groups showed significant improvement in cardiac and pulmonary function indicators, and the study group had a 6-minute walking distance, VO2max, oxygen pulse, and maximum exercise time improvement, all of which were higher than the control group (P < 0.05); The self-care score of the research group was (189.93±19.97) points, which was higher than that of the control group [(155.72±22.05) points, P < 0.05]; The quality of life score of the research group was (41.38±5.79) points, lower than that of the control group [(49.17±5.95)points, P < 0.05]; After 3 months of discharge, the recurrence rate of chronic heart failure and the incidence of adverse cardiac events (MACE) in the study group, respectively, which were lower than those in the control group(P < 0.05). The interval between episodes of chronic heart failure was longer than that in the control group (t=27.675, P < 0.001).  Conclusion  The implementation of cardiac rehabilitation nursing mode for patients with chronic heart failure can significantly improve their cardiopulmonary function, enhance their self-care ability and quality of life, improve prognosis, and has important clinical application value.

     

  • loading
  • [1]
    俞剑东, 郁艳梅, 张佳. 协同康复护理对慢性心力衰竭患者自我护理能力和生活质量的影响[J]. 现代中西医结合杂志, 2023, 32(9): 1295-1299.

    YU J D, YU Y M, ZHANG J. Influence of collaborative rehabilitation nursing on self-care ability and quality of life of patients with chronic heart failure[J]. Modern Journal of Integrated Traditional Chinese and Western Medicine, 2023, 32(9): 1295-1299.
    [2]
    YU T X, GAO M, SUN G Z, et al. Cardiac rehabilitation engagement and associated factors among heart failure patients: a cross-sectional study[J]. BMC Cardiovasc Disord, 2023, 23(1): 447. DOI: 10.1186/s12872-023-03470-x.
    [3]
    于敏, 范晓英, 李慧慧, 等. 团队分层护理联合主动脉内球囊反搏术后护理在慢性心力衰竭急性加重患者中的效果[J]. 中国医药导报, 2022, 19(27): 166-169.

    YU M, FAN X Y, LI H H, et al. Effect of team stratified nursing combined with intra-aortic balloon pump postoperative nursing in patients with acute exacerbation of chronic heart failure[J]. China Medical Herald, 2022, 19(27): 166-169.
    [4]
    郑淑云, 宋再滢, 张犇, 等. 以自我效能理论为基础的集束化护理对慢性心力衰竭患者自我管理能力的影响研究[J]. 北华大学学报(自然科学版), 2021, 22(4): 514-518.

    ZHENG S Y, SONG Z Y, ZHANG B, et al. Effect of cluster nursing based on self-efficacy theory on self-management ability of patients with chronic heart failure[J]. Journal of Beihua University(Natural Science), 2021, 22(4): 514-518.
    [5]
    杨淼, 史小颖. 结构式心理护理在慢性心力衰竭患者护理中的应用价值[J]. 贵州医药, 2023, 47(3): 500-501.

    YANG M, SHI X Y. Application value of structured psychological nursing in the nursing of patients with chronic heart failure[J]. Guizhou Medical Journal, 2023, 47(3): 500-501.
    [6]
    许顶立, 宋霖. 《中国心力衰竭诊断和治疗指南2024》解读[J]. 临床心血管病杂志, 2024, 40(6): 437-439.

    XU D L, SONG L. Interpretation of Chinese Guidelines for the Diagnosis and Treatment of Heart Failure 2024[J]. Journal of Clinical Cardiology, 2024, 40(6): 437-439.
    [7]
    薛彩虹, 万称爽, 栾晓娜, 等. 慢性心力衰竭患者自我护理体验质性研究的Meta整合[J]. 中国循证心血管医学杂志, 2024, 16(9): 1030-1033.

    XUE C H, WAN C S, LUAN X N, et al. Qualitative studies on self-care experiences in patients with chronic heart failure: a meta-synthesis[J]. Chinese Journal of Evidence-Based Cardiovascular Medicine, 2024, 16(9): 1030-1033.
    [8]
    张秀敏, 王雅宁, 王如月, 等. 量化评估分级护理联合协同护理模式对慢性心力衰竭患者心功能和生活质量的影响[J]. 现代中西医结合杂志, 2023, 32(1): 118-121.

    ZHANG X M, WANG Y N, WANG R Y, et al. Influence of quantitative assessment hierarchical nursing combined with collaborative nursing mode on cardiac function and quality of life of patients with chronic heart failure[J]. Modern Journal of Integrated Traditional Chinese and Western Medicine, 2023, 32(1): 118-121.
    [9]
    高洁, 李玉芝, 赵伟霞, 等. 中期照护对老年慢性心力衰竭患者自理能力及生命质量的改善价值探讨: 评《常见老年慢性病的防治及护理》[J]. 世界中医药, 2023, 18(10): 1494.

    GAO J, LI Y Z, ZHAO W X, et al. Discussion on the improvement value of intermediate care on the self-care ability and quality of life of elderly patients with chronic heart failure: review of "Prevention, Treatment and Nursing of Common Geriatric Chronic Diseases"[J]. World Chinese Medicine, 2023, 18(10): 1494.
    [10]
    PALMER K, BOWLES K A, LANE R, et al. Barriers to engagement in chronic heart failure rehabilitation: an Australian survey[J]. Heart Lung Circ, 2020, 29(8): e177-e184. DOI: 10.1016/j.hlc.2019.07.012.
    [11]
    魏娇娇, 王懿. 中西医结合护理联合呼吸训练对老年慢性心力衰竭患者生活质量及心功能的影响[J]. 西部中医药, 2023, 36(5): 138-142.

    WEI J J, WANG Y. Influence of integrated traditional Chinese and Western medicine nursing combined with respiratory training on quality of life and cardiac function of elderly patients with chronic heart failure[J]. Western Journal of Traditional Chinese Medicine, 2023, 36(5): 138-142.
    [12]
    梁浩, 王雪冬, 孙海玲, 等. 慢性心力衰竭不良预后的风险模型构建[J]. 河北医学, 2024, 30(10): 1705-1711.

    LIANG H, WANG X D, SUN H L, et al. Risk model construction for adverse prognosis in chronic heart failure[J]. Hebei Medicine, 2024, 30(10): 1705-1711.
    [13]
    高玉军, 武会志, 于海侠, 等. 心脏康复治疗对慢性心力衰竭患者心肺功能及生活质量的影响[J]. 中国老年学杂志, 2020, 40(13): 2700-2702.

    GAO Y J, WU H Z, YU H X, et al. Effect of heart rehabilitation therapy on lung function and quality of life of patients affected by chronic heart failure[J]. Chinese Journal of Gerontology, 2020, 40(13): 2700-2702.
    [14]
    YANG Z, JIA H H, WANG A P. Predictors of home-based cardiac rehabilitation exercise adherence among patients with chronic heart failure: a theory-driven cross-sectional study[J]. BMC Nurs, 2023, 22(1): 415. DOI: 10.1186/s12912-023-01566-5.
    [15]
    高敏, 孙国珍, 王倩怡, 等. 慢性心力衰竭患者运动康复依从性影响因素量表的编制[J]. 护理学杂志, 2023, 38(14): 96-100, 111.

    GAO M, SUN G Z, WANG Q Y, et al. Development of a scale for measuring influence factors of exercise rehabilitation adherence in patients with chronic heart failure and its reliability and validity testing[J]. Journal of Nursing Science, 2023, 38(14): 96-100, 111.
    [16]
    祖东亮, 张双, 王楠. 协同康复护理干预对慢性心力衰竭患者自护能力和生活质量的影响[J]. 中华全科医学, 2022, 20(1): 169-171, 174. doi: 10.16766/j.cnki.issn.1674-4152.002304

    ZU D L, ZHANG S, WANG N. Effect of collaborative rehabilitation nursing intervention on self-care ability and quality of life of patients with chronic heart failure[J]. Chinese Journal of General Practice, 2022, 20(1): 169-171, 174. doi: 10.16766/j.cnki.issn.1674-4152.002304
    [17]
    王琎, 潘爱红, 陈永倩. 自尊和心理控制源在老年慢性心力衰竭患者治疗期望和自我感受负担间的中介效应研究[J]. 安徽医学, 2021, 42(3): 323-327.

    WANG L, PAN A H, CHEN Y Q. The mediating effect of self-esteem and psychological control sources on burden of treatment expectation and self-perception in elderly patients with chronic heart failure[J]. Anhui Medical Journal, 2021, 42(3): 323-327.
    [18]
    黄青, 黄松. 老年营养风险指数联合BNP对老年慢性心力衰竭患者再入院率的预测价值[J]. 现代医药卫生, 2024, 40(5): 789-792, 797.

    HUANG Q, HUANG S. The predictive value of the elderly nutritional risk index combined with BNP on the readmission rate of elderly patients with chronic heart failure[J]. Journal of Modern Medicine & Health, 2024, 40(5): 789-792, 797.
    [19]
    王亚娟. 心肺一体化康复训练对老年慢性心力衰竭患者康复疗效的影响[J]. 医药论坛杂志, 2024, 45(17): 1856-1859.

    WANG Y J. Rehabilitation effect of cardiopulmonary integrated rehabilitation training in elderly patients with chronic heart failure[J]. Journal of Medical Forum, 2024, 45(17): 1856-1859.
    [20]
    王晓明, 徐雪飞, 汪玲, 等. 康复训练强度及训练时机对慢性心衰患者日常生活活动能力的影响[J]. 医药论坛杂志, 2022, 43(23): 64-68.

    WANG X M, XU X F, WANG L, et al. Influence of the intensity and timing of rehabilitation training on the activities of daily living ability of patients with chronic heart failure[J]. Journal of Medical Forum, 2022, 43(23): 64-68.
    [21]
    肖维, 方雷, 付莉, 等. 认知行为干预对慢性心力衰竭患者自我护理行为及负性情绪的影响[J]. 山西医药杂志, 2022, 51(8): 933-935.

    XIAO W, FANG L, FU L, et al. Influence of cognitive behavioral intervention on self-care behavior and negative emotions of patients with chronic heart failure[J]. Shanxi Medical Journal, 2022, 51(8): 933-935.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(5)

    Article Metrics

    Article views (5) PDF downloads(0) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return