Application of systematized cardiac rehabilitation nursing in patients with chronic heart failure
系统规范化心脏康复护理在慢性心力衰竭患者中的应用

摘要

目的 本文探讨系统规范化心脏康复护理对慢性心力衰竭（CHF）患者心功能、生活质量及预后的影响。方法 选取本院心血管内科收治的CHF患者，对照组采用临床常规护理措施，观察组实施系统规范化心脏康复护理，比较两组应用效果。结果 观察组左心室射血分数（LVEF）、6分钟步行距离（6MWD）均明显高于对照组，B型脑钠肽（BNP）水平、生活质量问卷（MLHFQ）评分显著低于对照组，且观察组护理满意度（95.56%）高于对照组（77.78%），并发症发生率（6.67%）低于对照组（22.22%），上述差异均具有统计学意义（P＜0.05）。结论 系统规范化心脏康复护理可有效改善CHF患者的心脏功能，提升其运动耐力与生活质量，提高护理服务满意度，降低并发症发生风险，具备较高的临床推广价值。

Abstract

Objective This study investigated the effects of systematic standardized cardiac rehabilitation nursing on cardiac function, quality of life, and prognosis in patients with chronic heart failure (CHF).
Methods CHF patients admitted to the Department of Cardiovascular Medicine were selected. The control group received conventional clinical nursing measures, while the observation group underwent systematic standardized cardiac rehabilitation nursing. The therapeutic outcomes between the two groups were compared.
Results The observation group demonstrated significantly higher left ventricular ejection fraction (LVEF) and 6-minute walk distance (6MWD) compared to the control group. B-type natriuretic peptide (BNP) levels and quality of life questionnaire (MLHFQ) scores were significantly lower in the observation group. Additionally, nursing satisfaction (95.56%) was higher (P<0.05) and complication incidence (6.67%) was lower (22.22%) in the observation group compared to the control group. All differences were statistically significant (P<0.05).
Conclusion   Systematic standardized cardiac rehabilitation nursing can effectively improve cardiac function, enhance exercise tolerance and quality of life, increase nursing service satisfaction, and reduce complication risks in CHF patients, demonstrating high clinical promotion value.