运动康复护理对冠心病心衰心肺功能的 改善效果

The Improvement Effect of Exercise Rehabilitation Nursing on Cardiovascular and Pulmonary Function in Patients with Coronary Heart Disease and Heart Failure

摘要: 目的：研究冠心病心衰患者采用运动康复护理的效果。方法：选择2024年3月至2025年2月本院诊治的65例冠心病心衰患者，以护理模式不同分为两组，行常规护理的32例患者纳为对照组，行运动康复护理的33例患者纳为研究组，对两组运动依从性[采用运动训练依从性评分量表(EARS)]、心肺功能[左室舒张末内径(LVEDD)、左室收缩末内径(LVESD)、用力肺活量(FVC)]、运动耐力[6 min步行距离(6MWT)]、不良心血管事件发生情况及生物标志物[脑钠肽(BNP)、超敏C反应蛋白(hs-CRP)、白细胞介素-6 (IL-6)]进行比较。结果：研究组EARS评分高于对照组(P < 0.05)；研究组LVEDD、LVESD低于对照组，FVC高于对照组(P < 0.05)；研究组6MWT高于对照组(P < 0.05)；研究组不良心血管事件少于对照组(P < 0.05)；研究组BNP、hs-CRP、IL-6水平均低于对照组(P < 0.05)。结论：运动康复护理能够提高冠心病心衰患者的运动依从性，改善心肺功能，加强运动耐力，减少不良心血管事件及优化生物标志物指标。

Abstract: Objective: To investigate the effects of exercise rehabilitation nursing on patients with coronary heart disease and heart failure. Methods: A total of 65 patients with coronary heart disease and heart failure treated in our hospital from March 2024 to February 2025 were selected and divided into two groups based on different nursing models: 32 patients receiving conventional nursing were assigned to the control group, and 33 patients receiving exercise rehabilitation nursing were assigned to the study group. The following parameters were compared between the two groups: exercise compliance (measured using the Exercise Adherence Rating Scale [EARS]), cardiopulmonary function (Left Ventricular End-Diastolic Diameter [LVEDD], Left Ventricular End-Systolic Diameter [LVESD], Forced Vital Capacity [FVC]), exercise tolerance (6-Minute Walk Test [6MWT]), incidence of adverse cardiovascular events, and biomarkers (B-type natriuretic peptide [BNP], high-sensitivity C-reactive protein [hs-CRP], Interleukin-6 [IL-6]). Results: The study group had a higher EARS score than the control group (P < 0.05). The study group exhibited lower LVEDD and LVESD but higher FVC compared to the control group (P < 0.05). The study group also demonstrated a longer 6MWT distance (P < 0.05). The incidence of adverse cardiovascular events was lower in the study group than in the control group (P < 0.05). Additionally, the study group showed lower levels of BNP, hs-CRP, and IL-6 than the control group (P < 0.05). Conclusion: Exercise rehabilitation nursing can improve exercise compliance, enhance cardiopulmonary function, increase exercise tolerance, reduce adverse cardiovascular events, and optimize biomarker indicators in patients with coronary heart disease and heart failure.