沈军,李晓蓉,林颖.功能锻炼图谱在老年心衰患者下肢水肿中的应用效果研究[J].上海护理,2019,19(8):
功能锻炼图谱在老年心衰患者下肢水肿中的应用效果研究
To evaluate the effects of functional exercise graph in alleviating lower limb edema in elder heart failure patientsJun Shen, Xiaorong Li, Ying Lin, Nursing Department of Zhongshan Hospital, Fudan University, Shanghai, 200032
DOI:
中文关键词:  功能锻炼  下肢水肿 心衰  明尼苏达心衰生活质量量表
英文关键词:: functional exercise, lower limb edema  heart failure, Minnesota living with heart failure questionnaire (MLHFQ)
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作者单位
沈军,李晓蓉,林颖  
摘要点击次数: 2010
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中文摘要:
      【】目的: 探讨下肢功能锻炼图谱在老年心衰患者下肢水肿中的应用效果。方法: 将2016年7月-2017年10月收治我院老年心内科心衰伴下肢水肿患者61例,根据随机数字分为干预组31例和对照组30例。对照组给予常规心衰治疗宣教、日常活动,干预组在常规心衰治疗情况下,根据下肢功能锻炼图谱,指导患者进行功能锻炼。比较两组患者锻炼1周、2周后踝关节、踝上10cm的小腿周径;干预前后分别进行明尼苏达心衰生活质量量表(MLHFQ)评分。结果:干预1周后,干预组右侧脚踝及小腿周径显著小于对照组(P<0.05);干预2周后,干预组双侧脚踝及小腿周径均显著小于对照组(P<0.05)。干预后,干预组MLHFQ量表评价结果显著优于对照组(44.58±0.67 Vs 58.50±0.51,P<0.001)。结论:下肢功能锻炼图谱有利于改善老年心衰患者下肢水肿,提高患者生命质量。
英文摘要:
      Objective To evaluate the effects of lower limb functional exercise graph in alleviating lower extremity edema in elder heart failure patients. Methods: 61 elder patients with heart failure hospitalized in geriatrics department from July 2016 to October 2017 were randomly assigned to the control group (n=30) and the study group (n=31). The control group underwent routine education and activity. The study group was subjected to functional exercise according to lower limb functional exercise graph. Circumferences at ankle and 10cm above ankle were recorded at baseline, 1 week and 2 weeks after treatment for both groups. Minnesota living with heart failure questionnaire (MLHFQ) was also compared between these two groups. Results: One week after intervention, the circumferences at right ankle and 10cm above right ankle were significantly shortened in study group than in control group (P<0.05). 2 weeks after intervention, circumferences at both ankle and 10cm above both ankle were significantly shortened in study group than in control group (P<0.05). Patients in study group also showed significantly higher MLHFQ scores compared with control group (58.50±0.51 vs 44.58±0.67, p<0.001). Conclusion: Functional exercise graph helps to alleviate lower limb edema in elder heart failure patients and to improve their life quality.
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