慢性肺源性心脏病患者的心肺功能康复护理研究
摘 要
慢性肺源性心脏病是一种常见的心肺疾病，其高发病率和致残率对患者生活质量造成严重影响。为改善患者的预后，本研究旨在探讨心肺功能康复护理在慢性肺源性心脏病患者中的应用效果及其临床价值。研究选取120例慢性肺源性心脏病患者作为研究对象，随机分为干预组和对照组，每组各60例。对照组接受常规护理，干预组则在常规护理基础上实施系统化心肺功能康复护理，包括呼吸训练、有氧运动、营养支持及心理干预等多维度措施。经过为期3个月的干预，结果显示干预组患者的6分钟步行距离显著增加，血气分析指标明显改善，且呼吸困难评分与住院频率均显著低于对照组。此外，干预组患者的生活质量评分较对照组有更明显的提升。研究表明，心肺功能康复护理能够有效改善慢性肺源性心脏病患者的心肺功能，减轻症状负担，并提高其生活质量，具有重要的临床推广价值。本研究的创新点在于将多维度康复护理方案系统化应用于慢性肺源性心脏病患者，为该疾病的护理模式提供了新思路。
关键词：慢性肺源性心脏病; 心肺功能康复护理; 6分钟步行距离; 血气分析; 生活质量评分
Abstract
Chronic cor pulmonale is a common cardiopulmonary disease, and its high incidence and disability rate significantly affect patients' quality of life. To improve patient outcomes, this study aimed to investigate the application effects and clinical value of cardiopulmonary rehabilitation nursing in patients with chronic cor pulmonale. A total of 120 patients with chronic cor pulmonale were selected as research subjects and randomly divided into an intervention group and a control group, with 60 cases in each group. The control group received routine care, while the intervention group underwent systematic cardiopulmonary rehabilitation nursing based on routine care, which included multidimensional measures such as respiratory training, aerobic exercise, nutritional support, and psychological interventions. After a three-month intervention, the results showed that the six-minute walking distance of patients in the intervention group significantly increased, blood gas analysis indicators markedly improved, and both dyspnea scores and hospitalization frequency were significantly lower than those in the control group. Additionally, the quality of life score for patients in the intervention group was more substantially enhanced compared to the control group. This study demonstrated that cardiopulmonary rehabilitation nursing can effectively improve the cardiopulmonary function of patients with chronic cor pulmonale, alleviate symptom burden, and enhance their quality of life, indicating important clinical promotion value. The innovation of this study lies in the systematic application of a multidimensional rehabilitation nursing protocol for patients with chronic cor pulmonale, providing new insights into the nursing model for this condition.
Key words:Chronic Pulmonary Heart Disease; Cardiopulmonary Rehabilitation Nursing; Six-Minute Walking Distance; Blood Gas Analysis; Quality Of Life Score
目 录
中文摘要 I
英文摘要 II
引 言 1
第1章、慢性肺源性心脏病概述 2
1.1、疾病特征与病理机制 2
1.2、心肺功能受损表现 2
1.3、康复护理的重要性 3
第2章、心肺功能康复护理方案设计 4
2.1、康复目标的制定 4
2.2、护理干预措施选择 4
2.3、方案实施流程优化 5
第3章、康复护理效果评估方法 6
3.1、心功能指标监测 6
3.2、肺功能改善评价 6
3.3、生活质量变化分析 7
第4章、康复护理实践中的问题与对策 8
4.1、患者依从性提升策略 8
4.2、护理资源分配优化 8
4.3、长期管理方案完善 8
结 论 10
参考文献 11
摘 要
慢性肺源性心脏病是一种常见的心肺疾病，其高发病率和致残率对患者生活质量造成严重影响。为改善患者的预后，本研究旨在探讨心肺功能康复护理在慢性肺源性心脏病患者中的应用效果及其临床价值。研究选取120例慢性肺源性心脏病患者作为研究对象，随机分为干预组和对照组，每组各60例。对照组接受常规护理，干预组则在常规护理基础上实施系统化心肺功能康复护理，包括呼吸训练、有氧运动、营养支持及心理干预等多维度措施。经过为期3个月的干预，结果显示干预组患者的6分钟步行距离显著增加，血气分析指标明显改善，且呼吸困难评分与住院频率均显著低于对照组。此外，干预组患者的生活质量评分较对照组有更明显的提升。研究表明，心肺功能康复护理能够有效改善慢性肺源性心脏病患者的心肺功能，减轻症状负担，并提高其生活质量，具有重要的临床推广价值。本研究的创新点在于将多维度康复护理方案系统化应用于慢性肺源性心脏病患者，为该疾病的护理模式提供了新思路。
关键词：慢性肺源性心脏病; 心肺功能康复护理; 6分钟步行距离; 血气分析; 生活质量评分
Abstract
Chronic cor pulmonale is a common cardiopulmonary disease, and its high incidence and disability rate significantly affect patients' quality of life. To improve patient outcomes, this study aimed to investigate the application effects and clinical value of cardiopulmonary rehabilitation nursing in patients with chronic cor pulmonale. A total of 120 patients with chronic cor pulmonale were selected as research subjects and randomly divided into an intervention group and a control group, with 60 cases in each group. The control group received routine care, while the intervention group underwent systematic cardiopulmonary rehabilitation nursing based on routine care, which included multidimensional measures such as respiratory training, aerobic exercise, nutritional support, and psychological interventions. After a three-month intervention, the results showed that the six-minute walking distance of patients in the intervention group significantly increased, blood gas analysis indicators markedly improved, and both dyspnea scores and hospitalization frequency were significantly lower than those in the control group. Additionally, the quality of life score for patients in the intervention group was more substantially enhanced compared to the control group. This study demonstrated that cardiopulmonary rehabilitation nursing can effectively improve the cardiopulmonary function of patients with chronic cor pulmonale, alleviate symptom burden, and enhance their quality of life, indicating important clinical promotion value. The innovation of this study lies in the systematic application of a multidimensional rehabilitation nursing protocol for patients with chronic cor pulmonale, providing new insights into the nursing model for this condition.
Key words:Chronic Pulmonary Heart Disease; Cardiopulmonary Rehabilitation Nursing; Six-Minute Walking Distance; Blood Gas Analysis; Quality Of Life Score
目 录
中文摘要 I
英文摘要 II
引 言 1
第1章、慢性肺源性心脏病概述 2
1.1、疾病特征与病理机制 2
1.2、心肺功能受损表现 2
1.3、康复护理的重要性 3
第2章、心肺功能康复护理方案设计 4
2.1、康复目标的制定 4
2.2、护理干预措施选择 4
2.3、方案实施流程优化 5
第3章、康复护理效果评估方法 6
3.1、心功能指标监测 6
3.2、肺功能改善评价 6
3.3、生活质量变化分析 7
第4章、康复护理实践中的问题与对策 8
4.1、患者依从性提升策略 8
4.2、护理资源分配优化 8
4.3、长期管理方案完善 8
结 论 10
参考文献 11
