Influence of diet and exercise management combined health education mode on aged patients with chro-nic heart failure / 心血管康复医学杂志

ABSTRACT

Objective:To study influence of diet and exercise management combined health education mode on aged patients with chronic heart failure(CHF).Methods:A total of 124 aged CHF patients treated in our hospital were randomly and equally divided into routine nursing group and combined intervention group(received diet and exercise management combined health education mode intervention based on routine nursing group)according to random number table method.Both groups were intervened for two months.General clinical data,left ventricular end-sys-tolic dimension(LVESd),left ventricular end-diastolic dimension(LVEDd),LVEF,6min walking distance(6MWD)and scores of Minnesota living with heart failure questionnaire(MLHFQ)and before and after interven-tion were compared between two groups.Results:Compared with routine nursing group,after intervention,there were significant reductions in LVESd[(44.88±4.90)mm vs.(33.09±3.40)mm],LVEDd[(54.02±5.49)mm vs.(48.80±5.50)mm],scores of emotional[(17.44±4.55)scores vs.(7.89±4.54)scores],physical[(31.69 ±5.73)scores vs.(21.89±6.02)scores]and others[(32.12±4.22)scores vs.(13.00±2.84)scores]of MLH-FQ and total score[(81.25±9.28)scores vs.(42.77±8.05)scores],and significant rise in LVEF[(49.64± 4.81)％vs.(52.32±4.22)％],6MWD[(352.67±28.79)m vs.(449.38±23.82)m],scores of self-care main-tenance[(2.06±0.39)scores vs.(3.26±0.51)scores],self-care management[(6.21±1.07)scores vs.(9.65 ±1.18)scores]and self-care confidence[(1.06±0.26)scores vs.(3.12±0.56)scores]in combined interven-tion group(P=0.001 all).Conclusion:Diet and exercise management combined health education mode can signifi-cantly improve cardiac function,self-management ability and quality of life in aged patients with chronic heart failure.