Effects of exercise rehabilitation nursing on the patients with chronic heart failure

Objective To explore the effect and feasibility of exercise rehabilitation nursing on patients with chronic heart failure (CHF).Methods Seventy-seven patients with CHF were randomly divided into exercise rehabilitation nursing group (n =40 cases).and control group (n =37 cases).Exercise rehabilitation nursing group received routine exercise rehabilitation nursing,control group only received routine nursing,and both group received health education and the training of self-management.Results There was no difference in general condition and heart function index in two groups before intervention (P ＞0.05 ).After intervention,heart function index and life quality of all patients were improved.The average heart ejection fraction in exercise rehabilitation nursing group was [ (50.5 + 7.2 ) ％ ] and that in control group was [ ( 35.5 + 5.2 ) ％ ],and the difference was statistically significant(P ＜ 0.05 ).The heart rate of exercise rehabilitation nursing group(76.5 ± 6.8)was significantly lower than that of control group( 88.6 ± 7.3 ) times per minute,although all patients'heart rate were decreased ( t =2.14,P ＜ 0.05 ).The six-minute walk test results were improved after intervention in both group,exercise rehabilitation nursing group was(451.4 ± 35.5 )meters and control group was (350.8 ±31.5) meters,and the difference was statistically significant ( t =13.17,P ＜ 0.01 ).Conclusions Exercise rehabilitation nursing is an effective method to improve the cardiac function and life quality due to decreasing heart rate,increasing ejection fraction and improving six-minute walk distance in patients with chronic heart failure. Key words: Rehabilitation nursing; Heart failure; Heart function