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| Impact of Staged Extended Individualized Cardiac Rehabilitation Exercise Program on Cardiac Function and Quality of Life in Patients with Chronic Heart Failure |
| WANG Dexiang, XIE Zongyuan, WANG Jianjun |
| Jinxi People's Hospital of Kunshan City, Jiangsu Province, Kunshan 215324, China |
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Abstract Objective: To explore the effect of staged extended individualized cardiac rehabilitation exercise program on cardiac function and quality of life in patients with chronic heart failure (CHF). Method: A total of 85 patients with CHF admitted to Jinxi People's Hospital of Kunshan City from May 2019 to May 2021 were selected, they were divided into control group and study group according to different cardiac rehabilitation intervention methods. The control group (43 cases) received routine cardiac rehabilitation exercise program intervention, and the study group (42 cases) added staged extended individualized cardiac rehabilitation exercise program on the basis of routine intervention. The improvement of cardiac function, exercise tolerance, quality of life and the incidence of re-hospitalization were compared between the two groups. Result: Before intervention, there were no significant differences in left ventricular ejection fraction (LVEF), left ventricular diameter (LVD) and left ventricular fraction shortening (LVFS) between the two groups (P>0.05); after intervention, the levels of LVEF and LVFS in both groups were higher than those before intervention, those in the study group were higher than those in the control group, LVD levels in both groups were lower than those before intervention, that in the study group was lower than that in the control group (P<0.05). Before intervention, there was no significant difference in 6 min walking distance between the two groups (P>0.05); after intervention, the 6 min walking distance in both groups were longer than those before intervention, that in the study group was higher than that in the control group (P<0.05). Before intervention, there were no statistically significant differences in Minnesota life heart failure quality questionnaire (MLHFQ) scores in all fields between the two groups (P>0.05); after intervention, MLHFQ scores in all fields in both groups were lower than those before intervention, those in the study group were lower than those in the control group (P<0.05). The incidence of readmission in the study group was lower than that in the control group (P<0.05). Conclusion: Interventions with staged extended individualized cardiac rehabilitation exercise program for patients with CHF showed significant improvements in cardiac function, exercise tolerance, and quality of life, as well as a significant reduction in the occurrence of rehospitalization, with better clinical outcomes.
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Received: 17 January 2023
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