A study of physiologically directed breathing training combined with weight management in the prognosis of patients with chronic heart failure
生理导向式呼吸训练联合体重管理在慢性心力衰竭患者预后的研究

摘要

目的 探讨生理导向式呼吸训练与体重管理联合应用在慢性心力衰竭患者预后改善方面的效果分析。方法 本研究选取2023年07月至2025年01月河池市人民医院心血管内科二病区收治的慢性心力衰竭患者300例作为研究对象，采用便利抽样法，根据随机数字表法将其分为对照组（150例，接受常规健康宣教）与观察组（150例，接受基于生理导向式呼吸训练联合体重管理的健康教育护理模式）。搜集并整理了两组患者的干预成效相关数据，并对此进行了详尽且深入的对比分析。结果 与对照组相比，观察组在运动耐力方面呈现出明显的优越性，并且在依从性上也达到了更高的标准。这些组间的差异在统计学分析上均达到了显著水平（P＜0.05）。结论 针对慢性心力衰竭患者，实施生理导向式呼吸训练结合体重管理的综合方案，能够显著提升患者的心脏机能和运动耐受力，同时增强患者的治疗顺从性和医嘱遵循行为。

Abstract

Objective To explore the effect of the combination of physiologically directed breathing training and weight management in improving the prognosis of patients with chronic heart failure.
Methods In this study, 300 patients with chronic heart failure admitted to the second ward of the Department of Cardiovascular Medicine of Hechi People's Hospital from July 2023 to January 2025 were selected as the research objects, and they were divided into control group (150 cases, receiving routine health education) and observation group (150 cases, receiving health education and nursing mode based on physiologically guided breathing training combined with weight management) according to the random number table method. The relevant data of the intervention effectiveness of the two groups were collected and collated, and a detailed and in-depth comparative analysis was carried out.
Results Compared with the control group, the observation group showed a clear superiority in exercise endurance and also achieved a higher standard of compliance. The differences between these groups were statistically significant (P<0.05).
Conclusion   For patients with chronic heart failure, the implementation of a comprehensive program of physiologically directed breathing training combined with weight management can significantly improve the patient's cardiac function and exercise tolerance, and enhance the patient's treatment compliance and medical advice compliance behavior.