Effects of the self-management manual on exercise tolerance and self-management ability in the continuing care of patients with chronic heart failure
自我管理手册在慢性心衰患者延续护理中对运动耐力及自我管理能力的影响

摘要

目的 探究自我管理手册在慢性心力衰竭患者延续护理中对运动耐力及自我管理能力的影响。方法 选取2024年1月至2024年12月在我院心血管内科接受治疗的54例慢性心力衰竭患者，采用便利抽样，分为观察组和对照组各27例。两组患者住院期间，均给予常规护理和自我管理手册中的健康知识宣教；观察组在此基础上，出院时发放自我管理手册，并指导使用。采用运动耐力评估实验（六分钟步行试验）和心力衰竭自我护理量表评估干预效果。结果 比较两组患者的六分钟步行试验（6MWT）评分。出院前1天比较，观察组为（332.42±28.39）米，对照组为（330.91±34.25）米，差异无统计学意义（P＞ 0.05）；两组患者出院三个月后，观察组为（456.23±23.14）米，对照组为（384.21±39.49）米，差异有统计学意义（P＜0.05）。比较干预前后两组患者的自我管理能力评分，观察组出院前1天为（15.69±2.84）分，对照组为（15.45±2.74）分，差异无统计学意义（P＞0.05）；出院三个月后比较，观察为（19.41±3.11）分，对照组为（17.85±2.95）分，差异有统计学意义（P＜ 0.05）。结论 慢性心力衰竭患者自我管理手册可明显提高患者出院后的运动耐力和自我管理能力。

Abstract

Objective To explore the effect of self-management manual on exercise endurance and self-management ability in the continued care of patients with chronic heart failure.
Methods 54 patients with chronic heart failure who received treatment in the Department of Cardiology at our hospital from January 2024 to December 2024 were selected using convenience sampling and divided into an observation group and a control group, with 27 patients in each group. During hospitalization, both groups of patients were provided with routine nursing care and health knowledge education from the self-management manual; On this basis, the observation group distributed a self-management manual upon discharge and provided guidance for recording. The intervention effect was evaluated using the exercise endurance assessment experiment (six minute walk test) and the heart failure self-care scale.
Results Compare the six minute walk test (6MWT) scores of two groups of patients. On the day before discharge, the observation group was (332.42 ± 28.39) meters, while the control group was (330.91 ± 34.25) meters, with no statistically significant difference (P>0.05); Three months after discharge, the observation group had a length of (456.23 ± 23.14) meters, while the control group had a length of (384.21 ± 39.49) meters, with a statistically significant difference (P<0.05). Comparing the self-management ability scores of two groups of patients before and after intervention, the observation group scored (15.69 ± 2.84) on the day before discharge, while the control group scored (15.45 ± 2.74), with no statistically significant difference (P>0.05); After three months of discharge, the observation score was (19.41 ± 3.11) points, while the control group score was (17.85 ± 2.95) points, with a statistically significant difference (P<0.05).
Conclusion   The self-management manual for patients with chronic heart failure can significantly improve their exercise endurance and self-management ability after discharge.