Exercise rehabilitation based on medical care-family integration in older patients with chronic heart failure and psychological problems.

IF 3.9 4区医学 Q1 PSYCHIATRY

World Journal of Psychiatry Pub Date : 2025-06-19 DOI:10.5498/wjp.v15.i6.105855

Can Ao, Shu Hu, Lu Zhan

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Abstract

Background: As the aging process has accelerated, psychological problems in older patients with chronic heart failure (CHF) have become increasingly prominent, significantly affecting their quality of life and prognosis. This study explored a sports rehabilitation program based on the concept of medical care-family integration to provide patients with comprehensive and effective rehabilitation interventions and improve their health status.

Aim: To explore the effects of medical care-family integration-based exercise rehabilitation in older patients with CHF and psychological problems.

Methods: Data from 118 older patients with CHF and psychological problems were retrospectively analyzed. Patients were divided into conventional (n = 56) and exercise rehabilitation groups (n = 62). The results of the 6-min walking distance (6 MWD), N-terminal B-type natriuretic peptide (NT-proBNP), left ventricular end-diastolic diameter (LVEDD), left ventricular ejection fraction (LVEF), Minnesota living with heart failure questionnaire (MLHFQ), generalized anxiety disorder-7 (GAD-7) scale, 9-item patient health questionnaire (PHQ-9) and Athens insomnia scale (AIS) were compared before and after intervention.

Results: After intervention, there were significant differences in the number of patients with depression and anxiety between the two groups. There was also a significant difference in the distribution of sleep disorders. The PHQ-9 score, GAD-7 score, AIS score, NT-proBNP value, LVEDD value, physical field, emotional field, other fields, and MLHFQ total scores were lower in the exercise rehabilitation group compared to the conventional rehabilitation group, while the 6 MWD and LVEF values were higher compared to the conventional rehabilitation group (P < 0.05). During the intervention period, the readmission rate of the exercise rehabilitation group (1.61%) was significantly lower than that of the conventional rehabilitation group (12.50%) (χ ² = 3.930, P = 0.047).

Conclusion: This exercise rehabilitation program with medical care-family integration can improve cardiac function and quality of life, alleviate psychological problems, and reduce readmission rates in older patients with CHF.

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老年慢性心力衰竭伴心理问题患者基于医疗-家庭一体化的运动康复

背景：随着老龄化进程的加快，老年慢性心力衰竭（CHF）患者的心理问题日益突出，严重影响其生活质量和预后。本研究旨在探索一种基于医疗-家庭融合理念的运动康复方案，为患者提供全面有效的康复干预，改善其健康状况。目的：探讨以医疗-家庭一体化为基础的运动康复对老年CHF合并心理问题患者的治疗效果。方法：回顾性分析118例伴有心理问题的老年CHF患者的资料。患者分为常规组（n = 56）和运动康复组（n = 62）。比较干预前后6 min步行距离（6mwd）、n端b型利钠肽（NT-proBNP）、左室舒张末期内径（LVEDD）、左室射血分数（LVEF）、明尼苏达心力衰竭患者问卷（MLHFQ）、广广性焦虑障碍-7 （GAD-7）量表、9项患者健康问卷（PHQ-9）和Athens失眠量表（AIS）的结果。结果：干预后，两组患者出现抑郁、焦虑的人数差异有统计学意义。睡眠障碍的分布也有显著差异。运动康复组的PHQ-9评分、GAD-7评分、AIS评分、NT-proBNP值、LVEDD值、身体场、情绪场、其他场、MLHFQ总分均低于常规康复组，6 MWD、LVEF值高于常规康复组（P < 0.05）。干预期间，运动康复组再入院率（1.61%）显著低于常规康复组（12.50%）（χ 2 = 3.930, P = 0.047）。结论：采用医、家庭一体化的运动康复方案可改善老年CHF患者心功能和生活质量，缓解心理问题，降低再入院率。

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来源期刊

World Journal of Psychiatry PSYCHIATRY-

自引率

6.50%

发文量

110

期刊介绍： The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.