The application of integrated medical and nursing rehabilitation in the management of patients with chronic heart failure and diabetes
YANG Chun-hua1
WANG Jun2
JIANG Zeng-rong3
YU Zi-ying4
1.The Internal Medicine Department of Jianfa Yibai Retirement Center,Xia Men,Fu Jian 361000,China2.The Department of Geriatrics of Xiamen Hongai Hospital,Xia Men,Fu Jian 361016,China3.The Traditional Chinese Medicine Department of Jianfa Yibai Retirement Center,Xia Men,Fu Jian 361000,China4.Department of Emergency,The First Affiliated Hospital,Hengyang Medi-cal School,University of South China,Hengyang 421000,China
摘要：Background At present,patients with chronic heart failure complicated with diabetes are often treated with drugs in clinical practice.Most patients cannot adhere to regular and quantitative medication for a long time,and their poor compliance has adverse effects on their rehabilitation.The aim of this study was to explore the applica-tion effects of integrated medical and nursing rehabilitation in the management of patients with chronic heart failure and diabetes.Methods A total of 75 patients with chronic heart failure and diabetes,admitted to our center from May 2020 to May 2023,were randomly divided into Group A(n=38)and Group B(n=37)using a random number table.Group A received integrated rehabilitation management,while Group B received conventional rehabilitation management.The left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD),left ventricular end-systolic diameter(LVESD),fasting blood glucose(FBG),2-hour postprandial blood glucose(2hPG),glycated hemoglobin(HbAlc),and self-care ability were compared between the two groups before and af-ter intervention.Results After intervention,the LVEDD and LVESD in both groups were lower than before,while LVEF was higher than before(P＜0.05).The LVEDD and LVESD in Group A were lower than in Group B af-ter intervention,while LVEF was higher than in Group B(P＜0.05).After intervention,the levels of FBG,2hPG,HbAlc,and the scores of the European Heart Failure Self-care Behavior Scale(EHFScB-9)in both groups de-creased,with Group A being lower than Group B(P＜0.05).Conclusions Integrated medical and nursing rehabili-tation can effectively improve the cardiac function and blood glucose levels of patients with chronic heart failure and diabetes,control the patients'condition,and enhance their quality of life and self-care ability.[S Chin J Cardi-ol2024;25(1):44-49]
机标关键词：rehabilitationapplicationintegratedmanagementheartwithchronicdiabetes
论文发表日期：2024-03-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：7( 44-49,封3 )
英文信息