| Summary: | 碩士 === 弘光科技大學 === 健康事業管理研究所 === 105 === Background
Heart failure is one of the ten causes of death in Taiwan,provide the nice rehabilitation program for heart disease, can improve the patient's exercise tolerance, and promote the organization for the utilization of oxygen, making life quality improvement. Therefore, this study for the heart failure patients with 12-weeks rehabilitation exercise program to explore this customized rehabilitation exercise program, to improve the heart failure patients with motor tolerance, functional activity of daylife and discussion the effect of the program.
Purpose
To explore the benefits of heart involvement, heart-related functional data, quality of life, and 6-minute walking distance in patients with chronic heart failure.
Methods
The results were as follows: NYHA Ⅰ ~ Ⅲ, EF <50% excluded from the case of rehabilitation can not be performed, and the random distribution was divided into control group (n = 21) and the experimental group (n = 19). The control group to maintain the general clinical care, the experimental group according to exercise test results, the design of individual sports training, with the case management approach, every two weeks to assess the status of patients. The patient's quality of life scale, the 6-minute walk test, the cardiac output and the maximum oxygen uptake test for the cardiopulmonary exercise were recorded during the period of receipt. Two groups of data were taken to repeat the measurement to compare the effectiveness of the intervention.
Results
The results showed that the lung function (83.5% vs.88.7%, P = 0.01), the maximum oxygen uptake (18.3 vs.21.0 ml / kg / min, P <0.01) and the quality of life scores were measured by Wilicoxon signed rank test (404 vs.436, P = 0.01). The experimental group showed a significant improvement and a statistically significant effect compared with the control group (38.12 vs.19.6, P <0.01) (14.7% vs -7.1%), quality of life (48.4% vs 0.8%) and MET (-21% VS-12.4%) were measured by independent sample t test. The exercise tolerance and quality of life Compared with the control group, the experimental group was significantly improved and statistically significant.
Conclusions
The study provided heart failure patients with cardiac rehabilitation program, can enhance the maximum oxygen uptake of 14.7%, 6 minutes walking distance increased by 32 meters, life quality score increased by 48.5%.
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