Influence of Early Systematic Rehabilitation Exercise Intervention on Clinical Effect and Nursing Satisfaction of Patients with Acute Heart Failure in Compensatory Stage

Jing Yang^1,#, Shuang Han^2,#, Hongxing Zhao³, Wenming Feng⁴, Lijuan Zhang¹, Rong Chen¹, Xiaohua Yin¹, Mei Li^3,*

¹Department of Cardiology, The 3rd Affiliated Hospital Of Chengdu Medical College, Pidu District People’s Hospital, Chengdu, Sichuan, 611730, PR China - ²Department of Gynaecology, Jingzhou Central Hospital, The Second Clinical Medical College, Yangtze University, Jingzhou, Hubei 434020, PR China - ³Department of Radiology, The First People’s Hospital of Huzhou (The First Affiliated Hospital of Huzhou University), Huzhou 313000, Zhejiang, PR China - ⁴Department of Surgery, The First People’s Hospital of Huzhou (The First Affiliated Hospital of Huzhou University), Huzhou 313000, Zhejiang, PR China 

Objective: To investigate the influence of early systematic rehabilitation exercise intervention on clinical effect and nursing satisfaction of patients with acute heart failure in compensatory stage.

Methods: In January 2020, our hospital began to carry out early systematic rehabilitation exercise intervention for patients with acute heart failure in compensatory stage. Those receiving intervention from January 2019 to December 2019 were defined as the control group and those receiving intervention from January 2020 to December 2020 were defined as the experimental group. 110 patients were selected from each group. The Minnesota Living with Heart Failure Questionnaire (MLHFQ) score, 6-min walk test (6MWT), forced expiratory volume in 1 second (FEV1), level of B-type natriuretic peptide (BNP), length of stay in coronary care unit (CCU) and total nursing satisfaction of 2 groups were compared.

Results: The MLHFQ score of the experimental group after intervention was significantly lower than that of the control group and before intervention (P<0.05). The 6MWT of the experimental group after intervention was significantly higher than that of the control group and before intervention (P<0.05). The FEV1 level of the experimental group after intervention was significantly higher than that of the control group and before intervention (P<0.05). The BNP level of the experimental group after intervention was significantly lower than that of the control group and before intervention (P<0.05). The length of stay in CCU of the experimental group was significantly shorter than that of the control group (P<0.05). At the same time, the total nursing satisfaction of the experimental group was significantly higher than that of the control group (P<0.05).

Conclusion: Early systematic rehabilitation exercise intervention for patients with acute heart failure in compensatory stage can effectively improve their quality of life, increase their exercise tolerance, promote the recovery of cardiopulmonary function, shorten their length of stay in CCU, and help establish a harmonious nurse-patient relationship.