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Effects of heart rate and individualized management on mental state and exercise endurance of elderly patients with dilated cardiomyopathy

Qu Jiangyan;Song Baomei;Jin Qian;Tian Wei;Li Xiuchuan;Intensive Care Unit of Department of Cardiovascular Medicine, General Hospital of Western Theater;Department of Cardiovascular Medicine, General Hospital of Western Theater;  
Objective To explore the effects of heart rate andindividualized management on mental state and exercise endurance of elderly patients with dilated cardiomyopathy(DCM). Methods A total of 130 elderly patients with DCM admitted to General Hospital of Western Theater from April 2017 to June 2020 were selected and randomly divided into observation group and control group according to the digital table method, with 65 patients in each group.The observation group was intervened by heart rate and individualized management, while the control group was intervened by routine nursing.The negative emotions, 6-min walking distance, Borgscore, restingheart rate and quality of life before and after intervention, and nursing satisfaction after intervention were compared between the two groups. Results After the intervention, the scores of Self-Rating Anxiety Scale(SAS) and Self-Rating Depression Scale(SDS) of the two groups were lower than those of the same group before the intervention(P0.05), and the scores of SAS and SDS of the observation group were lower than those of the control group(P0.05). After the intervention, the 6-minute walking distance of the two groups was longer than that of the same group before the intervention(P0.05), Borg score and the resting heart rate were lower than thoseof the same group before the intervention(P0.05). Compared with the control group, the 6-minute walking distance of the observation group was longer(P0.05), and the Borg score and resting heart rate were lower(P0.05).After the intervention, the scores of quality of life of the two groups were lower than those of the same group before the intervention, and the scores of quality of life of the observation group was lower than that of the control group(P0.05).After the intervention, the nursing satisfaction score of the observation group was higher than that of the control group(P0.05). Conclusion The application of heart rate and individualized management to elderly patients with DCM can relieve their negative emotions, enhance exercise tolerance, reduce heart rate, and improve their quality of life and nursing satisfaction.
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