徒步行走训练对慢性心力衰竭患者抑郁状况的影响

目的探讨徒步行走训练对慢性心力衰竭（chronic heart failure,CHF）患者抑郁状况的影响。方法将81例CHF患者随机分为实验组39例和对照组42例。在常规抗心衰药物治疗和护理的基础上,实验组增加徒步行走训练与指导,并于训练后第4w、8w、12w、16w、20w、24w分别采用抑郁自评量表（SDS）对两组患者抑郁状况进行评价。结果干预16w后,实验组患者抑郁发生率明显低于对照组（均P〈0.05）;干预20w后,实验组患者抑郁评分明显低于对照组（均P〈0.05）。结论持续、规律性徒步行走训练有助于缓解CHF患者的抑郁程度。

Effect of training of walks on foot on the depression of patients with chronic heart failure

Objective To investigate the effect of training of walks on foot on the depression of the patients with chronic heart failure (CHF). Methods Eighty-one CHF patients were randomly divided into the experiment group and the control group. On the basis of the conventional drug treatment of anti-heart failure and the nursing treatment, the experiment group took up the additional training and instruction of walk on foot. After the training of 4, 8, 12, 16, 20, 24 weeks, their depression condition in two groups were evaluated and scored by self-rating depressive scale. Result After 20 weeks of intervention, the score on depression in the experiment group was lower than that in the control group, with a statistics difference between the two groups (P < 0.05). Conclusion The continuous and regular training of walk on foot can relieve the depression degree of CHF patients.