ObjectiveTo explore the effect of sequential comprehensive rehabilitation training program under risk assessment in elderly patients with chronic heart failure.

MethodsA total of 56 cases of senile chronic heart failure were selected and divided into control group (n=28) and observation group (n=28) according to the order of hospitalization time.The patients in the control group received routine rehabilitation nursing, while patients in the observation group received sequential comprehensive rehabilitation training under risk assessment.The fear of exercise, exercise compliance, 6-minute walking distance (6MWD), left ventricular ejection fraction (LVEF) after one month, quality of life and readmission rate after three months were compared between the two groups.

ResultsBefore intervention, there were no statistically significant differences in exercise compliance rate, exercise fear score, 6MWD, LVEF, and quality of life scores between the two groups (P>0.05).After one month of intervention, the exercise compliance rate, 6MWD, LVEF of the observation group were higher than those of the control group (P < 0.05), and the exercise fear score was significantly lower than that of the control group (P < 0.01).After 3 months of intervention, the quality of life score of the observation group was significantly lower than that of the control group (P < 0.01), and the readmission rate of patients in the observation group was 0.00% (0/28), which was lower than 17.86% (5/28) of the control group (P < 0.05).

ConclusionsThe sequential comprehensive rehabilitation training program under risk assessment can effectively alleviate the fear of exercise in elderly patients with chronic heart failure, promote the compliance of rehabilitation training, and improve the rehabilitation of cardiac function, raise the quality of life, and reduce the readmission rate.