ORIGINAL RESEARCH article
Front. Cardiovasc. Med.
Sec. Cardiovascular Nursing
Volume 12 - 2025 | doi: 10.3389/fcvm.2025.1638025
Impact of refined nursing model combined with early exercise rehabilitation on patients with chronic heart failure under risk assessment strategy
Provisionally accepted
- Department of Cardiology, The Second Hospital of Jiaxing, Jiaxing, China
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Background: The treatment focus for patients with chronic heart failure (CHF) remains on acute resuscitation and maintenance during the stabilisation phase. Despite significant advances in CHF management, treatment outcomes and disease control remain suboptimal. This study investigates the impact of a refined nursing model incorporating risk assessment strategies, combined with early exercise rehabilitation, on patients with CHF. [Abstract] Objective To investigate the effects of a refined care model combined with early exercise rehabilitation under risk assessment strategy on patients with chronic heart failure (CHF). Method Method: Ninety cases of CHF patients admitted to our hospital from February to November 2024 were selected and divided into the control group and the study group according to the randomized numerical table method, with 45 cases in each group. The control group carried out routine nursing care under the traditional model, and the study group applied the refined nursing model under the risk assessment strategy combined with early exercise rehabilitation for nursing care on the basis of the traditional model. Result: Left Ventricular Ejection Fractions (LVEF) of CHF patients in the study group were significantly higher after cardiac ultrasound care compared to the control group, B-type natriuretic peptide (BNP) was significantly lower, and Six-Minute Walk Distance (6-MWD) was significantly longer. Walk Distance (6-MWD) was significantly prolonged. The difference between the two groups was statistically significant ((t=2.172, P=0.033; t=2.097, P=0.039; t=-4.594, P<0.001).After care, patients in the study group had significantly higher scores on the Activity of Daily Living (ADL) scale and significantly lower scores on the Minnesota living with heart failure questionnaire (MLHFQ) than those in the control group. The difference between the two groups was statistically significant (t=-4.027, P<0.001; t=2.198, P=0.031). Conclusion: The refined nursing model under risk assessment strategy combined with early exercise rehabilitation nursing can significantly improve the cardiac function of patients with chronic heart failure, and can improve the quality of life of patients with chronic heart failure.
Keywords: risk assessment strategy, Refined care, Early exercise rehabilitation, chronic heart failure, Refined careh
Received: 30 May 2025; Accepted: 15 Sep 2025.
Copyright: © 2025 Yan, Jin and WU. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Sun Yan, 281442030@qq.com
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