Study on the effects of individualized rehabilitation intervention during the transition period on physical function and readmission rate in elderly patients with acute decompensated heart failure
GUO Zijing
XU Wei
LIU Rongxin
WANG Yehua
SUN Jiemin
Abstract：Objective To study the effect of individualized rehabilitation intervention during the transition period on the physical function and readmission rate of elderly patients with acute decompensated heart failure(ADHF).Methods A total of 110 elderly patients with ADHF treated in our hospital from July 2024 to December 2024 were randomly divided into a control group(n=54,conventional intervention)and a study group(n=56,transitional individualized rehabilitation intervention)using a block randomization method.The psychological status,physical function,quality of life,and readmission rate of the two groups were compared.Results After 3 months of intervention,the scores of Hamilton Depression Rating Scale(HAMD)and Hamilton Anxiety Rating Scale(HAMA)decreased in both groups(tstudy group=17.740,tstudy group=23.014,tcontrol group=8.893,tcontrol group=15.730,P<0.05).The scores and total scores of each dimension in the two groups of Simple Physical Activity Test(SPPB)increased(tstudy group=4.636,tstudy group=4.334,tstudy group=5.371,tstudy group=7.398,tcontrol group=2.082,tcontrol group=2.522,tcontrol group=4.591,tcontrol group=5.537,P<0.05),The scores of each dimension of the Minnesota Heart Failure Quality of Life Questionnaire(MLHFQ)decreased in both groups(tstudy group=34.240,tstudy group=15.854,tstudy group=33.478,tcontrol group=35.139,tcontrol group=11.320,tcontrol group=29.559,P<0.05),And compared with the control group,the HAMD and HAMA scores of the study group were lower(t=6.076,8.053,P<0.05),the SPPB scores and total scores were higher(t=2.323,2.218,2.223,2.929,P<0.05),and the MLHFQ scores were lower(t=2.560,4.187,2.915,P<0.05).Compared with the control group(25.93%),the readmission rate of the study group(10.71%)was lower(P<0.05).Conclusion Individualized rehabilitation intervention during the transition period can be applied to patients with ADHF,which can reduce negative emotions,improve physical function and quality of life,and reduce readmission rates.
Keywords：individualized rehabilitation intervention during the transition periodacute decompensated heart failureelderlyphysical function
Publication Date：2025-10-20
Online Publishing Date：2025-12-03(First online date of this platform, not the publication date of the document)
Pages：6( 1269-1274 )