Chronic heart failure is the end result of cardiovascular disease and, with the ageing of the population and changes in the disease spectrum, the incidence of chronic heart failure among our urban and rural inhabitants is increasing. Although some progress has been made in recent years in the treatment of chronic heart failure drugs, the incidence and development of heart failure cannot be fully prevented, with many patients suffering from psychological problems, quality of life and poor social resilience. Cardiac rehabilitation, which originated in the 1950s, went through a process of denial and questioning to universal acceptance and has now become a dynamic discipline. Modern heart rehabilitation is a comprehensive programme of prescribed exercise, medical education, psychological, nutritional, vocational and social counselling for heart disease patients to regain normal or near normal state of activity. A five-year follow-up study in the United States of America of 600,000 cases of in-patient coronary heart patients found that the five-year rate of heart-rehabilitation deaths was 21-34 per cent lower than that of non-heart-rehabilitation patients, and that, regardless of the number of rehabilitations, benefits were comparable to cardiovascular disease prophylaxis, which were significantly lower than preventive drugs. Cardiac rehabilitation, which is currently regulated for chronic heart failure, is not valued and accepted by the patients, and there are fewer active participants in heart rehabilitation treatment and more people who have withdrawn from heart rehabilitation for reasons such as poor living habits and economic conditions. Even the dependence of patients involved in cardiac rehabilitation treatment is not uniform, and the fact that a significant proportion of patients are not involved in physical exercise at the rate prescribed by the sport reduces the effectiveness of cardiac rehabilitation. Cardiac rehabilitation shall be regulated in accordance with the following principles:
1. I. Rehabilitation
It applies primarily to patients hospitalized due to heart failure and can start within 24 hours of admission … If the condition is unstable, it can be delayed to 3-7 days. Specific adaptation certificates are: no new or re-emergence chest pains in the last eight hoursh; no signs of loss of cytological failure; and no new cardiac abnormalities or EKG changes in the last eight hours. This stage of physical rehabilitation, which is carried out under the direction of a doctor, emphasizes a gradual transition from passive exercise to sit-up, to standing by the bed, walking by the bed, walking in the sick room and training on the upper stairs or fixed bikes.
2. II Rehabilitation
For patients suffering from heart failure after discharge from hospital, the normal two-to-five weeks after discharge, medium-intensity exercise under electrocardiology and blood pressure, with a total of 36 rehabilitations, not less than 25, including aerobics, resistance and softness. Aerobics training uses a medium-intensity, lasting a group of 2O-60 with a frequency of 3-5 per week. The resistance is conducted for at least three weeks and after two consecutive weeks of supervised aerobics training of 8 to 10 muscles per week twice a week. Flexible training, with each part stretching for 6-15 seconds, for a total of about 10 minutes, 2-3 times a week. This period of rehabilitation needs to be carried out under the guidance of the rehabilitation physician and a rehabilitation prescription for the patient ‘ s post-rehabilitation campaign.
3.III Rehabilitation
The rehabilitation prescribed by the patient in accordance with the second stage of rehabilitation may be carried out at home for the second stage of physical rehabilitation.
In general, systematic heart rehabilitation reduces the length of hospitalization of patients with heart failure, improves the long-term quality of life of patients, reduces the number of repeated hospitalizations due to heart failure, benefits the patient ‘ s two-hearted health and saves medical expenses. All chronic heart failure patients who do not have taboos should undergo a regulated heart rehabilitation.
Chronic heart failure
