定量运动在70岁以上老年下肢动脉硬化闭塞症患者中的效果观察  

Observation of the effect of quantitative exercise on the patients aged 70 years and older witharteriosclerosis obliterans of lower extremity

作　　者：沈云[1] 徐元玲[1] Shen Yun;Xu Yuanling.(Department of General Surgery, the First Affiliated Hospital of Anhui Medical University, Hefei 230036, Chin)

机构地区：[1]安徽医科大学第一附属医院普外科四病区,合肥230036

出　　处：《中国实用护理杂志》2018年第19期1457-1461,共5页Chinese Journal of Practical Nursing

摘　　要：目的探讨定量运动在70岁以上老年下肢动脉硬化闭塞症患者中的效果观察。方法入选安徽医科大学第一附属医院血管外科80例70岁以上老年下肢动脉硬化闭塞症的患者，按照随机数字表法分为试验组和对照组各40例，对照组给予常规护理措施，试验组给予定量运动护理，在患者住院期间比较2组患者干预前后疼痛评分、踝肱指数、生命质量及患者满意度。结果干预前试验组疼痛评分、踝肱指数、生命质量及患者满意度比较差异无统计学意义（P〉0．05）。干预后试验组疼痛评分、踝肱指数、生理机能、躯体疼痛、社会功能、精神健康及患者满意度分别为（2．13±0．75）、（0．89±0．07）、（83．25±8．66）、（72．63±13．24）、（74．18±10．19）、（79．65±8．47）分、100％（40／40），对照组分另0为（4．53±1．13）、（0．77±0．08）、（67．63±5．42）、（50．53±8．40）、（60．02±10．01）、（66．45±7．85）分、95％（38／40），2组比较差异有统计学意义（t=9．665-7．664，P〈0．01或0．05）。结论在70岁以上的老年下肢动脉硬化闭塞症患者中应用定量运动可以减轻患者的疼痛感，提高患者生命质量，增加患者对护理工作的满意度，值得在临床推广。Objective The purpose of this study is to investigate the effect of quantitative exercise on the patients with arteriosclerosis obliterans of the lower extremities over the age of 70 years. Methods A total of 80 cases elderly patients over 70 years oldfrom the department of vascular surgery were randomly divided into 2 groups, 40 cases in each group, the control group was given conventional nursing, the experimental group was given quantitative exercise with nursing. The pain score, ankle brachial index, quality of life and satisfaction of patients between two groups were compared before and after intervention. Results The pain score, ankle brachial index, physiological function, bodily pain, social function, mental health and patient satisfaction in the experimental group were 2.13 ± 0.75, 0.89 ± 0.07, 83.25± 8.66, 72.63 ± 13.24, 74.18 ± 10.19, 79.65±8.47, 100% （40/40）, and 4.53 ± 1.13, 0.77 ± 0.08, 67.63 ± 5.42, 50.53 ± 8.40, 60.02 ± 10.01, 66.45 ± 7.85, 95%（38/40） in the control group respectively, there was significant difference between 2 groups （t= - 9.665- 7.664, P〈 0.01 or 0.05）. Conclusions In elderly patients over 70 years old, the application of quantitative exercise can reduce the pain of patients, improve their quality of life and increase their satisfaction with nursing work, which is worthy of clinical promotion.

关 键 词：下肢动脉硬化闭塞症 定量运动 老年护理 

分 类 号：R473.5[医药卫生—护理学]