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作 者:肖燕 陈颖 殷慧 XIAO Yan;CHEN Ying;YIN Hui(Ganzhou Municipal Hospital,Ganzhou 341000,China;不详)
出 处:《中国医学创新》2020年第23期104-108,共5页Medical Innovation of China
基 金:赣州市指导性科技计划项目(GZ2018ZSF446)。
摘 要:目的:探讨改良下肢康复操在心血管介入术中的应用及对睡眠质量的影响。方法:选择2018年7月-2019年12月本院心血管内科收治的行心血管介入治疗的86例患者为研究对象,应用信封法将其分为对照组和研究组,每组43例。对照组患者采用常规护理干预,术后下肢早期活动;研究组在对照组基础上,辅以改良下肢康复操干预。比较两组患者睡眠质量、心功能指标水平、生活质量评分,并对比两组术后并发症发生情况。结果:干预3个月后,研究组患者睡眠质量评分低于对照组,差异有统计学意义(P<0.05)。干预3个月后,研究组的患者社会功能、心理功能、情感职能、认知功能、躯体功能、总体健康、疼痛、生理功能评分均高于干预前,且均高于对照组,差异均有统计学意义(P<0.05)。研究组并发症发生率为13.95%,低于对照组的32.56%,差异有统计学意义(P<0.05)。结论:在患者心血管介入术后0.5 h给予改良下肢康复操干预,可提升患者睡眠质量,改善患者心功能指标水平,降低并发症发生率,还能提升患者生活质量水平,应用效果理想,可考虑普及。Objective:To explore the application of improved lower limb rehabilitation exercise in cardiovascular intervention and its effect on sleep quality.Method:A total of 86 patients with cardiovascular interventional therapy admitted to the department of cardiovascular medicine of our hospital from July 2018 to December 2019 were selected as study subjects.They were divided into control group and study group by envelope method,43 cases in each group.Control group of patients with routine nursing intervention,postoperative lower limb early activity,the study group was based on the control group,supplemented by improved lower limb rehabilitation exercise intervention.Sleep quality,cardiac function index level,quality of life score and postoperative complications were compared between the two groups.Result:After 3 months of intervention,the sleep quality score of the patients in the study group was lower than that of the control group,with statistically significant difference(P<0.05).After 3 months of intervention,the scores of social function,psychological function,emotional function,cognitive function,physical function,general health,pain,and physiological function of patients in the study group were all higher than those before intervention,and all were higher than those in the control group,the differences were statistically significant(P<0.05).The complication rate of the study group was 13.95%,lower than 32.56%of the control group,the difference was statistically significant(P<0.05).Conclusion:Half an hour after cardiovascular intervention,the intervention of improved lower limb rehabilitation exercise can improve the sleep quality of patients,improve the level of cardiac function indicators,reduce the incidence of complications,and also improve the quality of life of patients,the application effect is ideal,so it can be considered for popularization.
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