心脏瓣膜置换术后患者早期活动实践及护理  

Practice and nursing care of early activity program for patients after cardiac valve replacement

作　　者：梁芳[1] 韦靖[1] 韦敏頔 Liang Fang;Wei Jing;Wei Mindi(Cardiothoracic Vascular Surgery Department,The People's Hospital of Guangxi Zhuang Autonomous Region,Nanning 530022,China)

机构地区：[1]广西壮族自治区人民医院心胸血管外科,南宁530022

出　　处：《中国实用护理杂志》2021年第19期1502-1505,共4页Chinese Journal of Practical Nursing

基　　金：广西壮族自治区卫生和计划生育委员会自筹课题(Z20170384,Z20180749)。

摘　　要：目的总结心脏瓣膜置换术后患者早期活动的实践及护理经验。方法选取2018年12月至2019年6月心脏瓣膜置换术后患者156例,参照美国心脏协会推荐的心脏康复7步法及中国心脏康复与二级预防指南,对患者实施基于校正改良早期预警评分的早期活动训练,并评价其效果。结果156例患者均顺利拔除气管插管,无一例出现拔管失败的现象,未出现压疮、管道滑脱、伤口裂开等不良事件。结论在对心脏瓣膜置换术后患者病情进行正确评估的基础上对患者实施早期活动,可促进患者心肺功能的恢复,加速患者康复。Objective To summarize the practical and nursing experience of early activity program for patients after cardiac valve replacement.Methods Totally 156 patients after cardiac valve replacement from December 2018 to June 2019 were selected.Refer to the seven-steps of cardiac rehabilitation recommended by American Heart Association with daily activity training and Guidelines for cardiovascular rehabilitation and secondary prevention in China,an early activity program based on corrected modified early warning score(MEWS)was offered to the patients,than its effect was evaluated.Results All the 156 patients were successfully extubated,no adverse events such as pressure ulcers,pipe slip-off and wound dehiscence occurred.Conclusion On the basis of the correct evaluation of the patient's condition after heart valve replacement,early activities can promote the recovery of cardiopulmonary function and accelerate the recovery of the patient.

关 键 词：心脏瓣膜置换术 校正改良早期预警评分 早期活动 实践 护理 

分 类 号：R473.6[医药卫生—护理学]