冠状动脉搭桥术患者早期术后康复训练护理研究  

Study on early postoperative rehabilitation training nursing of patients with coronary artery bypass grafting

作　　者：侯继梅[1] 卢明[1] 俞燕娟 朱娅茹 李瑞霞[2] 张满堂[2] HOU Ji-mei;LU Ming;YU Yan-juan;ZHU Ya-ru;LI Rui-xia;ZHANG Man-tang(Jiaozuo People’s Hospital,Jiaozuo 454000,China)

机构地区：[1]焦作市人民医院护理部,河南焦作454000 [2]焦作市人民医院心胸外科,河南焦作454000

出　　处：《社区医学杂志》2021年第12期758-761,共4页Journal Of Community Medicine

摘　　要：目的探讨冠状动脉搭桥术患者在个案管理模式下早期术后康复指导对其认知功能、运动耐力和心功能的影响。方法选取焦作市人民医院2018-08-01-2020-02-29收治的107例冠状动脉搭桥术患者作为研究对象,采用基线资料均衡可比的方法分成2组。对照组53例给予快速康复外科(FTS)理念管理及健康宣教,观察组54例在对照组基础上增加基于个案管理模式早期术后心脏康复和居家康复指导,对比2组患者心脏功能、认知功能和运动耐力。结果观察组干预后左室收缩末期内径(LVESD)为(3.02±0.19)cm,低于对照组的(3.32±0.23)cm,t=7.362,P<0.001;左室舒张末期内径(LVEDD)为(4.23±0.35)cm,低于对照组的(4.91±0.24)cm,t=11.739,P<0.001;左心室射血分数(LVEF)为(61.55±7.52)%,高于对照组的(45.36±7.44)%,t=11.193,P<0.001;左室收缩末期容积(LVESV)为(35.41±7.05)mL,与对照组的(36.56±7.22)mL接近,t=0.834,P=0.406;左室舒张末期容积(LVEDV)为(104.55±13.47)mL,与对照组的(103.84±13.59)mL接近,t=0.271,P=0.787。观察组干预后正确划消字母个数为(138.45±11.12)个,多于对照组的(107.69±10.22)个,t=14.890,P<0.001;连续相加测验完成时间为(24.87±5.55)min,短于对照组的(39.65±5.26)min,t=14.134,P<0.001;6 min步行距离试验(6-MWT)为(478.26±37.29)m,远于对照组的(412.33±36.48)m,t=9.243,P<0.001。结论冠状动脉搭桥术患者术后早期在个案管理模式下进行心脏康复训练,能够有效提高其心脏功能、认知功能和运动耐力,值得临床推广应用。Objective To explore the effects of early postoperative rehabilitation guidance in case management mode on cognitive function,exercise endurance and cardiac function of patients undergoing coronary artery bypass grafting.Methods Totally107 cases of patients undergoing coronary artery bypass grafting in our department from August 1,2018 to February 29,2020 were selected as the research object,and the baseline data of the two groups of patients were divided into two groups by a balanced and comparable method.53 patients in the control group were given rapid rehabilitation surgery(FTS)concept management and health education,and 54 patients in the observation group were given early postoperative cardiac rehabilitation and home rehabilitation guidance based on case management mode on the basis of the control group.The cardiac function,cognitive function and exercise endurance of patients in the two groups were compared.Results The left ventricular end systolic diameter(LVESD)of observation group after intervention was(3.02±0.19)cm,lower than that of control group(3.32±0.23)cm(t=7.362,P<0.001).Left ventricular end-diastolic diameter(LVEDD)was(4.23±0.35)cm,lower than that of the control group(4.91±0.24)cm(t=11.739,P<0.001).Left ventricular ejection fraction(LVEF)was(61.55±7.52)%,higher than that of control group(45.36±7.44)%(t=11.193,P<0.001).Left ventricular end-systolic volume(LVESV)was(35.41±7.05)ml in the observation group and(36.56±7.22)ml in the control group(t=0.834,P=0.406).The left ventricular end-diastolic volume(LVEDV)was(104.55±13.47)ml in the observation group and(103.84±13.59)ml in the control group(t=0.271,P=0.787).After intervention,the number of correct deletion letters in the observation group was(138.45±11.12)significantly higher than that in the control group(107.69±10.22),t=14.890,P<0.001.The completion time of continuous addition test was(24.87±5.55)min,shorter than that in the control group(39.65±5.26)min,t=14.134,P<0.001.The experimental distance of 6 minute walking test(6-MWT)was(4

关 键 词：冠状动脉搭桥术 心功能 康复 个案管理模式 

分 类 号：R473.2[医药卫生—护理学]