阶段性康复结合TCS干预模式对先天性心脏病患儿术后恢复及生存质量的影响  

Effects of stage rehabilitation combined with TCS intervention on postoperative recovery and life quality of children with congenital heart disease

作　　者：陈冰清 黄晓碧 赵胜 CHEN Bingqing;HUANG Xiaobi;ZHAO Sheng(Interventional Catheter Department,Anhui Children’s Hospital,Anhui,Hefei 230000,China)

机构地区：[1]安徽省儿童医院介入导管室,合肥市230000

出　　处：《河北医药》2022年第3期354-357,共4页Hebei Medical Journal

基　　金：安徽省卫生和计划生育委员会科研项目课题(编号:2017ek004)。

摘　　要：目的探究并分析阶段性康复结合治疗性沟通系统(TCS)干预模式对先天性心脏病(先心病)患儿术后恢复及生存质量的影响。方法选取2016年6月至2019年6月收治的先天性心脏病患者206例,按照随机数字表法将其分为观察组(102例)和对照组(104例)。对照组患者采用阶段性康复干预,观察组实施阶段性康复联合TCS干预模式。观察并记录2组患者一般资料(包括年龄、性别、先心病类型等)、炎性应激指标[血清超敏C-反应蛋白(HS-CRP)、吲哚胺2,3-双加氧酶(IDO)浓度]、恢复指标(ICU住院时间、卧床时间、住院时间、用药依从性等)、预后、生存质量、术后并发症等情况。结果2组患者一般资料(包括年龄、性别、先心病类型等)比较差异无统计学意义(P>0.05),具有可比性。重复测量方差分析显示,2组患者手术前后血清hs-CRP、IDO浓度比较差异有统计学意义(P<0.05),术前2组患者HS-CRP、IDO浓度比较差异无统计学意义(P>0.05),术后2组患者HS-CRP、IDO水平显著升高(P<0.05),观察组患者HS-CRP、IDO水平显著低于对照组(P<0.05);2组患者ICU住院时间差异无统计学意义(P>0.05),观察组患者卧床时间、住院时间均显著少于对照组(P<0.05),观察组患者用药依从性显著高于对照组(P<0.05);经秩和检验,观察组预后情况显著优于对照组(U=7.18,P<0.05);经重复方差分析,2组患者手术前后生存质量评分比较差异有统计学意义(P<0.05),2组患者术前生存质量评分差异无统计学意义(P>0.05),术后2组患者生存质量评分均有明显改善,观察组术后1个月、术后3个月、术后6个月患者生存质量评分明显高于对照组(P<0.05);2组患者栓塞、封堵器脱落、溶血、心律失常、穿刺部位血肿、发热等并发症比较差异无统计学意义(P>0.05),观察组患者总并发症发生率显著低于对照组(P<0.05)。结论阶段性康复结合TCS干预模式能有效降低先天性心脏病患者炎性�Objective To investigate the effects of stage rehabilitation combined with TCS intervention on postoperative recovery and life quality of children with congenital heart disease.Methods A total of 206 patients with congenital heart disease who were treated in our hospital from June 2016 to June 2019 were enrolled in the study,who were randomly divided into observation group(n=102)and control group(n=104).The patients in control group were treated by staged rehabilitation intervention,while those in observation group were treated by staged rehabilitation combined with therapeutic communication system(TCS).The general data including age,sex,type of congenital heart disease,and inflammatory stress indexes(HS-CRP),and indoleamine 2,3-dioxygenase(IDO),recovery indexes including ICU hospitalization time,bed time,hospitalization time,medication compliance,and prognosis and life quality of patients,postoperative complications were observed and compared between the two groups.Results There were no significant differences in geberal data between the two groups(P>0.05).Before operation There were no significant differences in the levels of HS-CRP and IDO between the two groups(P<0.05).After operation,thelevels of HS-CRP and IDO in both groups were increased significantly,moreover,which in observation group were significantly lower than those in control group(P<0.05).And the hospital time,bed time and hospital stay time in observation group were significantly shorter than those in control group(P<0.05),and the treatment compliance in observation group was significantly higher than that in control group(P<0.05).Moreover the prognosis of patients in observation group was superior to that control group(P<0.05),moreover the life quality scores at 1m,3m,6m after operation in observation group were significantly higher than those in control group(P<0.05).In addition the total incidence rate of complications in observation group was significantly lower than that in control group(P<0.05).Conclusion The stage rehabilitation combined w

关 键 词：阶段性康复 生存质量 治疗性沟通系统 先天性心脏病 

分 类 号：R541.1[医药卫生—心血管疾病]