冠脉搭桥术后患者早期下床活动现状及影响因素分析  

Status and influencing factors of early out of bed activity in patients after coronary artery bypass grafting

作　　者：乔敏 张春英[1] 李君英[1] 汤丽[1] 郭春霞 Qiao Min;Zhang Chunying;Li Junying;Tang Li;Guo Chunxia(Cardiac Intensive Care Unit,Affiliated Hospital of Jining Medical University,Jining 272001,China)

机构地区：[1]济宁医学院附属医院心脏重症医学科,济宁272001

出　　处：《中华现代护理杂志》2022年第18期2503-2506,共4页Chinese Journal of Modern Nursing

摘　　要：目的分析冠脉搭桥术后患者早期下床活动现状及影响因素。方法采用便利抽样法,选取2018年1月—2020年12月济宁医学院附属医院行冠脉搭桥术的100例患者作为研究对象,采用一般情况调查表、中文版简明疾病认知问卷、肌力评级量表、视觉模拟评分法对其进行调查。采用二项Logistic回归分析探讨冠脉搭桥术后早期下床活动的影响因素。结果本研究共发放问卷100份,回收100份,问卷有效回收率100%。38%(38/100)冠脉搭桥患者在术后72 h内下床活动。二项Logistic回归分析显示,血管桥选择、术后疼痛、下肢切口水疱、下肢肌力评级及疾病认知度是冠脉搭桥术后患者早期下床活动的影响因素(P<0.05)。结论血管桥选择、术后疼痛、下肢切口水疱、下肢肌力评级及疾病认知度是冠脉搭桥术后患者早期下床活动的影响因素。Objective To analyze the status and influencing factors of early out of bed activity in patients after coronary artery bypass grafting.Methods Using the convenient sampling method,patients who underwent coronary artery bypass grafting in Affiliated Hospital of Jining Medical University from January 2018 to December 2020 were selected as the research objects.The general situation questionnaire,the Chinese version of Brief Disease Cognition Questionnaire,Muscle Strength Rating Scale and Visual Analog Scale were used to investigate them.Binomial Logistic regression was used to analyze the influencing factors of early out of bed activity after coronary artery bypass grafting.Results A total of 100 questionnaires were distributed in this study and 100 were recovered.The effective recovery rate of the questionnaire was 100%.38%(38/100)of patients with coronary artery bypass grafting performed early out of bed activity within 72 hours after surgery.Binomial Logistic regression analysis showed that vascular bridge selection,postoperative pain,lower limb incision blister,lower limb muscle strength rating and disease awareness were the influencing factors of early out of bed activity after coronary artery bypass grafting(P<0.05).Conclusions Vascular bridge selection,postoperative pain,lower limb incision blister,lower limb muscle strength rating and disease awareness were the influencing factors of early out of bed activity after coronary artery bypass grafting。

关 键 词：冠状动脉旁路移植术 非体外循环 早期下床活动 影响因素 

分 类 号：R654.2[医药卫生—外科学]