配偶同步参与式健康宣教联合康复运动指导在CABG术后患者中的应用  

Application of spouse-participated synchronous health education combined with rehabilitation exercise guidance for patients after CABG

作　　者：吴宁[1] 李大爱 程娟娟 Wu Ning;Li Daai;Cheng Juanjuan(Department of Cardiac and Vascular Surgery,Nanyang Central Hospital,Nanyang Henan 473000,China)

机构地区：[1]河南省南阳市中心医院心脏大血管外科,河南南阳473000

出　　处：《保健医学研究与实践》2023年第4期94-98,共5页Health Medicine Research and Practice

摘　　要：目的探讨配偶同步参与式健康宣教联合康复运动指导在冠状动脉搭桥(CABG)术后患者中的应用效果。方法选取2019年6月—2021年7月在南阳市中心医院行CABG术的98例患者,采用随机数字表法分为对照组与研究组,每组49例。对照组患者给予常规护理干预,研究组患者给予配偶同步参与式健康宣教联合康复运动指导护理干预。比较2组患者训练依从性、健康行为、心肺功能改善情况及生活质量等指标。结果研究组患者康复训练依从率为95.92%(47/49),高于对照组的81.63%(40/49),差异有统计学意义(χ^(2)=5.018,P=0.025)。干预前,2组患者心率(HR)、收缩压(SBP)、用力肺活量(FVC)、第1秒用力呼气容积占预计值百分比(FEV_(1)%)及6 min步行试验距离(6MWD)比较,差异均无统计学意义(P>0.05);干预后,研究组患者FVC、FEV_(1)%高于对照组,6MWD长于对照组,SBP、HR低于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者健康促进生活方式量表(HPLP-Ⅱ)及西雅图心绞痛问卷(SAQ)评分比较,差异均无统计学意义(P>0.05);干预后,研究组患者LPLP-Ⅱ及SAQ评分高于对照组,差异均有统计学意义(P<0.05)。结论采用配偶同步参与式健康宣教联合康复运动指导干预,可提高CABG术后患者的康复训练依从性,促进患者心肺功能恢复,且有助于患者养成健康生活方式,提高患者术后生活质量。Objective This paper aims to investigate the effect of spouse-participated synchronous health education combined with rehabilitation exercise guidance in patients after coronary artery bypass grafting(CABG).Methods Ninety-eight patients who underwent CABG in Nanyang Central Hospital from June 2019 to July 2021 were randomly assigned to the control group(n=49)and study group(n=49).Patients in the control group were given routine nursing intervention,and patients in the study group were given spouse-participated synchronous health education combined with rehabilitation exercise to guide nursing intervention.Training compliance,health behavior,improvement of cardiopulmonary function,and quality of life were compared between the two groups.Results The compliance rate of rehabilitation training in the study group was 95.92%(47/49),which was significantly higher than that in the control group(81.63%,40/49;χ^(2)=5.018,P=0.025).Before the intervention,there was no significant difference in heart rate(HR),systolic blood pressure(SBP),forced vital capacity(FVC),percentage of forced expiratory volume in 1 second(FEV_(1)%)and 6-minute walk distance(6MWD)between the two groups(P>0.05).After the intervention,FVC and FEV_(1)%in the study group were significantly higher than those in the control group;6MWD were significantly longer than that in the control group;SBP and HR were significantly lower than those in the control group(P<0.05).Before the intervention,there was no significant difference in the scores of Health Promoting Lifestyle Profile II(HPLP-II)and Seattle Angina Questionnaire(SAQ)between the two groups(P>0.05).After the intervention,the scores of HPLP-II and SAQ in the study group were significantly higher than those in the control group(P<0.05).Conclusion The adoption of spouse-participated synchronous health education combined with rehabilitation exercise guidance intervention can improve the rehabilitation training compliance of patients after CABG,promote cardiopulmonary function recovery,help them to develop

关 键 词：配偶 健康宣教 康复训练指导 冠状动脉搭桥 生活质量 心肺功能 

分 类 号：R473.6[医药卫生—护理学]