目标设置理念下康复训练联合双心医学照护模式在心脏瓣膜替换术后患者中的应用  

Application of Rehabilitation Training Combined with Dual-heart Medical Care Mode under the Concept of Goal Setting in Patients after Cardiac Valve Replacement

作　　者：张晓萍 ZHANG Xiaoping(Quanzhou First Hospital Affiliated to Fujian Medical University,Quanzhou 362000,China)

机构地区：[1]福建医科大学附属泉州第一医院,福建泉州362000

出　　处：《中外医学研究》2023年第20期107-110,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究目标设置理念下康复训练联合双心医学照护模式在心脏瓣膜替换术后患者中的应用效果。方法:选取2021年5月—2022年5月福建医科大学附属泉州第一医院收治的83例心脏瓣膜替换术后患者为研究对象,按照简单随机数表法分为对照组(n=41)和观察组(n=42),对照组采用目标设置理念下康复训练,观察组采用目标设置理念下康复训练联合双心医学照护模式,两组均干预2周。比较两组心功能、心理状态、生活质量评分及术后并发症发生情况。结果:干预2周后,两组射血分数(ejection fraction,EF)、心脏指数(cardiac index,CI)、心输出量(cardiac output,CO)水平、简明健康调查问卷(MOS item short form health survey,SF-36)评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);两组症状自评量表(symptom checklist-90,SCL-90)评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:目标设置理念下康复训练联合双心医学照护模式应用于心脏瓣膜替换术后患者,能有效改善心功能及心理状态,并提高其生活质量、降低术后并发症发生风险,对预后康复有利。Objective:To explore the application effect of rehabilitation training combined with dual-heart medical care mode under the concept of goal setting in patients after cardiac valve replacement.Method:A total of 83 patients after cardiac valve replacement who admitted to Quanzhou First Hospital Affiliated to Fujian Medical University from May 2021 to May 2022 were selected as the study objects,and divided into the control group(n=41)and the observation group(n=42)according to the simple random number table method,the control group was given the rehabilitation training under the concept of goal setting,the observation group was given the rehabilitation training combined with dual-heart medical care mode under the concept of goal setting,two groups were intervented for 2 weeks.The cardiac function,psychological status,quality of life score and the occurrence of postoperative complications were compared in two groups.Result:After 2 weeks of intervention,the ejection fraction(EF),cardiac index(CI),cardiac output(CO)and MOS item short form health survey(SF-36)scores of two groups were higher than those before intervention,and those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05);the symptom checklist-90(SCL-90)scores of two groups were lower than those before intervention,and that in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).The rate of postoperative complication in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:The rehabilitation training combined with dual-heart medical care mode under the concept of goal setting are applied to patients after cardiac valve replacement,which can effectively improve cardiac function and psychological state,improve quality of life,reduce the risk of postoperative complications,which is beneficial to the prognosis and rehabilitation.

关 键 词：目标设置理念 康复训练 双心医学照护模式 心脏瓣膜替换术 

分 类 号：R473.6[医药卫生—护理学]