早期康复改善风湿性心脏病患者瓣膜置换术后生存质量的效果分析  

Effect analysis of early rehabilitation on the quality of life of patients with rheumatic heart disease after valve replacement

作　　者：康荣丝 陈若燕 KANG Rong-si;CHEN Ruo-yan(Zhongshan Hospital Affiliated to Xiamen University,Xiamen 361004,China)

机构地区：[1]厦门大学附属中山医院,361004 [2]厦门大学附属第一医院,361000

出　　处：《中国现代药物应用》2024年第1期152-155,共4页Chinese Journal of Modern Drug Application

摘　　要：目的 探析早期康复改善风湿性心脏病(RHD)患者瓣膜置换术后生存质量的效果。方法 76例接受瓣膜置换术的RHD患者,随机分为对照组和观察组,每组38例。对照组术后给予常规干预,观察组术后给予早期康复干预。比较两组干预前后焦虑自评量表(SAS)、抑郁自评量表(SDS)、生存质量评分,干预后自理能力,满意度。结果 干预后,观察组SAS、SDS评分分别为(41.85±7.96)、(40.24±7.66)分,低于对照组的(52.98±5.90)、(47.87±7.60)分,差异具有统计学意义(P<0.05)。干预后,观察组躯体功能、情感职能、总体健康、社会功能、精神健康、生理功能、活力、生理职能评分分别为(61.32±13.45)、(62.40±11.62)、(59.27±11.34)、(53.42±12.20)、(56.32±14.30)、(59.31±12.21)、(59.42±13.39)、(59.33±12.38)分,高于对照组的(50.32±12.60)、(49.56±11.40)、(46.23±10.41)、(45.50±11.34)、(49.54±13.92)、(48.22±10.31)、(53.41±12.23)、(52.32±11.36)分,差异具有统计学意义(P<0.05)。干预后,观察组活动、行走、洗漱、大小便、穿衣、进食评分分别为(58.93±11.01)、(54.33±10.25)、(55.43±10.51)、(56.31±10.28)、(57.94±10.64)、(58.79±10.58)分,高于对照组的(34.84±10.56)、(32.87±10.25)、(35.57±10.38)、(33.47±10.28)、(36.42±10.16)、(35.15±10.08)分,差异具有统计学意义(P<0.05)。观察组满意度为100.0%,高于对照组的78.9%,差异具有统计学意义(P<0.05)。结论 RHD患者瓣膜置换术后接受早期康复干预疗效确切,能够显著改善患者术后自理能力、生存质量、负性情绪,提高满意度,值得临床推广应用。Objective To explore the effect of early rehabilitation on improving the quality of life of patients with rheumatic heart disease(RHD)after valve replacement.Methods 76 RHD patients who received valve replacement were randomly divided into a control group and an observation group,with 38 cases in each group.Patients in the control group received routine intervention,and patients in the observation group received early rehabilitation.The scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS)and quality of life,self-care ability and satisfaction after the intervention were compared between the two groups.Results After the intervention,the scores of SAS and SDS in the observation group were(41.85±7.96)and(40.24±7.66)points,which were lower than those of(52.98±5.90)and(47.87±7.60)points in the control group,and the differences were statistically significant(P<0.05).After the intervention,the scores of physical functioning,role-emotional,general health,social functioning,mental health,physiological function,vitality and role-physical in the observation group were(61.32±13.45),(62.40±11.62),(59.27±11.34),(53.42±12.20),(56.32±14.30),(59.31±12.21),(59.42±13.39)and(59.33±12.38)points,which were higher than those of(50.32±12.60),(49.56±11.40),(46.23±10.41),(45.50±11.34),(49.54±13.92),(48.22±10.31),(53.41±12.23)and(52.32±11.36)points in the control group.The differences were statistically significant(P<0.05).After intervention,the scores of activity,walking,washing,urination and defecation,dressing and eating in the observation group were(58.93±11.01),(54.33±10.25),(55.43±10.51),(56.31±10.28),(57.94±10.64)and(58.79±10.58)points,which were higher than those of(34.84±10.56),(32.87±10.25),(35.57±10.38),(33.47±10.28),(36.42±10.16)and(35.15±10.08)points in the control group,and the difference were statistically significant(P<0.05).The satisfaction of the observation group was 100.0%,which was higher than that of 78.9%of the control group,and the difference was statistically sig

关 键 词：瓣膜置换术 早期康复 风湿性心脏病 生存质量 

分 类 号：R654.2[医药卫生—外科学]