A型主动脉夹层患者Ⅰ期心肺康复护理方案的构建及应用  

Construction and application of early phaseⅠcardiopulmonary rehabilitation program for patients with Type A aortic dissection

作　　者：司茜茜 王莹[1] 赵福云 马晓骁 刘均娥[1] SI Qianqian;WANG Ying;ZHAO Fuyun;MA Xiaoxiao;LIU June(School of Nursing,Capital Medical University,Beijing,100069,China)

机构地区：[1]首都医科大学护理学院,北京市100069 [2]首都医科大学附属北京安贞医院心脏外科

出　　处：《中华护理杂志》2024年第9期1037-1042,共6页Chinese Journal of Nursing

摘　　要：目的构建A型主动脉夹层患者Ⅰ期心肺康复护理方案并进行初步应用,评价应用效果。方法构建A型主动脉夹层患者Ⅰ期心肺康复护理方案。采用类实验研究设计,根据目的抽样法,选取北京市某三级甲等医院2021年1月-2022年10月行开放性A型主动脉夹层手术患者作为研究对象。自愿选择A型主动脉夹层患者Ⅰ期心肺康复护理方案的患者纳入试验组,选择常规心肺康复方案的患者纳入对照组。比较两组6 min步行距离、Borg主观劳累程度得分、术后首次下床时间、低氧血症发生率、低氧相关并发症发生率、康复护理相关不良事件发生率。结果共纳入研究对象130例,20例因手术并发症或中途退出,予以排除,最终纳入110例,试验组57例,对照组53例。干预后,试验组的6 min步行距离、Borg主观劳累程度得分、低氧血症发生率均低于对照组(P<0.05);两组术后首次下床时间、低氧相关并发症发生率、康复护理相关不良事件发生率比较,差异无统计学意义(P>0.05)。结论构建的A型主动脉夹层患者Ⅰ期心肺康复护理方案科学、可行,紧密结合临床,可提高患者的运动能力,降低其低氧血症发生率。Objective To construct early phaseⅠcardiopulmonary rehabilitation program for patients with Type A aortic dissection and to evaluate its clinical effects.Methods From January 2021 to October 2022,type A aortic dissection patients of a tertiary hospital in Beijing was selected by the destination sampling.They were divided into a control group and an intervention group.The intervention group was given early phaseⅠcardiopulmonary rehabilitation program for patients with type A aortic dissection and the control group was given routine care.The 6-minute walking experiment(6MWT),Borg subjective fatigue score,the first time out of bed,the incidence of hypoxemia and related complications,and the incidence of adverse events related to rehabilitation nursing were compared between the 2 groups.Results A total of 130 cases were selected,among which 20 cases were excluded because of surgical complications and self-withdrawal.A total of 110 cases were finally included,with 57 cases in the intervention group and 53 cases in the control group.The results of walking distance of 6MWT,Borg subjective fatigue score and incidence of hypoxemia had statistical significance between the 2 groups(P<0.05).The results of the time of the first time out of bed and the incidence of complications and the incidence of adverse events related to rehabilitation nursing had no statistical significance between the 2 groups(P>0.05).Conclusion Early phaseⅠcardiopulmonary rehabilitation program for patients with type A aortic dissection benefits the improvement of the motor function,the reduction of incidence of hypoxemia.

关 键 词：A型主动脉夹层 心肺康复 运动功能 低氧血症 康复护理 

分 类 号：R473.6[医药卫生—护理学]