早期康复护理在心脏瓣膜置换术后患者中的应用效果  

Application effects of early rehabilitation nursing in patients after cardiac valve replacement

作　　者：裴欣 李世杰 王超男 岳珍珍[1] PEI Xin;LI Shijie;WANG Chaonan;YUE Zhenzhen(Ward(2)of Department of Cardiac Intensive Care Unit of the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州大学第一附属医院心脏重症监护病区(2),河南郑州450000

出　　处：《中国民康医学》2024年第13期155-158,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察早期康复护理在心脏瓣膜置换术后患者中的应用效果。方法:选取2020年9月至2022年9月该院收治的98例心脏瓣膜置换术后患者进行前瞻性研究,按照随机数字表法将其分为观察组和对照组各49例。对照组术后实施常规护理,观察组在对照组基础上实施早期康复护理,两组均护理至出院。比较两组护理前后负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]评分、运动耐力[6min步行试验(6MWT)]水平、生命质量[简明健康调查量表(SF-36)]评分,以及并发症发生率。结果:护理后,观察组HAMA、HAMD评分均低于对照组,差异有统计学意义(P<0.05);护理后,观察组6MWT距离长于对照组,差异有统计学意义(P<0.05);护理后,观察组生理机能、生理职能、躯体疼痛、一般健康状况、精力、情感职能、社会功能、精神健康等SF-36评分均高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为4.08%(2/49),低于对照组的18.37%(9/49),差异有统计学意义(P<0.05)。结论:早期康复护理应用于心脏瓣膜置换术后患者可降低负性情绪评分,提高运动耐力水平和生命质量评分,降低并发症发生率,效果优于常规护理。Objective:To observe application effects of early rehabilitation nursing in patients after cardiac valve replacement Methods:A prospective study was conducted on 98 patients who underwent cardiac valve replacement in this hospital from September 2020 to September 2022.According to the random number table method,they were divided into observation group and control group,49 cases in each group.The control group was given routine postoperative nursing,while the observation group was given the early rehabilitation nursing on the basis of that of the control group.Both groups were treated until the patient was discharged.The scores of negative emotions [Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],exercise endurance [6 min walking test(6MWT)] and quality of life [short form health survey scale(SF-36)],and the incidence of complications were compared between the two groups before and after the nursing.Results:After the nursing,the scores of HAMA and HAMD in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the 6MWT distance of the observation group was longer than that of the control group,and the difference was statistically significant(P<0.05).After the nursing,the scores of SF-36 dimensions such as physiological function,physiological role,physical pain,general health status,vitality,emotional function,social function and mental health in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 4.08%(2/49),which was lower than 18.37%(9/49) in the control group,and the difference was statistically significant(P<0.05).Conclusions:The early rehabilitation nursing in the patients after cardiac valve replacement can reduce the negative emotion scores,improve the exercise endurance levels and quality of life scores,and reduce the incidence of complications.Moreover,it is superior t

关 键 词：心脏瓣膜置换术 早期康复护理 负性情绪 运动耐力 生命质量 并发症 

分 类 号：R473.6[医药卫生—护理学]