赋权理论下的序贯干预在Stanford A型主动脉夹层术后心脏康复中的应用  

Application of Sequential Intervention Under Empowerment Theory in Cardiac Rehabilitation After Stanford Type A Aortic Dissection Surgery

作　　者：郭慧明[1] 崔聪[1] 魏小华 陈静 GUO Huiming;CUI Cong;WEI Xiaohua;CHEN Jing(Department of Cardiology,Henan Province Chest Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省胸科医院心外科,河南郑州450003

出　　处：《河南医学研究》2025年第6期1097-1101,共5页Henan Medical Research

摘　　要：目的观察赋权理论下的序贯干预在Stanford A型主动脉夹层(ATAAD)术后心脏康复中的应用效果。方法采用回顾性研究,收集2021年1月至2023年12月于河南省胸科医院心外科接受ATAAD术后常规干预的48例ATAAD患者病历资料,纳入对照组;收集于医院同期接受ATAAD术后赋权理论下的序贯干预的48例ATAAD患者病历资料,纳入观察组,全部患者临床资料均保存完整。查阅患者病历资料,比较两组患者干预前后肺功能指标[用力肺活量(FVC)、第1秒用力呼气量(FEV_(1))、呼气峰流量(PEF)]、心功能指标[左心室射血分数(LVEF)、左心室舒张末期内径(LVEDD)、血清N末端B型利钠钛前体(NT-proBNP)]、自我护理能力[自我护理能力测定量表(ESCA)]、生活质量[中国心血管疾病患者生命质量评价调查表(CQQC)]以及康复依从性。结果干预后,两组FVC、FEV_(1)、PEF均升高,且观察组高于对照组,差异有统计学意义(P<0.05);干预后,两组LVEF升高,LVEDD和NT-proBNP降低,且观察组LVEF高于对照组,LVEDD和NT-proBNP低于对照组,差异有统计学意义(P<0.05);干预后,两组LVEF升高,LVEDD和NT-proBNP降低,且观察组LVEF高于对照组,LVEDD和NT-proBNP低于对照组,差异有统计学意义(P<0.05);观察组康复依从性为95.83%,高于对照组83.33%,差异有统计学意义(P<0.05)。结论ATAAD术后心脏康复中采用赋权理论下的序贯干预可以有效促进ATAAD患者心肺功能改善,提高自我护理能力和生活质量,患者康复依从性更高。Objective To observe the application effect of sequential intervention under the empowerment theory in postoperative cardiac rehabilitation of acute stanford type A aortic dissection(ATAAD).Methods A retrospective study was conducted to collect medical records of 48 patients with ATAAD who underwent routine postoperative intervention in the Department of Cardiology at Henan Province Chest Hospital from January 2021 to December 2023,and they were included in the control group.Medical records of 48 ATAAD patients who underwent sequential intervention under the theory of ATAAD postoperative empowerment were recorded at the same time in the hospital,and included in the observation group.All clinical data of patients were well preserved.The medical records of the patients were reviewed,and the pulmonary function indexes[forced vital capacity(FVC),forced expiratory volume in the first second(FEV_(1)),peak expiratory flow(PEF)],cardiac function indexes[left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD),serum N-terminal B-type natriuretic titanium precursor(NT-proBNP)],self-care ability[self-care ability measurement scale(ESCA)],quality of life[Chinese cardiovascular disease quality of life evaluation questionnaire(CQQC)],and rehabilitation compliance were compared between the two groups before and after intervention.Results After the intervention,FVC,FEV_(1),and PEF increased in both groups,and the observation group was higher than the control group,with a statistical significant difference(P<0.05).After intervention,LVEF increased,LVEDD and NT-proBNP decreased in both groups,and LVEF in the observation group was higher than that in the control group,while LVEDD and NT-proBNP were lower than those in the control group,with a statistical significant difference(P<0.05).After intervention,LVEF increased,LVEDD and NT-proBNP decreased in both groups,and LVEF in the observation group was higher than that in the control group,while LVEDD and NT-proBNP were lower than those in the control gr

关 键 词：主动脉夹层 Stanford A型 赋权理论下的序贯干预 心脏康复 

分 类 号：R473.5[医药卫生—护理学]