早期活动对瓣膜修复合并搭桥患者的应用效果及自我效能和负性情绪的影响  

Effect of Early Activity on Patients Undergoing Combined Valve Repair and Bypass and its Impact on Self-Efficacy and Negative Emotions

作　　者：史媛 马立征 孟祥怡 Shi Yuan;Ma Lizheng;Meng Xiangyi(Department of Cardiac Surgery,Tianjin Chest Hospital,Tianjin,300222,China)

机构地区：[1]天津市胸科医院心外科,天津300222

出　　处：《黑龙江医学》2025年第8期998-1000,共3页Heilongjiang Medical Journal

基　　金：天津市自然科学基金重点项目(22JCZDJC00340)。

摘　　要：目的:探索早期活动在瓣膜修复合并搭桥患者康复中的作用,及其对患者的自我效能和负性情绪的影响。方法:选取2022年1—12月天津市胸科医院心外科收治的153例瓣膜修复合并搭桥手术的患者作为研究对象,按入院时间将其分为观察组(n=71)和对照组(n=79)。观察组采用早期活动干预护理,对照组采用常规护理;对比两组患者左心室舒张末期内径(LVEDD)、左室射血分数(LVEF)、左室短轴缩短率(FS)、一般自我效能感量表(GSES)得分、正性负性情绪量表(PANAS)得分、焦虑自评量表(SAS)得分和抑郁自评量表(SDS)得分及其对心脏功能、自我效能感和负性情绪的影响情况。结果:干预后,观察组患者LVEDD低于对照组,LVEF、FS高于对照组,差异均有统计学意义(t=7.150、4.070、6.008,P<0.05);观察组患者GSES评分高于对照组,差异均有统计学意义(t=3.623,P<0.05);观察组患者PA评分高于对照组,NA、SAS、SDS评分低于对照组,差异均有统计学意义(t=4.217、3.666、4.152、3.537,P<0.05)。结论:早期活动在瓣膜修复合并搭桥手术后患者的康复中起到了积极的促进作用,能够有效提高患者的自我效能感,降低其负性情绪的发生率。Objective:To explore the role of early activity in the recovery of patients undergoing combined valve repair and bypass,and its impact on their self-efficacy and negative emotions.Methods:153 patients who underwent combined valve repair and bypass surgery from January to December 2022 were selected and divided into observation group(n=71)and control group(n=79)based on their admission date.The observation group was subjected to early activity intervention,while the control group received regular rehabilitation training and was cared for following the hospital’s SOP.Parameters like Left Ventricular End-Diastolic Diameter(LVEDD),Left Ventricular Ejection Fraction(LVEF),Fractional Shortening(FS),General Self-Efficacy Scale(GSES),Positive and Negative Affect Schedule(PANAS),Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)were used to assess the cardiac function,self-efficacy,and negative emotional states of both groups.Results:After intervention,LVEDD in observation group was lower than that in control group,and LVEF and FS were higher than that in control group,with statistically significant difference(t=7.150,4.070,6.008;P<0.05).The GSES score of observation group was higher than that of control group,and the difference was statistically significant(t=3.623,P<0.05).The PA scores in observation group were higher than those in control group,while the NA,SAS and SDS scores were lower than those in control group,with statistically significant difference(t=4.217,3.666,4.152,3.537;P<0.05).Conclusion:Early activity plays a proactive role in the recovery of patients after combined valve repair and bypass surgery,effectively enhances their self-efficacy and reduces the occurrence of negative emotions.

关 键 词：早期活动 瓣膜修复合并搭桥 自我效能 负性情绪 

分 类 号：R541[医药卫生—心血管疾病]