Effect of phased rehabilitation training under multidisciplinary collaboration on cardiac function in patients after pacemaker implantation
Objective To explore the impact of phased rehabilitation training under multidisciplinary collaboration on cardiac function in patients after pacemaker implantation.Methods A prospective study design was used,including 98 pacemaker implantation patients treated at Xianyang Central Hospital from January 2020 to December 2022.The patients were divided into an experimental group(49 cases)and a control group(49 cases)based on the admission order.In the experimental group,there were 25 males and 24 females,aged(60.52±7.21)years,and the type of pacemaker implantation was single-chamber pacemaker in 20 cases and dual-chamber pacemaker in 29 cases.In the control group,there were 26 males and 23 females,aged(60.78±7.09)years,and the type of pacemaker implantation was single-chamber pacemaker in 21 cases and dual-chamber pacemaker in 28 cases.The control group received routine postoperative care,and the experimental group underwent phased rehabilitation training under multidisciplinary collaboration on the basis.The intervention lasted until 3 months after surgery in both groups.The intervention effect was evaluated by exercise endurance(6 min walking distance),cardiac function[N-terminal pro-B-type natriuretic peptide(NT-proBNP)and left ventricular ejection fraction(LVEF)],upper limb mobility,complications(bleeding,infection,shoulder pain,and lead dislodgment),and comfort level[General Comfort Questionnaire(GCQ)score].Independent sample t test and x2 test were used for statistical methods.Results After intervention,the 6-min walking distance of the experimental group was(290.14±34.16)m,which was longer than that of the control group[(138.75±14.34)m],the level of NT-proBNP was(262.11±68.12)ng/L,which was lower than that of the control group[(398.93±76.69)ng/L],and the LVEF level was(69.82±4.73)％,which was higher than that of the control group[(52.53±5.44)％],with statistically significant differences(t=28.604,9.337,and 16.789,all P＜0.05).At 3 months after surgery,the ranges of motion in adduction,abduction,flexion,and extension in the experimental group were(18.27±6.02)°,(52.67±10.33)°,(64.37±7.14)°,and(22.78±3.96)°,which were greater than those in the control group[(12.78±5.39)°,(45.34±9.33)°,(51.36±6.93)°,and(18.61±3.78)°],with statistically significant differences(t=4.756,3.686,9.153,and 5.332,all P＜0.05).The incidence of complications in the experimental group was 4.08％(2/49),which was lower than that in the control group[16.33％(8/49)],with a statistically significant difference(x2=4.009,P=0.045).After intervention,the GCQ scores for environmental,physiological,sociocultural,and psychological dimensions of the experimental group were(3.72±0.67),(3.24±0.53),(3.90±0.42)and(3.68±0.54)points,which were higher than those of the control group[(2.38±0.42),(2.49±0.36),(2.75±0.27),and(3.17±0.35)points],with statistically significant differences(t=11.537,7.951,15.276,and 5.431,all P＜0.05).Conclusion Phased rehabilitation training under multidisciplinary collaboration has a positive impact on postoperative outcomes for patients with pacemakers,improving the exercise endurance,cardiac function,and upper limb mobility,and reducing the complications,thereby enhancing their comfort and daily self-care abilities,with significant clinical value.
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