世界睡眠医学杂志2024,Vol.11Issue(2) :266-268.DOI:10.3969/j.issn.2095-7130.2024.02.007

阶段性康复运动对风湿性心脏病瓣膜置换术患者睡眠质量的影响

The Effect of Phased Rehabilitation Exercise on Sleep Quality in Patients with Rheumatic Heart Disease Undergoing Valve Replacement Surgery

黄江珍 杨华琴 吴丽娟
世界睡眠医学杂志2024,Vol.11Issue(2) :266-268.DOI:10.3969/j.issn.2095-7130.2024.02.007

阶段性康复运动对风湿性心脏病瓣膜置换术患者睡眠质量的影响

The Effect of Phased Rehabilitation Exercise on Sleep Quality in Patients with Rheumatic Heart Disease Undergoing Valve Replacement Surgery

黄江珍 1杨华琴 1吴丽娟1
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作者信息

  • 1. 福建医科大学附属协和医院心外ICU,福州,350001
  • 折叠

摘要

目的:探讨阶段性康复运动在风湿性心脏病患者瓣膜置换术护理中应用的效果.方法:选取2022年1月至2023年1月福建医科大学附属协和医院收治的接受瓣膜置换术治疗的风湿性心脏病患者70例作为研究对象,按照随机数字表法分为对照组和观察组,每组35例.在瓣膜置换术后,对照组实施常规护理方案,观察组实施常规护理+阶段性康复运动方案,对比2组术后并发症发生率、心功能指标及在舒适度和睡眠质量方面的评分.结果:关于术后并发症,观察组中总发生率的数值比对照组低,差异有统计学意义(P<0.05).在护理后,观察组中N末端B型利钠肽前体、Tei指数的检测数值均比对照组低,观察组中左心射血分数的检测数值比对照组高,观察组中舒适度评分比对照组高,观察组中睡眠质量评分比对照组低,差异均有统计学意义(均P<0.05).结论:在风湿性心脏病患者瓣膜置换术后,阶段性康复运动护理可增强患者的心功能改善效果,减少术后并发症,有利于提升舒适度,改善睡眠.

Abstract

Objective:To explore the effect of phased rehabilitation exercise in the nursing of rheumatic heart disease patients un-dergoing valve replacement surgery.Methods:A total of 70 patients with rheumatic heart disease who underwent valve replace-ment surgery in Fujian Medical University Affiliated Union Hospital from January 2022 to January 2023 were selected and ran-domly divided into a control group and an observation group,with 35 patients in each group.After valve replacement surgery,rou-tine nursing plan,routine nursing+phased rehabilitation exercise plan were implemented in the control group and the observation group,respectively.The incidence of postoperative complications,cardiac function indicators,and scores on comfort and sleep quality were compared between the two groups.Results:Regarding postoperative complications,the total incidence rate in the ob-servation group was lower than that in the control group(P<0.05).After nursing,the detection values of N-terminal B-type natri-uretic peptide precursor and Tei index in the observation group were lower than those in the control group,the detection value of left ventricular ejection fraction in the observation group was higher than that in the control group,the comfort score in the obser-vation group was higher than that in the control group,and the sleep quality score in the observation group was lower than that in the control group(Ps<0.05).Conclusion:After valve replacement surgery in patients with rheumatic heart disease,phased reha-bilitation exercise nursing can enhance the patient's cardiac function improvement effect,reduce postoperative complications,im-prove comfort,and improve sleep.

关键词

风湿性心脏病/瓣膜置换术/护理/阶段性康复运动/心功能/并发症/睡眠/舒适度

Key words

Rheumatic heart disease/Valve replacement surgery/Nursing/Phased rehabilitation exercise/Heart function/Complications/Sleep/Comfort level

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出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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