首页|依从性曲线的阶段性护理对冠状动脉搭桥术患者术后心功能及运动耐力的影响

依从性曲线的阶段性护理对冠状动脉搭桥术患者术后心功能及运动耐力的影响

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目的 探讨依从性曲线的阶段性护理对冠状动脉搭桥术患者术后心功能及运动耐力的影响。方法 选取 2022年 1 月至 2022 年 12 月期间在南阳医学高等专科学校第一附属医院收治的 90 例冠状动脉搭桥术患者为研究对象,采用随机数字表法随机分成干预组、参照组,各 45 例。参照组接受常规护理模式,干预组结合依从性曲线的阶段性护理,持续干预 6 个月。对比两组疾病知识掌握度、锻炼依从性及干预前后生活质量[生活质量评定表(QOL)]、左室舒张末期内径(LVEDD)、成年人健康自我管理能力测评量表(AHSMSRS)、左室射血分数(LVEF)、运动耐力[6 min步行试验(6MWT)]。结果 干预组知识掌握率(95。56%)高于参照组(82。22%),差异有统计学意义(P<0。05);干预组锻炼依从率(100。00%)高于参照组(86。67%),差异有统计学意义(P<0。05);干预后,两组LVEF指标明显升高、LVEDD指标明显降低,且干预组LVEF指标明显高于参照组、干预组LVEDD指标明显降低于参照组,差异有统计学意义(P<0。05)。干预后,两组AHSMSRS、QOL评分,6MWT水平均明显升高,且干预组高于参照组,差异有统计学意义(P<0。05)。结论 依从性曲线的阶段性护理能进一步提高患者依从性,促进冠状动脉搭桥术患者心功能恢复,提高其生活质量。
The Impact of Stage Nursing of Compliance Curve on Postoperative Cardiac Function and Exercise Tolerance in Patients Undergoing Coronary Artery Bypass Surgery
Objective To explore the impact of stage nursing of compliance curve on postoperative cardiac function and exercise tolerance in patients undergoing coronary artery bypass surgery.Methods 90 patients undergoing coronary artery bypass surgery who were admitted to the First Affiliated Hospital of Nanyang Medical Higher Vocational School from January 2022 to December 2022 were selected as research subjects,and were randomly divided into intervention group and reference group,45 cases each,using random number table method.The reference group received conventional nursing mode,and the intervention group combined with stage nursing of compliance curve,with continuous intervention for 6 months.The disease knowledge mastery,exercise compliance,and pre-and post-intervention quality of life[Quality of Life Assessment Table(QOL)],left ventricular diastolic diameter(LVEDD),Adult Health Self-Management Ability Evaluation Table(AHSMSRS),left ventricular ejection fraction(LVEF),and exercise tolerance[6 min walk test(6MWT)]of the two groups were compared.Results The knowledge mastery rate(95.56%)of the intervention group was higher than that of the reference group(82.22%),and the difference was statistically significant(P<0.05);the exercise compliance rate(100.00%)of the intervention group was higher than that of the reference group(86.67%),and the difference was statistically significant(P<0.05);after intervention,the LVEF index of both groups significantly increased,and the LVEDD index significantly decreased,and the LVEF index of the intervention group was significantly higher than that of the reference group,and the LVEDD index of the intervention group was significantly lower than that of the reference group,and the difference was statistically significant(P<0.05).After intervention,the AHSMSRS,QOL scores,and 6MWT level of both groups significantly increased,and the intervention group was higher than the reference group,and the difference was statistically significant(P<0.05).Conclusion The stage nursing of compliance curve can further improve patient compliance,promote the recovery of cardiac function in patients undergoing coronary artery bypass surgery,and improve their quality of life.

stage nursing of compliance curvecoronary artery bypass surgerycardiac functionexercise toleranceself-management ability

张春瑞

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南阳医学高等专科学校第一附属医院 心脏大血管外科,河南 南阳 473000

依从性曲线的阶段性护理 冠状动脉搭桥术 心功能 运动耐力 自我管理能力

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(4)
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