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早期康复护理在心脏搭桥术后的应用效果

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目的 分析早期康复护理在心脏搭桥术后的应用效果,为提高临床护理水平提供参考借鉴.方法 选取2021年8月-2022年8月在天津市胸科医院接受治疗的86例行心脏搭桥术患者作为研究对象,按照随机数字表法分为观察组和对照组,每组各43例.对照组行常规护理,即按照医嘱开展各项基础护理工作;观察组行早期康复护理,包括观察患者病情变化,重视细节护理,进行早期功能锻炼等.比较两组的生活质量评分及术后恢复情况.结果 观察组躯体功能(95.68±5.79)分、肌体疼痛(93.46±5.46)分、情绪功能(94.24±4.35)分和社会功能(92.24±6.79)分,均明显高于对照组的(82.11±6.35)分、(86.35±5.71)分、(84.13±5.32)分和(85.57±7.13)分,差异均有统计学意义(P<0.05).观察组的6MWT明显长于对照组,住院时间、排气时间和下床时间均明显短于对照组,差异均有统计学意义(P<0.05).结论 给予心脏搭桥术患者早期康复护理能够缩短疾病恢复时间,提升生活质量,值得临床推广应用.
Application effect of early rehabilitation nursing after cardiac bypass surgery
Objective To analyze the application effect of early rehabilitation nursing after cardiac bypass surgery,and provide reference for improving clinical nursing level.Methods A total of 86 patients who underwent cardiac bypass surgery at Tianjin Chest Hospital from August 2021 to August 2022 were selected as the study subjects.They were divided into observation group and control group with 43 patients in each group,using random number table method.The control group received routine nursing,that was,carrying out various basic nursing work according to the doctor's instructions;the observation group received early rehabilitation nursing,including observing the changes in the patient's condition,paying attention to detailed nursing and engaging in early functional exercise,etc.The quality of life scores and postoperative recovery between two groups were compared.Results The scores of physical function,muscle pain,emotional function and social function in the observation group were(95.68±5.79),(93.46± 5.46),(94.24±4.35)and(92.24±6.79)points,which were significantly higher than those in the control group with(82.11±6.35),(86.35±5.71),(84.13±5.32)and(85.57±7.13)points,and the differences were statistically significant(P<0.05).The 6MWT of the observation group was significantly longer than that of the control group,and the hospital stay,exhaust time and get out of bed time were all significantly shorter than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Early rehabilitation nursing for patients undergoing cardiac bypass surgery could shorten the recovery time and improve their quality of life,which was worthy of clinical promotion and application.

Early rehabilitation nursingCardiac bypass surgeryHospitalization stay

胡楠楠

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天津市胸科医院ICU,天津 300202

早期康复护理 心脏搭桥术 住院时间

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(1)
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