Effect analysis of early rehabilitation on the quality of life of patients with rheumatic heart disease after valve replacement
Objective To explore the effect of early rehabilitation on improving the quality of life of patients with rheumatic heart disease(RHD)after valve replacement.Methods 76 RHD patients who received valve replacement were randomly divided into a control group and an observation group,with 38 cases in each group.Patients in the control group received routine intervention,and patients in the observation group received early rehabilitation.The scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS)and quality of life,self-care ability and satisfaction after the intervention were compared between the two groups.Results After the intervention,the scores of SAS and SDS in the observation group were(41.85±7.96)and(40.24±7.66)points,which were lower than those of(52.98±5.90)and(47.87±7.60)points in the control group,and the differences were statistically significant(P<0.05).After the intervention,the scores of physical functioning,role-emotional,general health,social functioning,mental health,physiological function,vitality and role-physical in the observation group were(61.32±13.45),(62.40±11.62),(59.27±11.34),(53.42±12.20),(56.32±14.30),(59.31±12.21),(59.42±13.39)and(59.33±12.38)points,which were higher than those of(50.32±12.60),(49.56±11.40),(46.23±10.41),(45.50±11.34),(49.54±13.92),(48.22±10.31),(53.41±12.23)and(52.32±11.36)points in the control group.The differences were statistically significant(P<0.05).After intervention,the scores of activity,walking,washing,urination and defecation,dressing and eating in the observation group were(58.93±11.01),(54.33±10.25),(55.43±10.51),(56.31±10.28),(57.94±10.64)and(58.79±10.58)points,which were higher than those of(34.84±10.56),(32.87±10.25),(35.57±10.38),(33.47±10.28),(36.42±10.16)and(35.15±10.08)points in the control group,and the difference were statistically significant(P<0.05).The satisfaction of the observation group was 100.0%,which was higher than that of 78.9%of the control group,and the difference was statistically significant(P<0.05).Conclusion Early rehabilitation nursing for RHD patients has a definite effect,which can significantly self-care ability,quality of life,negative emotions,and satisfaction.It is worthy of clinical promotion.
Valve replacementEarly rehabilitationRheumatic heart diseaseQuality of life