Application of Early Rehabilitation Exercise Combined with Position Management in Patients after Heart Valve Replacement Surgery
Objective:To explore the application of early rehabilitation exercise combined with position management in patients after heart valve replacement surgery.Method:A total of 83 patients after heart valve replacement surgery admitted to Jiangsu Province Hospital from May 2022 to August 2023 were retrospectively selected as the study objects.They were divided into observation group(n=40)and control group(n=43)according to different rehabilitation training programs.The observation group was given early rehabilitation exercise combined with position management.The control group was given routine rehabilitation exercise.Time indexes,cardiac function indexes before and after nursing,complications,pain degree on 1 d,3 d and 9 d after surgery,and intervention satisfaction were compared between the two groups.Result:The first bedside sitting time,electrocardiogram monitoring time,ICU time and total hospital stay in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the level of N-terminal B-type brain natriuretic peptide precursor(NT-proBNP)in observation group was lower than that in control group,the difference was statistically significant(P<0.05),but there was no statistically significant difference in left ventricular ejection fraction(LVEF)between the two groups(P>0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The visual analogue scale(VAS)scores of the observation group were lower than those of the control group on 3 d and 9 d after surgery,and the difference was statistically significant(P<0.05).The total satisfaction of the observation group was significantly higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion:The prognosis of patients with heart valve replacement is closely related to early recovery.Through multi-dimensional early rehabilitation exercise and position management,it can effectively shorten the rehabilitation process of patients and reduce complications.
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