首页|全程护理联合呼吸功能锻炼对心胸外科患者术后康复质量的影响

全程护理联合呼吸功能锻炼对心胸外科患者术后康复质量的影响

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目的 探讨心胸外科患者应用呼吸功能锻炼联合全程护理对其术后康复的影响。方法 选取2021年8月至2022年8月浙江大学医学院附属邵逸夫医院心胸外科收治的148例手术患者进行研究,按随机分组法将其分为2组(对照组和观察组),每组74例。对照组采用常规护理,在此基础上,观察组行全程护理联合呼吸功能锻炼。比较2组的自我效能、心肺功能、运动耐力以及生活质量。结果 出院时,观察组的第1秒用力呼气容积、最大通气量、用力肺活量、呼气流量峰值、心输出量、左室射血分数、左室收缩末期内径、左室舒张末期内径、峰值摄氧量、无氧阈值,以及6 min步行距离均较对照组更佳(P均<0。05);出院3个月后,观察组的一般自我效能感量表和生活质量综合评分均较对照组更高(P均<0。05)。结论 将全程护理与呼吸功能锻炼联合用于心胸外科患者,有助于患者心肺功能和运动耐力的改善、自我效能的提高,且能促进其生活质量的提高。
Effect of whole-course nursing combined with respiratory function exercise on postoperative rehabilitation quality of patients undergoing cardiothoracic surgery
Objective To explore the effect of whole-course nursing combined with respiratory function exercise on the postoperative rehabilitation of patients undergoing cardiothoracic surgery.Methods A total of 148 patients admitted to the Department of Cardiothoracic Surgery of Sir Run Run Shaw Hospital,Zhejiang University School of Medicine from August 2021 to August 2022 were selected for this study.They were randomly allocated into control and observation groups,with 74 cases in each group.The control group received routine nursing,and the observation group additionally received whole-course nursing combined with respiratory function exercise.The self-efficacy,cardiopulmonary function,exercise endurance,and quality of life were compared between the two groups.Results At discharge,the observation group performed better than the control group in forced expiratory volume in 1 second,maximal voluntary ventilation,forced vital capacity,peak expiratory flow,cardiac output,left ventricular ejection fraction,left ventricular end-systolic diameter,left ventricular end-diastolic diameter,peak oxygen uptake,anaerobic threshold,and 6-min walking test ( all P<0.05 ).At 3 months after discharge,the observation group had higher scores than the control group in the General Self-Efficacy Scale and the Generic Quality of Life Inventory-74 ( both P<0.05 ).Conclusion The combination of whole-course nursing and respiratory function exercise for patients undergoing cardiothoracic surgery is helpful to improve the patients'cardiopulmonary function,exercise endurance,self-efficacy,and quality of life.

department of cardiothoracic surgeryrespiratory function exercisewhole-course nursingself-efficacycardiopulmonary function

陈聪颖、丁汇

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浙江大学医学院附属邵逸夫医院,浙江 杭州,310000

浙江省东阳市人民医院,浙江 金华,322100

心胸外科 呼吸功能锻炼 全程护理 自我效能 心肺功能

2024

中西医结合护理(中英文)
上海交通大学

中西医结合护理(中英文)

ISSN:2096-0867
年,卷(期):2024.10(11)