摘要
目的探讨集束化护理在瓣膜置换术后患者Ⅰ期心脏康复中的应用效果.方法将2018年4月1日至2018年11月30日某三甲医院行瓣膜置换术后50例患者作为对照组,将2019年1月1日至2019年8月31日术后50例患者作为试验组.对照组实施常规护理,试验组实施循证支撑下的集束化护理(评估、综合呼吸功能训练、运动锻炼、运动观察、健康教育).比较两组患者干预后2周的生命体征(PaO2、PaCO2、SpO2、呼吸频率、心率、血压)、6MWD、Barthel指数、监护室留观时间、呼吸机使用时间和引流管留置时间.结果干预后2周试验组6MWD优于对照组[(413.69±44.87)m比(317.53±35.01)m],差异具有统计学意义(t=11.164,P<0.05);试验组Barthel指数高于对照组(96.73±15.50比86.42±13.72),差异具有统计学意义(t=4.985,P<0.05);试验组呼吸机使用时间短于对照组[(11.69±0.87)h比(14.53±1.01)h],差异具有统计学意义(t=14.164,P<0.001);试验组监护室留观时间短于对照组[(5.02±0.78)h比(7.56±1.08)h],差异具有统计学意义(t=12.684,P<0.001);试验组引流管留置时间短于对照组[(4.73±0.50)h比(6.05±0.72)h],差异具有统计学意义(t=9.985,P<0.001).结论瓣膜置换术后患者实施集束化护理能够有效改善患者术后心脏功能,缩短患者的住院时间,促进患者心脏康复.
Objective To explore the effects of bundling nursing in stage I cardiac rehabilitation on patients after valve replacement.Methods From April 1,2018 to November 30,2018,50 patients underwent valve replacement in a degree three hospital were as the control group and fifty patients after the same operation from January 1,2019 to August 31,2019 were as the experimental group.Routine nursing was carried out in the control group and bundling nursing was carried out in the experimental group on the basis of routine nursing,including evaluation,comprehensive respiratory function training,exercise,exercise observation,health education.The respiratory function(Pa02,PaCO2,SpO2,respiratory frequency,heart rate,blood pressure),6MWD,B I,hospitalization tim e,ventilator use time,ECG monitoring time and drainage tube indwelling time were compared between the two groups 2 weeks after the intervention.Results Two weeks after intervention,6MWD in the experimental group was significantly better than that in the control group[(413.69±44.87)m vs.(317.53±35.01)m],with statistically significant difference(t=11.164,P<0.05).The BI index of the experimental group was higher than that of the control group(96.73±15.50 vs.86.42±13.72)and the difference was statistically significant(t=4.985.P<0.05).The duration of ventilator use in the experimental group was shorter than that in the control group[(11.69±0.87)h vs.(14.53±1.01)h]and the difference was statistically significant(t=14.164,P<0.001). The observation time of ICU in the experimental group was shorter than that in the control group[ (5.02±0.78)h vs. (7.5 6 ± 1.08 )h] and the difference was statistically significant(f=12.684,P<0.001). The indwellingtime of drainage tube in the experimental group was shorter than that in the control group [ (4.73 ± 0.50) h vs.(6.05±0.72)h] and the difference was statistically significant (t=9.985 ,P <0.001). Conclusion Bundling nursingafter valve replacement can improve postoperative cardiac function, shorten hospitalization time and promotecar
作者
廖尧
钱海云
何文斌
LIAO Yao;QIAN Hai-yun;HE Wen-bin(Cardiothoracic Surgery Department,Jingzhou Central Hospital,Jingzhou 434000,China;Intensive Care Unit,Zhonnan Hospital of Wuhan University,Wuhan 430071,China)
出处
《中国心血管病研究》
CAS
2020年第10期926-931,共6页
Chinese Journal of Cardiovascular Research
基金
2019年荆州市科技计划项目(2019HC07)。
关键词
瓣膜置换术
心脏康复
心脏外科
集束化护理
Valve repalcement
Cardiac rehabilitation
Cardiac surgery
Bundling nursing
