摘要
目的调查住院心脏术后患者运动能力水平现状,并分析其影响因素及应对策略。方法采取便利抽样法选取2018年5月至2019年5月该院收治的心脏术后患者110例,收集患者人口学资料和疾病相关资料;采用退伍军人特定活动问卷评估患者运动能力水平,并采用logistic回归模型分析对其影响因素。结果110例患者中男69例(62.73%),女41例(37.27%);平均年龄(59.11±10.09)岁。中重度运动能力水平受损率为34.55%(38/110)。不同年龄、文化程度、婚姻状况、工作情况、家庭人均月收入、病情严重程度、慢性病史、呼吸功能障碍患者运动能力水平比较,差异均有统计学意义(P<0.05);病情严重程度为Ⅲ~Ⅳ级、有呼吸功能障碍、高龄是影响心脏术后患者运动能力水平的独立危险因素。结论住院心脏术后患者运动能力水平受多种因素的影响,病情严重程度是最主要的危险因素,应采取相应康复干预措施以促进患者康复。
Objective To investigate the current status of exercise capacity of patients undergoing cardiac surgery during hospitalization,and analyze its influencing factors.Methods A convenient sampling method was used to select 110 patients who underwent cardiac surgery from May 2018 to May 2019 in our hospital.Patient general data questionnaires were used to collect patient demographic data and disease-related data.Evaluate the patient's exercise ability and analyze its influencing factors using Logistic regression analysis.Results Among the 110 patients,69 were male(62.73%),41 were female(37.27%),and the age was(59.11±10.09)years.The rate of impairment of moderate to severe exercise capacity was 34.55%.The univariate analysis showed that there were significant differences in 8 items including age,education,marital status,work status,family monthly income,severity of illness,chronic medical history,and respiratory dysfunction(P<0.05).Logistic regression analysis showed that the severity of the disease,respiratory dysfunction,and advanced age were the main factors affecting the motor ability of patients after cardiac surgery.Conclusion The exercise capacity level of patients after inpatient cardiac surgery is affected by many factors,and the severity of the disease is the most important risk factor.Corresponding rehabilitation intervention measures should be taken to promote the recovery of patients.
作者
张萍
李洪利
毕影超
霍翠媛
ZHANG Ping;LI Hongli;BI Yingchao;HUO Cuiyuan(Department of Cardiac Surgery,Xuanwu Hospital of Capital Medical University,Beijing 100053,China)
出处
《重庆医学》
CAS
2022年第S02期47-50,共4页
Chongqing medicine
关键词
心脏手术
运动能力
影响因素
退伍军人特定活动问卷
应对策略
cardiac surgery
exercise capacity
influencing factor
veteran-specific activities 1uestionnaire
coping strategy
