Systemic cardiopulmonary rehabilitation nursing for patients with coronary heart disease
-
摘要: 目的 分析系统性心肺康复护理对冠心病患者心肺功能及生活质量的影响。 方法 选取2019年1月—2020年1月在本院就诊的124例冠心病患者为研究对象,根据康复期护理方案分为对照组58例和观察组66例。对照组患者给予常规护理方案,观察组患者给予系统性心肺康复护理干预。比较2组患者心肺功能［无氧阈(AT)、峰值氧脉搏、峰值氧摄取量、二氧化碳通气当量斜率(VE/VCO2)、6 min 步行试验(6MWD)］、生活质量及护理满意度。 结果 观察组患者干预后AT、峰值氧脉搏、峰值氧摄取量及6WMD均高于对照组患者, VE/VCO2低于对照组,差异有统计学意义(P<0.01)。2组患者干预后生活质量各维度评分均较干预前显著改善(P<0.01), 且观察组生理职能、社会功能、活力、情感职能、精神健康及总体健康评分均显著高于对照组(P<0.01)。观察组患者对护理的总满意率为98.48%, 显著高于对照组患者的86.20%(P<0.01)。 结论 冠心病患者康复期间应用系统性的心肺康复护理干预安全、有效,能改善患者心肺功能、运动耐力,提高患者生活质量。Abstract: Objective To analyze the influence of systemic cardiopulmonary rehabilitation nursing on cardiopulmonary function and quality of life in patients with coronary heart disease. Methods Totally 124 patients with coronary heart disease treated in our hospital from January 2019 to January 2020 were selected as research objects, and they were divided into control group(n=58)and observation group(n=66)according to different rehabilitation nursing program. Patients in the control group were treated with routine nursing program, while patients in the observation group were treated with systematic cardiopulmonary rehabilitation nursing intervention. Cardiopulmonary function indexes ［anaerobic threshold(AT), peak oxygen pulse, peak oxygen uptake, equivalent slope of carbon dioxide ventilation(VE/VCO2), 6-minute walk test(6MWD)］, quality of life and nursing satisfaction degree were compared between the two groups. Results After intervention, the AT, peak oxygen pulse, peak oxygen uptake and 6WMD of the observation group were significantly higher than those of the control group, and VE/VCO2 was significantly lower than that of the control group(P<0.01). After the intervention, the score of each dimension of quality of life in both groups significantly improved when compared with that before treatment(P<0.01), and the scores of physiological function, social function, vitality, emotional function, mental health and general health of the observation group were significantly higher than those of the control group(P<0.01). The total satisfaction degree of the observation group was 98.48%, which was significantly higher than 86.20% of the control group(P<0.01). Conclusion Systemic cardiopulmonary rehabilitation nursing intervention is safe and effective in treatment of patients with coronary heart disease during rehabilitation period, - which can improve cardiopulmonary function, exercise endurance and quality oflife.
-
-
GOMES-NETO M, SILVA C M, EZEQUIEL D, et al. Impact of pulmonary rehabilitation on exercise tolerance and quality of life in patients with idiopathic pulmonary fibrosis: a SYSTEMATIC REVIEW AND META-ANALYSIS[J]. J Cardiopulm Rehabilitation Prev, 2018, 38(5): 273-278.
李红. 心脏康复策略对冠心病患者心肌酶谱及心室重塑的影响[J]. 实用临床医药杂志, 2019, 22(18): 315-317. 季鹏, 汤瑶, 胡树罡, 等. 运动训练对老年舒张性心力衰竭病人心肺功能及生活质量的影响[J]. 实用老年医学, 2019, 33(9): 207-209. TORRI A, PANZARINO C, SCAGLIONE A, et al. Promotion of home-based exercise training as secondary prevention of coronary heart disease: a PILOT WEB-BASED INTERVENTION[J]. J Cardiopulm Rehabilitation Prev, 2018, 38(4): 253-258.
张卉, 武亮, 刁倩. 心肺康复治疗对冠心病患者心肺功能、SAS及SDS评分的影响[J]. 检验医学与临床, 2017, 14(018): 2787-2788. 李文. 丹红注射液治疗缺血性心肌病心力衰竭的临床效果分析[J]. 实用临床医药杂志, 2018, 22(5): 36-38. 章明勇, 詹石斐, 陈晓, 等. 心脏康复干预对冠心病PCI术后患者生活质量及心功能的影响[J]. 中华物理医学与康复杂志, 2019, 41(2): 130-132. CHEN L D, LIU C Y, YE Z N, et al. Assessment of sleep quality using cardiopulmonary coupling analysis in patients with Parkinson's disease[J]. Brain Behav, 2018, 8(5): e00970.
邵利辉, 王艳娟, 李敏, 等. PCI术后早期康复对冠心病患者心脏康复的作用研究[J]. 心血管康复医学杂志, 2019, 27(5): 102-104. 马晶, 张瀛月, 李海燕, 等. 融合心脏康复治疗对心肌梗死患者心肺运动功能和心理状态的影响[J]. 中华老年多器官疾病杂志, 2019, 17(10): 721-725. GODA A, TAKEUCHI K, KIKUCHI H, et al. Characteristics of cardiopulmonary exercise testing in patients with combined post-capillary and pre-capillary pulmonary hypertension(cpc-PH)due to left heart disease[J]. J Heart Lung Transplant, 2018, 37(4): S491-S492.
孙慧敏. 康复护理对冠心病患者行经皮冠状动脉介入术术后恢复的影响[J]. 实用临床医药杂志, 2019, 22(14): 56-58. 孙晓静, 姜立清, 张振英, 等. 运动康复锻炼对冠心病经皮冠状动脉介入术后患者心肺功能及生活质量的影响[J]. 现代生物医学进展, 2019, 19(7): 91-94. -
期刊类型引用(7)
1. 周喜云. 应用血栓弹力图对于改善心脏瓣膜置换术后患者凝血功能的效果观察. 智慧健康. 2024(33): 166-169 . 
百度学术
2. 张娟利，陈亚绒. 银丹心脑通软胶囊联合静脉溶栓治疗急性缺血性脑卒中患者的临床疗效观察. 血栓与止血学. 2022(02): 207-208+211 . 百度学术
3. 李沛颖，何玺玉，杨红艳，岳娇娇，黄信生. 血栓弹力图对小儿先天性心脏病术后凝血异常的应用价值. 血栓与止血学. 2022(02): 201-203+206 . 百度学术
4. 贾俊. TEG监测凝血功能对接受体外循环复杂心脏手术成人患者围术期的凝血功能的影响. 哈尔滨医药. 2022(06): 112-113 . 百度学术
5. 万玲，叶钢，胡甦，刘俊. 血栓弹力图及下肢深静脉彩超对高龄髋关节置换术患者围术期的临床价值研究. 中国医学装备. 2021(05): 105-108 . 百度学术
6. 牛文娟. 血栓弹力图在心脏瓣膜性疾病围术期护理中的应用价值. 现代诊断与治疗. 2020(07): 1167-1169 . 百度学术
7. 罗敏，吴李萍，宗莹，卿克勤，李红霞. 血栓弹力图在新生儿弥散性血管内凝血诊断中的应用价值. 国际输血及血液学杂志. 2020(04): 332-337 . 百度学术
其他类型引用(2)
计量
- 文章访问数: 399
- HTML全文浏览量: 121
- PDF下载量: 13
- 被引次数: 9
下载:
苏公网安备 32100302010246号
