摘要
目的分析分期康复护理模式对心脏瓣膜置换术患者预后恢复以及SF-36评分的影响。方法方便选择该院2018年1月—2020年1月收治的100例心脏瓣膜置换术患者为研究对象,依照数字随机表法将其分为对照组(50例)与观察组(50例),对照组给予常规护理干预,观察组则行分期康复护理干预,比较两组患者护理前后心功能指标以及生活质量(SF-36)改善情况,统计术后并发症,观察临床治疗效果。结果对照组患者的左心室射血分数(40.36±4.13)%以及心率(70.42±8.23)次/min低于观察组(46.52±4.83)%、(77.38±12.37)次/min,6 min步行试验距离(310.11±31.24)m短于观察组(369.84±35.68)m,差异有统计学意义(t=6.854、3.312、8.906,P<0.05);对照组患者的SF-36评分(59.18±4.26)分显著低于观察组(73.48±3.12)分,差异有统计学意义(t=19.150,P<0.05);对照组患者的并发症总发生率18.00%高于观察组4.00%,差异有统计学意义(χ^2=5.005,P<0.05);对照组患者的临床治疗总有效率72.00%低于观察组84.00%,但差异无统计学意义(χ^2=2.098,P>0.05)。结论在心脏瓣膜置换术患者术后恢复治疗时,采用分期康复护理模式的应用效果较高,可显著改善患者的心功能,值得在临床治疗中推广。
Objective To analyze the effect of staged rehabilitation nursing model on the prognosis recovery and SF-36 score of patients undergoing heart valve replacement surgery.Methods 100 patients undergoing heart valve replacement surgery in the hospital from January 2018 to January 2020 were conveniently selected as research objects,and they were divided into a control group(50 cases)and an observation group(50 cases)according to the number random table,the control group was given routine nursing intervention,and the observation group was given staged rehabilitation nursing intervention.The improvement of cardiac function indexes and quality of life(SF-36)of the two groups before and after nursing was compared,the postoperative complications were counted,and the clinical treatment effect was observed.Results The left ventricular ejection fraction(40.36±4.13)%and heart rate(70.42±8.23)beats/min of the control group were lower than the observation group(46.52±4.83)%,(77.38±12.37)beats/min,6 min walking test distance(310.11±31.24)m was shorter than the observation group(369.84±35.68)m,the difference was statistically significant(t=6.854,3.312,8.906,P<0.05);the SF-36 score(59.18±4.26)points of the control group was significantly lower than the observation group(73.48±3.12)points,the difference was statistically significant(t=19.150,P<0.05);the total incidence of complications in the control group was 18.00%higher than that in the observation group 4.00%,the difference was statistically significant(χ^2=5.005,P<0.05);but the total effective rate of clinical treatment in the control group was 72.00%lower than that of the observation group 84.00%,the difference was not statistically significant(χ^2=2.098,P>0.05).Conclusion When patients recovering from heart valve replacement surgery,the application effect of staged rehabilitation nursing model is higher,which can significantly improve the heart function of patients and is worthy of promotion in clinical treatment.
作者
李浩然
LI Hao-ran(The First Affiliated Hospital of Bengbu Medical College,Bengbu,Anhui Province,233000 China)
出处
《中外医疗》
2020年第33期177-180,共4页
China & Foreign Medical Treatment
