摘要
目的:观察个体化运动康复护理在永久性人工心脏起搏器植入术后患者中的应用效果。方法:回顾性分析2021年7月至2023年4月该院收治的65例行永久性人工心脏起搏器植入患者的临床资料,根据护理方法不同将其分为观察组32例和对照组33例。对照组实施常规护理,观察组在对照组基础上实施个体化运动康复护理,比较两组护理前后心功能指标[左心室射血分数(LVEF)、左心室舒张末期内径(LVEDD)]水平、6 min步行试验(6MWT)距离、日常生活能力[改良Barthel指数(MBI)]评分和生命质量[中国心血管病人生活质量评定问卷(CQQC)]评分。结果:护理后,两组LVEF水平均高于护理前,且观察组高于对照组,两组LVEDD水平均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理后,两组6MWT距离均长于护理前,且观察组长于对照组,两组MBI、CQQC评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上实施个体化运动康复护理可改善永久性人工心脏起搏器植入术后患者心功能指标水平,延长6MWT距离,提高生命质量和日常活动能力评分,效果优于单纯常规护理。
Objective:To observe application effects of individualized exercise rehabilitation nursing in postoperative patients with permanent artificial cardiac pacemaker implantation.Methods:The clinical data of 65 patients with permanent artificial cardiac pacemaker implantation admitted to this hospital from July 2021 to April 2023 were retrospectively analyzed.According to different nursing methods,they were divided into observation group(32 cases)and control group(33 cases).The control group received routine nursing,while the observation group received the individualized exercise rehabilitation nursing on the basis of that of the control group.The levels of cardiac function indexes[left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD)]and 6 min walking test(6MWT)distance,the activity of daily living[modified Barthel index(MBI)]score,and the quality of life[China questionnaire of quality of life in patients with cardiovascular diseases(CQQC)]score were compared between the two groups before and after the nursing.Results:After the nursing,the LVEF levels of the two groups were higher than those before the nursing,and that in the observation group was higher than that in the control group;the LVEDD levels of the two groups were lower than those before the nursing,and that in the observation group was lower than that in the control group;and the differences were statistically significant(P<0.05).Further,after the nursing,the 6MWT distance of the two groups were longer than those before the nursing,and that in the observation group was longer than that in the control group;the MBI and CQQC scores of the two groups were higher than those before the nursing,and those in the observation group were higher than those in the control group;and the differences were statistically significant(P<0.05).Conclusions:The individualized exercise rehabilitation nursing on the basis of the routine nursing can improve the levels of cardiac function indexes in postoperative patients with permanent artificial cardiac pacemaker implantation,prolong the 6MWT distance,and improve the quality of life and activities of daily living scores.The effect is better than simple routine nursing.
作者
解文静
XIE Wenjing(Department of Coronary Heart Disease Pacemaker of Shangqiu First People’s Hospital,Shangqiu 476100 Henan,China)
出处
《中国民康医学》
2025年第6期164-167,共4页
Medical Journal of Chinese People’s Health
关键词
永久性人工心脏起搏器植入术
个体化运动康复护理
心功能
日常生活能力
生命质量
Permanent artificial cardiac pacemaker implantation
Individualized exercise rehabilitation nursing
Cardiac function
Activity of daily living
Quality of life
