延续性康复护理在冠状动脉搭桥术后患者中的应用效果

Application effects of continuous rehabilitation nursing in patients after coronary artery bypass grafting

目的:观察延续性康复护理在冠状动脉搭桥(CABG)术后患者中的应用效果。方法:选取82例CABG术后患者作为研究对象,按随机数字表法分为对照组和观察组各41例。对照组采用常规护理,观察组在对照组基础上采用延续性康复护理,比较两组护理前后心功能指标[左室舒张末期内径(LVEDD)、左室射血分数(LVEF)和左室收缩末期内径(LVESD)]水平、生命质量[简明健康调查问卷(SF-36)]评分和不良心脏事件发生率。结果:护理后,观察组LVEF和SF-36评分均高于对照组,LVEDD和LVESD均小于对照组,差异有统计学意义(P<0.05);观察组不良心脏事件发生率为4.88%(2/41),低于对照组的19.51%(8/41),差异有统计学意义(P<0.05)。结论:在常规护理基础上采用延续性康复护理可改善CABG术后患者心功能指标水平,提高生命质量评分,降低不良心脏事件发生率,效果优于单纯常规护理。

Objective:To observe application effects of continuous rehabilitation nursing in patients after coronary artery bypass grafting(CABG).Methods:82 patients after CABG were selected as the research objects,and were divided into control group and observation group according to the random number table method,41 cases in each group.The control group received routine nursing,while the observation group was given the continuous rehabilitation nursing on the basis of that of the control group.The cardiac function index levels[left ventricular end diastolic diameter(LVEDD),left ventricular ejection fraction(LVEF)and left ventricular end systole Internal diameter(LVESD)]before and after the nursing,the quality of life[the MOS 36-item short-form health survey(SF-36)]score and the incidence of adverse cardiac events were compared between the two groups.Results:After the nursing,the LVEF level and the SF-36 score of the observation group were higher than those of the control group;the LVEDD and LVESD levels were lower than the control group;and the differences were statistically significant(P<0.05).Further,the incidence of adverse cardiac events in the observation group was 4.88%(2/41),which was lower than 19.51%(8/41)in the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the implementation of continuous rehabilitation nursing can improve the cardiac function index levels of the patients after CABG,improve the quality of life scores,and reduce the incidence of adverse cardiac events.Moreover,it is superior to single routine nursing.