路径式早期康复护理在心脏搭桥患者术后的应用效果

Application Effects of Path-Based Early Rehabilitation Care in Patients with Cardiac Bypass Surgery

目的探讨路径式早期康复护理在心脏搭桥患者术后的应用效果。方法选取南阳市中心医院2020年1月至2021年6月收治的100例心脏搭桥患者作为研究对象,按随机数表法分为观察组(50例)和对照组(50例)。观察组接受路径式早期康复护理,对照组接受常规康复护理模式,对比两组患者术后恢复情况、生活质量、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、术后并发症发生情况。结果观察组患者下床时间、排气时间、住院时间短于对照组(P<0.05),6分钟步行实验(6MWT)结果优于对照组(P<0.05);治疗后观察组患者的SAS评分与SDS评分低于对照组(P<0.05);治疗后观察组的躯体功能、心理功能、生活习惯以及社会功能高于对照组(P<0.05);观察组并发症总发生率低于对照组(P<0.05)。结论路径式早期康复护理可以促进心脏搭桥患者术后恢复,提高心脏搭桥患者运动能力,减轻其焦虑和抑郁心理,提高生活质量,降低并发症发生率。

Objective To explore the application effects of path-based early rehabilitation care in patients with cardiac bypass surgery.Methods A total of 100 cardiac bypass patients admitted to Nanyang Central Hospital from January 2020 to June 2021 were selected as the research objects,and they were divided into observation group(50 cases)and control group(50 cases)according to the random number table.The observation group received path-based early rehabilitation care,and the control group received conventional rehabilitation care.The postoperative recovery,quality of life,self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score and postoperative complications were compared between the two groups.Results The time to get out of bed,exhaust time and hospital stay in the observation group were lower than those in the control group(P<0.05),and the results of the 6-minute walk test(6MWT)were better than those in the control group(P<0.05).SAS and SDS score of the observation group were lower than those of the control group after treatment(P<0.05).The physical function,mental function,living habits and social function of the observation group were higher than those of the control group after treatment(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion Path-based early rehabilitation care can promote the postoperative recovery of cardiac bypass patients,improve the exercise capacity,reduce their anxiety and depression,improve the quality of life,and reduce the incidence of complications.