康复延伸个体化管理对行经导管主动脉瓣置换术老年患者生活质量的影响

Effect of individual management of rehabilitation extension on quality of life in elderly patients after transcatheter aortic valve replacement

目的探讨康复延伸个体化管理对行经导管主动脉瓣置换术(TAVR)老年患者生活质量的影响。方法选取2019年6月至2020年6月于首都医科大学附属北京安贞医院行TAVR的120例老年患者,根据护理干预的不同分为观察组和对照组,各60例。观察组行康复延伸个体化管理,对照组行常规护理。比较2组手术前后健康状况调查简表(SF-36)评分。结果2组术前SF-36中各项评分比较差异均无统计学意义(均P>0.05)。术后1、3个月,观察组生理机能、生理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能、精神健康及健康变化评分均高于术前,且均高于相同时点对照组[术后3个月:85(75,95)分比80(75,95)分、75(50,100)分比50(50,100)分、90(80,100)分比80(80,100)分、90(80,100)分比80(80,100)分、80(60,85)分比60(50,75)分、90(85,100)分比80(80,100)分、100(67,100)分比67(33,100)分、84(68,96)分比72(60,84)分、100(50,100)分比75(50,100)分],差异均有统计学意义(均P<0.05)。结论康复延伸个体化管理能够明显改善TAVR术后老年患者的生活质量。

Objective To investigate effect of individual management of rehabilitation extension on quality of life in elderly patients after transcatheter aortic valve replacement(TAVR).Methods From June 2019 to June 2020,120 elderly patients who underwent TAVR in Beijing Anzhen Hospital,Capital Medical University were enrolled.Patients were divided into observation group and control group according to different nursing methods,with 60 cases in each group.The observation group was given individual management of rehabilitation extension,and the control group was given routine nursing.The score of the MOS item short form health survey(SF-36)was compared between the two groups before and after operation.Results There were no significant differences in preoperative scores for each item in SF-36 between the two groups(all P>0.05).One and three months after treatment,scores of physical functioning,role-physical,bodily pain,general health,vitality,social functioning,role-emotional mental health,and reported health transition in the observation group were higher than those before operation,and were higher than those in the control group at same time points[3 months after operation:85(75,95)vs 80(75,95),75(50,100)vs 50(50,100),90(80,100)vs 80(80,100),90(80,100)vs 80(80,100),80(60,85)vs 60(50,75),90(85,100)vs 80(80,100),100(67,100)vs 67(33,100),84(68,96)vs 72(60,84),100(50,100)vs 75(50,100)](all P<0.05).Conclusion Individual management of rehabilitation extension can improve the quality of life in elderly patients after TAVR significantly.