早期康复护理在人工心脏起搏器植入术后患者中的应用效果

Application effects of early rehabilitation nursing in patients after artificial cardiac pacemaker implantation

目的:观察早期康复护理在人工心脏起搏器植入术后患者中的应用效果。方法:选取2019年2月至2021年6月该院收治的72例人工心脏起搏器植入术后患者进行前瞻性研究,按随机数字表法将其分为对照组和观察组各36例。对照组采用常规护理,观察组在对照组基础上采用早期康复护理,比较两组并发症发生率、首次下床活动时间、术后住院时间、术前和出院时生命质量[世界卫生组织生存质量测定量表(WHOQOL-100)]、术后3个月肩关节功能优良率。结果:观察组并发症发生率为5.56%(2/36),低于对照组的33.33%(12/36),差异有统计学意义(P<0.05);观察组首次下床活动时间和术后住院时间均短于对照组,差异有统计学意义(P<0.05);出院时,两组WHOQOL-100评分均高于术前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组肩关节功能优良率为97.22%(35/36),高于对照组的77.78%(28/36),差异有统计学意义(P<0.05)。结论:早期康复护理可降低人工心脏起搏器植入术后患者并发症发生率,缩短首次下床活动时间和术后住院时间,提高生命质量评分和肩关节功能优良率,效果优于单纯常规护理。

Objective:To observe application effects of early rehabilitation nursing in patients after artificial cardiac pacemaker implantation.Methods:A prospective study was conducted on 72 patients after artificial cardiac pacemaker implantation admitted to this hospital from February 2019 to June 2021.They were divided into control group and observation group according to the random number table method,36 cases in each group.The control group was given routine nursing,while the observation group was given the early rehabilitation nursing on the basis of that of the control group.The incidence of complications,the first out-of-bed activity time,the postoperative hospitalization tine,the quality of life before the surgery and at discharge[world health organization quality of life scale(WHOQOL-100)],and the excellent and good rate of shoulder joint function 3 months after the surgery were compared between the two groups.Results:The incidence of complications in the observation group was 5.56%(2/36),which was lower than 33.33%(12/36)in the control group,and the difference was statistically significant(P<0.05).The first out-of-bed activity time and the postoperative hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).At discharge,the WHOQOL-100 scores of the two groups were higher than those before the surgery,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the excellent and good rate of shoulder joint function in the observation group was 97.22%(35/36),which was higher than 77.78%(28/36)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The early rehabilitation nursing on the basis of the routine nursing can reduce the incidence of complications after artificial cardiac pacemaker implantation,shorten the first out-of-bed activity time and the postoperative hospitalization time,and improve the quality of life scores and the excellent rate of shoulder joint function.Moreover,it is superior to single routine nursing.