康复护理干预在风湿性心脏病瓣膜置换术后对患者预后恢复的影响

Effect of Rehabilitation Nursing Intervention on the Prognosis of Patients with Rheumatic Heart Disease after Valve Replacement Surgery

目的探讨风湿性心脏病瓣膜置换手术患者给予康复护理干预后对其预后恢复产生的影响。方法随机选取金乡县人民医院于2019年2月—2023年5月收治的60例风湿性心脏病瓣膜置换手术患者为研究对象,按照投掷硬币法分为两组,参照组(30例)采用传统常规护理;研究组(30例)采用在传统护理基础上进行康复护理干预。对比两组风湿性心脏病瓣膜置换手术患者的生活质量评分、心理状态评分。结果护理后,研究组患者运动评分(89.17±3.12)分、生活自理评分(89.83±4.22)分、躯体疼痛感评分(88.55±4.23)分、精神状态评分(90.44±5.25)分、睡眠评分(90.33±5.25)分、食欲评分(90.65±2.25)分均高于参照组的(72.23±3.25)分、(70.55±5.21)分、(74.19±3.19)分、(80.33±5.25)分、(80.64±4.13)分、(80.25±2.58)分,差异有统计学意义(t=20.594、15.750、14.845、7.458、7.945、16.639,P均<0.05)。护理后,研究组焦虑自评量表评分、抑郁自评量表评分低于参照组,差异有统计学意义(P均<0.05)。结论临床对风湿性心脏病瓣膜置换手术患者给予康复护理干预后,对于患者生活质量提高以及心理状态改善,可获得明显效果,从而促进风湿性心脏病瓣膜置换手术患者的良好预后。

Objective To investigate the effect of rehabilitation nursing intervention on the prognosis of patients with rheumatic heart disease valve replacement.Methods From February 2019 to May 2023,60 patients with rheumatic heart disease undergoing valve replacement surgery in Jinxiang County People's Hospital were randomly selected as the research objects.They were divided into two groups according to the coin tossing method.The reference group(30 cases)received traditional routine nursing;the study group(30 cases)was treated with rehabilitation nursing intervention on the basis of traditional nursing.The quality of life scores and psychological status scores of patients with rheumatic heart disease undergoing valve replacement surgery were compared between the two groups.Results After nursing,the exercise score(89.17±3.12)points,self-care score(89.83±4.22)points,physical pain score(88.55±4.23)points,mental state score(90.44±5.25)points,sleep score(90.33±5.25)points,and appetite score(90.65±2.25)points in the study group were higher than those in the reference group(72.23±3.25)points,(70.55±5.21)points,(74.19±3.19)points,(80.33±5.25)points,(80.64±4.13)points,(80.25±2.58)points,and the differences were statistically significant(t=20.594,15.750,14.845,7.458,7.945,16.639,all P<0.05).After nursing,the scores of self-rating anxiety scale and self-rating depression scale in the study group were lower than those in the reference group,and the differences were statistically significant(both P<0.05).Conclusion Clinical rehabilitation nursing intervention for patients with rheumatic heart disease valve replacement surgery can improve the quality of life and mental state of patients,so as to promote the good prognosis of patients with rheumatic heart disease valve replacement surgery.