Systemic cardiopulmonary rehabilitation nursing for patients with coronary heart disease
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摘要: 目的 分析系统性心肺康复护理对冠心病患者心肺功能及生活质量的影响。 方法 选取2019年1月—2020年1月在本院就诊的124例冠心病患者为研究对象,根据康复期护理方案分为对照组58例和观察组66例。对照组患者给予常规护理方案,观察组患者给予系统性心肺康复护理干预。比较2组患者心肺功能［无氧阈(AT)、峰值氧脉搏、峰值氧摄取量、二氧化碳通气当量斜率(VE/VCO2)、6 min 步行试验(6MWD)］、生活质量及护理满意度。 结果 观察组患者干预后AT、峰值氧脉搏、峰值氧摄取量及6WMD均高于对照组患者, VE/VCO2低于对照组,差异有统计学意义(P<0.01)。2组患者干预后生活质量各维度评分均较干预前显著改善(P<0.01), 且观察组生理职能、社会功能、活力、情感职能、精神健康及总体健康评分均显著高于对照组(P<0.01)。观察组患者对护理的总满意率为98.48%, 显著高于对照组患者的86.20%(P<0.01)。 结论 冠心病患者康复期间应用系统性的心肺康复护理干预安全、有效,能改善患者心肺功能、运动耐力,提高患者生活质量。Abstract: Objective To analyze the influence of systemic cardiopulmonary rehabilitation nursing on cardiopulmonary function and quality of life in patients with coronary heart disease. Methods Totally 124 patients with coronary heart disease treated in our hospital from January 2019 to January 2020 were selected as research objects, and they were divided into control group(n=58)and observation group(n=66)according to different rehabilitation nursing program. Patients in the control group were treated with routine nursing program, while patients in the observation group were treated with systematic cardiopulmonary rehabilitation nursing intervention. Cardiopulmonary function indexes ［anaerobic threshold(AT), peak oxygen pulse, peak oxygen uptake, equivalent slope of carbon dioxide ventilation(VE/VCO2), 6-minute walk test(6MWD)］, quality of life and nursing satisfaction degree were compared between the two groups. Results After intervention, the AT, peak oxygen pulse, peak oxygen uptake and 6WMD of the observation group were significantly higher than those of the control group, and VE/VCO2 was significantly lower than that of the control group(P<0.01). After the intervention, the score of each dimension of quality of life in both groups significantly improved when compared with that before treatment(P<0.01), and the scores of physiological function, social function, vitality, emotional function, mental health and general health of the observation group were significantly higher than those of the control group(P<0.01). The total satisfaction degree of the observation group was 98.48%, which was significantly higher than 86.20% of the control group(P<0.01). Conclusion Systemic cardiopulmonary rehabilitation nursing intervention is safe and effective in treatment of patients with coronary heart disease during rehabilitation period, - which can improve cardiopulmonary function, exercise endurance and quality oflife.
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