高级检索

早期床旁运动干预在心脏手术后患者心脏康复中的应用效果

Early exercise intervention at the bedside in patients undergoing cardiac rehabilitation after cardiac surgery

  • 摘要:
    目的 评估早期床旁运动干预对心脏瓣膜手术后患者康复的影响。
    方法 纳入40例心脏瓣膜疾病患者,其中20例患者(49.05±3.728)岁术后第3、4、5天接受床旁运动干预(3 min/d,干预组),其余20例患者(47.95±3.214)岁未接受床旁运动干预(对照组)。术前进行心理教育,并通过标准化问卷简表对患者单独评估。通过指脉氧仪及6 min步行距离来评估心脏康复效果。
    结果 干预组心脏瓣膜患者术后3 d的SpO2水平高于对照组(P<0.05)。干预组术后5 d心率降至基线水平,低于对照组(P<0.05)。
    结论 初级床旁运动(3 min/d)可以提高SpO2、降低心率,进而改善患者基线状态,促进患者康复。

     

    Abstract:
    Objective To evaluate the effects of early exercise intervention in patients who have undergone primary isolated valve surgery.
    Methods Forty patients scheduled for mitral, aortic, and/or tricuspid valve surgery were allocated to receive a supervised exercise intervention consisting of cycling for 3 min/d at the bedside after operation (intervention group, n=20, mean age 49.05±3.728 years) or to receive no exercise intervention (control group, n=20, mean age 47.95 ± 3.214 years). Oxygen saturation (SpO2) was measured by pulse oximetry continuously before and after the 6-minute walk test. Psycho-educational counseling was provided, and patients were assessed using standard patient questionnaires.
    Results The arterial SpO2 level increased significantly in the intervention group after exercise compared with the control group (P < 0.05). Heart rate returned to baseline in the intervention group postoperatively and was significantly lower than that in the control group (P < 0.05).
    Conclusions A small amount of supervised cycling exercise at the bedside is a safe activity that may improve peripheral arterial SpO2 and reduce heart rate to the baseline level following longer distance walk before discharge in patients who have undergone isolated valve surgery.

     

/

返回文章
返回