住院期康复治疗对心脏外科手术后患者生存质量和心理状态的影响

发布时间：2018-04-05 04:33

本文选题：心脏外科手术　切入点：住院期心脏康复　出处：《中国康复医学杂志》2017年06期

【摘要】：目的:探讨住院期心脏康复对心脏外科手术后患者生存质量、心理状态及住院时间的影响。方法:纳入符合标准的心脏瓣膜病、冠心病患者50例,按随机数字表法随机分成康复组(26例)和对照组(24例)。对照组在常规术前及术后临床治疗的基础上,予以术前教育和术前呼吸指导;康复组在对照组的基础上,行术后住院期心脏康复治疗。两组干预前后均行简明健康调查问卷SF-36评估和综合医院焦虑抑郁量表(HADS)评估,并观察两组患者的住院时间。结果:干预后,康复组SF-36评分在PF、BP、GH、VT、MH 5个维度上明显优于对照组(P0.05),在RP、SF、RE 3个维度上与对照组相比差异无显著性意义(P0.05);HADS焦虑评分明显低于对照组(P0.05),抑郁评分也明显低于对照组(P0.05);康复组的住院时间(15.08±2.77d)较对照组(18.42±3.39d)显著缩短,差异有显著性意义(P0.01)。结论:住院期心脏康复可以明显改善心脏外科术后患者的生存质量和心理状态,缩短住院时间。
[Abstract]:Objective: to investigate the effects of cardiac rehabilitation on the quality of life, psychological status and hospitalization time after cardiac surgery.Methods: 50 patients with coronary heart disease were randomly divided into rehabilitation group (n = 26) and control group (n = 24).The control group received preoperative education and preoperative respiratory guidance on the basis of routine preoperative and postoperative clinical treatment, while the rehabilitation group received post-operative cardiac rehabilitation in hospital on the basis of the control group.Before and after intervention, the patients in the two groups were assessed with SF-36 and HADS-based comprehensive hospital anxiety and depression scale, and the hospitalization time of the two groups was observed.Results: after intervention,The scores of SF-36 in the rehabilitation group were significantly better than those in the control group in five dimensions (P 0.05), but there was no significant difference in the three dimensions between the rehabilitation group and the control group (P 0.05). The anxiety score of the rehabilitation group was significantly lower than that of the control group (P 0.05), and the depression score was significantly lower than that of the control group (P 0.05).The hospitalization time of group A (15.08 卤2.77d) was significantly shorter than that of control group (18.42 卤3.39d).The difference was significant (P 0.01).Conclusion: cardiac rehabilitation during hospitalization can significantly improve the quality of life and psychological state of patients after cardiac surgery, and shorten the hospitalization time.
【作者单位】：中南大学湘雅医院康复科;
【基金】：湖南省发展和改革委员会科研项目(20121521) 湖南省科技厅项目(2013SK5076)
【分类号】：R493;R654.2

【相似文献】