|
|
|
| Effect of early rehabilitation intervention on postoperative complications and recovery time in the nursing of patients with dissection of aorta operation |
| MENG Zhen |
| Department of Gastroenterology, Provincial Hospital Affiliated to Shandong First Medical University, Shandong Province, Jinan 250021, China |
|
|
|
Abstract Objective To explore the effect of early rehabilitation intervention in the nursing of patients with dissection of aorta operation. Methods A total of 85 patients with dissection of aorta received surgical treatment in Provincial Hospital Affiliated to Shandong First Medical University from February 2020 to February 2021 were selected and divided into routine group and intervention group by random number table method. The routine group (42 cases) received routine postoperative nursing, intervention group (43 cases) received early rehabilitation intervention on the basis of the control group. The degree of postoperative pain, negative emotion, occurrence of common postoperative complications, and recovery process of the two groups were observed after one week of intervention. Results After intervention, the scores of pain, Hamilton anxiety scale, and Hamilton depression scale in two groups were lower than those before intervention, and the intervention group was lower than the conventional group, the differences were statistically significant (P＜0.05). The total incidence of postoperative complications in the intervention group was lower than that in the conventional group, the difference was statistically significant (P＜0.05). The time of postoperative ventilator offline, first time out of bed, intensive care unit stay, drainage tube extraction, urinary tube extraction, and hospital stay in the intervention group were all shorter than those in the conventional group, and the differences were statistically significant (P＜0.05). Conclusion Early rehabilitation intervention in postoperative nursing of patients with aortic dissection can significantly reduce the degree of postoperative pain, improve the psychological state of patients, reduce complications and accelerate the speed of postoperative rehabilitation.
|
|
|
|
|
|
[1] 范金铭，于佳宁，李佳珊，等.主动脉夹层不同DeBakey分型患者病史及临床特征比较分析[J].中国医药科学，2020，10（18）：164-167.
[2] 邹磊，章淬，宋晓春，等.亚低温治疗对急性Stanford A型主动脉夹层患者围术期炎症反应及预后影响的随机对照试验[J].中国胸心血管外科临床杂志，2019，26（3）：222- 228.
[3] 秦荣凤，朱先玲，王海平，等.Stanford A型主动脉夹层术后并发脊髓损伤早期康复介入研究[J].中华胸心血管外科杂志，2020，36（8）：489-492.
[4] 罗贤彪，李昌柳，黄东挺，等.早期介入综合康复方案用于脑梗死偏瘫患者治疗效果研究[J].中国医药科学，2020， 10（11）：236-239.
[5] 葛翼鹏，里程楠，钟永亮，等.急性Stanford A型主动脉夹层肾动脉受累分型与肾功能关系的临床研究[J].中国胸心血管外科临床杂志，2019，26（9）：870-873.
[6] Robert OB. BRAUNWALD心脏病学[M].北京：人民卫生出版社，2016：808-809.
[7] 陆小英，赵存凤，张婷婷，等.“长海痛尺”在疼痛评估中的应用[J].解放军护理杂志，2003（4）：6-7.
[8] 张明园.精神科评定量表手册[M].长沙：湖南科学技术出版社，2003：35-39.
[9] 陈圆圆，叶星，颜峰平.主动脉夹层压迫冠状动脉致猝死1例[J].法医学杂志，2020，36（6）：876-877.
[10] 赵俊，胡晓鸿，李静，等.主动脉夹层术后一过性谵妄患者护理方案的制订及实践[J].中华护理杂志，2019，54（1）：60-63.
[11] 周荃，黄素芳.主动脉夹层病人便秘影响因素及护理措施研究进展[J].护理研究，2020，34（10）：1745-1749.
[12] 张舵，周雁荣，刘娟，等.主动脉夹层术前家属代理决策现状及影响因素的研究[J].解放军护理杂志，2021，38（12）：53-56.
[13] 柳亚男，赵春艳，孙玉肖.心脏康复护理评估工具的研究进展[J].中国护理管理，2021，21（1）：115-119.
[14] 武艳妮，王蓉，栾春红，等.急性心肌梗死PCI术后患者基于5A模式的早期心脏康复护理[J].护理学杂志，2021， 36（5）：5-9.
[15] 建红，李晓姝，韩淳，等.A型主动脉夹层患者术后急性呼吸功能不全护理干预的研究进展[J].中华护理杂志，2020，55（4）：553-557.
[16] 葛伟婷，刘飞跃，姚惠萍.心脏术后患者ICU早期康复锻炼的最佳证据总结[J].护理学杂志，2021，36（23）：85- 89.
[17] 韦秀霞，张亚军，李青荷，等.心脏外科手术患者ICU过渡期护理清单的设计及应用[J].中华护理杂志，2019， 54（8）：1170-1175.
[18] 何书萍，石静华，罗昌韦，等.早期康复路径对急性脑梗塞患者功能恢复影响的系统评价[J].现代预防医学，2019， 46（4）：764-768.
[19] 王珂，乔博，李峰，等.Stanford A型主动脉夹层术后VAP危险因素[J].中国感染控制杂志，2021，20（6）：557-561.
[20] 喻雪飞，董柱，张本，等.急性Stanford A型主动脉夹层术后感染的危险因素分析及预防策略[J].临床心血管病杂志，2021，37（8）：758-763.
[21] 生伟，栾天，池一凡，等.急性Stanford A型主动脉夹层术后急性肾功能损伤的危险因素分析[J].中国胸心血管外科临床杂志，2019，26（1）：67-72.
[22] 王暾，舒畅.腹主动脉夹层的诊断和治疗现状[J].中国普通外科杂志，2020，29（6）：649-653.
[23] 姜文翔，吴进林，丘俊涛，等.Stanford A型主动脉夹层患者手术后发生急性肾损伤且行连续性肾脏替代治疗的危险因素分析[J].中国循环杂志，2020，35（6）：579- 583.
[24] 程继芳，项海燕.复杂胸主动脉夹层钬激光原位三开窗腔内修复术患者的护理[J].护理学杂志，2021，36（5）：42-44.
[25] 陆树洋，姚王超，黄奔，等.妊娠合并急性Stanford A型主动脉夹层：单中心治疗经验及文献回顾[J].中华胸心血管外科杂志，2021，37（1）：14-17. |
|
|
|
