CAJ | 학술논문

入选2011年6月—2012年6月行心脏瓣膜手术47例患者,在常规护理的基础上增加Ⅰ期心脏康复治疗.采用美国心脏协会推荐的心脏康复7步法配合日常生活训练,同时给予系列健康教育.本组100%患者在术后24~48 h,能在床上做主动及被动四肢运动;95%患者术后5~6 d能进行椅上活动,尝试自行到洗手间解大、小便;91%患者术后8~10 d可到洗手间进行各种清洗,恢复日常生活活动.本组实施康复锻炼过程中,13例患者心脏康复运动从第5步跨到第7步;5例患者从第3步跨到第5步;2例患者于术后第10天急性心功能衰竭发作,病情稳定后,康复运动从第5步倒退到第3步,但都能完成全部康复步骤.没有1例出现急性心功能衰竭发作或伤口裂开、大出血等并发症.认为康复运动七步法能帮助患者尽快恢复身心健康,改善术后心脏功能;但在实施过程中,离不开护士的专业支持与监测,既要细心观察、灵活掌握训练方法,又要了解患者的心理,在保障安全的前提下,及时鼓励和帮助患者.
입선2011년6월—2012년6월행심장판막수술47례환자,재상규호리적기출상증가Ⅰ기심장강복치료.채용미국심장협회추천적심장강복7보법배합일상생활훈련,동시급여계렬건강교육.본조100%환자재술후24~48 h,능재상상주주동급피동사지운동;95%환자술후5~6 d능진행의상활동,상시자행도세수간해대、소편;91%환자술후8~10 d가도세수간진행각충청세,회복일상생활활동.본조실시강복단련과정중,13례환자심장강복운동종제5보과도제7보;5례환자종제3보과도제5보;2례환자우술후제10천급성심공능쇠갈발작,병정은정후,강복운동종제5보도퇴도제3보,단도능완성전부강복보취.몰유1례출현급성심공능쇠갈발작혹상구렬개、대출혈등병발증.인위강복운동칠보법능방조환자진쾌회복신심건강,개선술후심장공능;단재실시과정중,리불개호사적전업지지여감측,기요세심관찰、령활장악훈련방법,우요료해환자적심리,재보장안전적전제하,급시고려화방조환자.
This paper introduced phraseⅠof cardiac rehabilitation for 47 patients undergoing heart valve surgery from June 2011 to June 2012. In addition to routine nursing, phrase Ⅰ of cardiac rehabilitation was introduced. The seven-steps of cardiac rehabilitation recommended by American Heart Association with daily activity training and a set of health education were offered to the patients. Most patients after the rehabilitation training could perform their daily life and no severe complications occurred by rehabilitation training. Thus, the patients can not only improve their heart functions after surgery and prevent postoperative complications but shorten the hospital stay and then improve their quality of life.