Exploring the impact of early cardiac rehabilitation combined with progressive nursing on ICU patients after heart valve replacement
探究早期心脏康复联合渐进式护理对心脏瓣膜置换术后ICU患者的影响

摘要

目的 探讨早期心脏康复联合渐进式护理应用于心脏瓣膜置换术后ICU患者的临床效果。方法 选取2024年1月-2024年12月本院收治的心脏瓣膜置换术后转入ICU监护患者15例，随机分为两组，其中对照组（7例）单纯给予早期心脏康复护理，观察组（8例）在对照组基础上联合渐进式护理。结果 观察组机械通气时间、ICU住院时间、生命体征稳定时间、胸腔引流管拔除时间P=0.052＞0.05，无统计学差异；干预后左心室射血分数、6分钟步行距离高于对照组，Borg疲劳评分、并发症发生率均低于对照组（P＜0.05）。结论 早期心脏康复联合渐进式护理可有效缩短心脏瓣膜置换术后ICU患者机械通气及住院时间，改善心功能与运动耐力，降低并发症发生率，值得临床推广。

Abstract

Objective To explore the clinical effect of early cardiac rehabilitation combined with progressive nursing in ICU patients after heart valve replacement.
Methods A total of 15 patients admitted to our hospital from January 2024 to December 2024 who were transferred to ICU for monitoring after heart valve replacement were selected and randomly divided into two groups. The control group (7 cases) was given only early cardiac rehabilitation nursing, while the observation group (8 cases) was given progressive nursing on the basis of the control group.
Results In the observation group, the mechanical ventilation time, ICU stay time, vital sign stabilization time, and thoracic drainage tube removal time showed no statistically significant difference (P = 0.052 > 0.05). After intervention, the left ventricular ejection fraction and 6-minute walking distance in the observation group were higher than those in the control group, while the Borg fatigue score and complication incidence were lower than those in the control group (P < 0.05).
Conclusion   Early cardiac rehabilitation combined with progressive nursing can effectively shorten the mechanical ventilation and hospital stay time of ICU patients after heart valve replacement, improve cardiac function and exercise tolerance, and reduce the incidence of complications, which is worthy of clinical promotion.