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    马寒香, 杨洁, 纵瑞洁, 马翔, 张成鑫. “NEW”预康复策略在冠状动脉旁路移植术老年病人中的应用[J]. 蚌埠医科大学学报, 2024, 49(7): 943-947. DOI: 10.13898/j.cnki.issn.1000-2200.2024.07.023
    引用本文: 马寒香, 杨洁, 纵瑞洁, 马翔, 张成鑫. “NEW”预康复策略在冠状动脉旁路移植术老年病人中的应用[J]. 蚌埠医科大学学报, 2024, 49(7): 943-947. DOI: 10.13898/j.cnki.issn.1000-2200.2024.07.023
    shu
    MA Hanxiang, YANG Jie, ZONG Ruijie, MA Xiang, ZHANG Chengxin. Application value of "NEW" pre-rehabilitation strategy in elderly patients treated with coronary artery bypass grafting[J]. Journal of Bengbu Medical University, 2024, 49(7): 943-947. DOI: 10.13898/j.cnki.issn.1000-2200.2024.07.023
    Citation: MA Hanxiang, YANG Jie, ZONG Ruijie, MA Xiang, ZHANG Chengxin. Application value of "NEW" pre-rehabilitation strategy in elderly patients treated with coronary artery bypass grafting[J]. Journal of Bengbu Medical University, 2024, 49(7): 943-947. DOI: 10.13898/j.cnki.issn.1000-2200.2024.07.023
    shu

    “NEW”预康复策略在冠状动脉旁路移植术老年病人中的应用

    Application value of "NEW" pre-rehabilitation strategy in elderly patients treated with coronary artery bypass grafting

      摘要
    • 摘要:
      目的 探讨“NEW”预康复策略在老年冠状动脉旁路移植术病人中的应用。
      方法 选取行开胸冠状动脉旁路移植术的84例老年病人为研究对象，根据入院时间先后分为观察组和对照组，各42例。对照组实施常规术前护理，观察组实施“NEW”预康复策略。比较2组病人6MWT结果、Barthel评分、焦虑评分、抑郁评分、PSQI评分、ICU住院时间、术后首次下床时间及总住院时间。
      结果 出院时，2组Barthel评分和6MWT均高于干预前(P＜0.05)，且观察组Barthel评分和6MWT均高于对照组(P＜0.05和P＜0.01)。出院时，2组焦虑评分、抑郁评分和PSQI评分均低于干预前(P＜0.01)，且观察组焦虑评分、抑郁评分和PSQI评分均明显低于对照组(P＜0.01)。观察组病人ICU住院时间、术后首次下床时间及住院总时间均明显短于对照组(P＜0.01)。
      结论 “NEW”预康复策略可以提升老年冠状旁路移植术病人术后的心肺功能和日常活动能力，改善心理和睡眠状态，缩短康复进程。

       

      Abstract:
      Objective To investigate the application value of "NEW" pre-rehabilitation strategy in elderly patients treated with coronary artery bypass grafting.
      Methods A total of 84 elderly patients treated with thoracotomy CABG were selected as the study subjects, and divided into the observation group and control group(42 cases in each group) according to the time of admission.The control group received the routine preoperative nursing, and the observation group received "NEW" pre-rehabilitation strategy.The results of 6MWT, Barthel score, anxiety score, depression score, PSQI score, length of ICU stay, first time of getting out of bed and total length of stay were compared between two groups.
      Results At discharge, the Barthel score and 6MWT in two groups were higher than those before intervention(P<0.05), and the Barthel score and 6MWT in the observation group were higher than those in control group(P<0.05 and P<0.01).At discharge, the anxiety scores, depression scores and PSQI scores in two groups were lower than those before intervention(P<0.01), and the anxiety scores, depression scores and PSQI scores in the observation group were significantly lower than those in control group(P<0.01).The length of ICU stay, first time of getting out of bed and total length of hospital stay in the observation group were significantly shorter than those in control group(P<0.01).
      Conclusions The "NEW" pre-rehabilitation strategy can improve the cardiopulmonary function and daily activity ability, psychological state and sleep state, and shorten the rehabilitation process in elderly patients after coronary bypass grafting.

       

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