Construction and application of early phase Ⅰ cardiopulmonary rehabilitation program for patients with Type A aortic dissection
10.3761/j.issn.0254-1769.2024.09.002
- VernacularTitle:A型主动脉夹层患者Ⅰ期心肺康复护理方案的构建及应用
- Author:
Qianqian SI
1
;
Ying WANG
;
Fuyun ZHAO
;
Xiaoxiao MA
;
June LIU
Author Information
1. 100069 北京市,首都医科大学护理学院
- Keywords:
Type A Aortic Dissection;
Cardiopulmonary Rehabilitation;
Exercise Function;
Hypoxemia;
Rehabilitation Nursing
- From:
Chinese Journal of Nursing
2024;59(9):1037-1042
- CountryChina
- Language:Chinese
-
Abstract:
Objective To construct early phase Ⅰ cardiopulmonary rehabilitation program for patients with Type A aortic dissection and to evaluate its clinical effects.Methods From January 2021 to October 2022,type A aortic dissection patients of a tertiary hospital in Beijing was selected by the destination sampling.They were divided into a control group and an intervention group.The intervention group was given early phase Ⅰcardiopulmonary rehabilitation program for patients with type A aortic dissection and the control group was given routine care.The 6-minute walking experiment(6MWT),Borg subjective fatigue score,the first time out of bed,the incidence of hypoxemia and related complications,and the incidence of adverse events related to rehabilitation nursing were compared between the 2 groups.Results A total of 130 cases were selected,among which 20 cases were excluded because of surgical complications and self-withdrawal.A total of 110 cases were finally included,with 57 cases in the intervention group and 53 cases in the control group.The results of walking distance of 6MWT,Borg subjective fatigue score and incidence of hypoxemia had statistical significance between the 2 groups(P<0.05).The results of the time of the first time out of bed and the incidence of complications and the incidence of adverse events related to rehabilitation nursing had no statistical significance between the 2 groups(P>0.05).Conclusion Early phase Ⅰ cardiopulmonary rehabilitation program for patients with type A aortic dissection benefits the improvement of the motor function,the reduction of incidence of hypoxemia.