Application of staged rehabilitation combined with structural psychological intervention in postoperative rehabilitation of children with congenital heart disease
10.3969/j.issn.1009-0754.2025.04.009
- VernacularTitle:阶段性结合结构式心理干预在先天性心脏病术后患儿康复中的应用
- Author:
Yun QIAN
1
;
Jie YIN
;
Mei CHEN
Author Information
1. 210019 江苏 南京,南京医科大学附属儿童医院心血管内科
- Keywords:
Congenital heart disease;
Postoperative rehabilitation;
Psychological intervention;
Treatment compliance
- From:
Journal of Navy Medicine
2025;46(4):357-361
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of staged rehabilitation combined with structural psychological intervention on postoperative rehabilitation of children with congenital heart disease.Methods The clinical data of 114 children with congenital heart disease who underwent surgical treatment in the Children's Hospital of Nanjing Medical University from February 2021 to June 2023 were retrospectively analyzed.According to postoperative nursing,the patients were assigned to control group(53 cases,routine nursing)and observation group(61 cases,staged rehabilitation combined with structural psychological intervention).Postoperative rehabilitation indexes(postoperative ICU stay time,continuous positive airway pressure[CPAP]time,total hospital stay),treatment compliance,negative emotion,and cardiac function indexes(left ventricular ejection fraction[LVEF],and left ventricular stroke volume[LVSV])were compared between the two groups.Results Postoperative ICU stay time,CPAP and total hospital stay in the observation group were shorter than those in the control group(all P<0.05).After 4 weeks of nursing intervention,the treatment compliance score,LVEF,and LVSV were increased in both groups,and the above indexes in the observation group were significantly higher than those in the control group(all P<0.05);the depression self-rating scale for children(DSRSC)score and screen for child anxiety related emotional disorders(SCARED)score were decreased in the two groups,and the scores in the observation group were significantly lower than those in the control group(all P<0.05).Conclusion The staged rehabilitation combined with structural psychological intervention can effectively ameliorate negative emotions,improve treatment compliance,and promote postoperative rehabilitation of children with congenital heart disease.
