Application of progressive upper limb exercise rehabilitation in patients with permanent pacemaker implantation
10.3761/j.issn.0254-1769.2025.19.006
- VernacularTitle:渐进式上肢运动康复在心脏起搏器植入患者中的应用研究
- Author:
Jia FENG
1
;
Linlin ZHENG
1
;
Cuimei SHAO
1
;
Suwei ZHENG
1
;
Xiaofang YAO
1
;
Dan PENG
1
;
Jianping SONG
1
Author Information
1. 310009 杭州市 浙江大学医学院附属第二医院护理部
- Publication Type:Journal Article
- Keywords:
Pacemaker Implantation;
Upper Limb Exercise;
Multi-Process Action Control Framework;
Compliance;
Rehabilitation Nursing
- From:
Chinese Journal of Nursing
2025;60(19):2340-2347
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the intervention effects of a progressive upper limb exercise rehabilitation program based on the multi-process action control theory on upper limb function,rehabilitation compliance,and quality of life in patients with permanent pacemaker implantation(PPI).Methods A total of 130 patients scheduled for PPI from March to August 2024 were selected using a convenience sampling method.Among them,65 patients admitted from June to August were assigned to the experimental group,and 65 patients admitted from March to May formed the control group.The experimental group received the progressive upper limb exercise program in addition to routine care,while the control group received routine care only.The intervention lasted for 3 months.The differences were compared between the 2 groups in terms of primary outcome measures,including the Shoulder Pain and Disability Index(SPADI)and grip strength.The secondary outcome measures were the Quality of Life Instrument for Chinese Patients with Pacemaker(QLICPP),hospital stay and incidence of complications.Results A total of 122 patients(62 in the experimental group and 60 in the control group)completed this study.Repeated-measures analysis of variance showed significant interaction effects between time and group for the total SPADI score and its pain and disability dimensions,as well as for the physical function,psychological function,and total score of QLICPP(P＜0.001).Simple effects analysis indicated that the experimental group had better grip strength than the control group at l month postoperatively,and lower SPADI scores and total score than the control group at 1 and 3 months postoperatively.At 1 month postoperatively,the total QLICPP score and each dimension of the experimental group were higher than those of the control group(P＜0.05).There were no significant differences between the 2 groups in the incidence of complications and length of hospital stay(P＞0.05).Conclusion The progressive upper limb exercise rehabilitation program developed in this study effectively addressed the issue of low rehabilitation compliance in PPI patients,improved their upper limb function and quality of life,and it was safe.It provides a feasible and effective new pathway for the rehabilitation of PPI patients.
