Effect of preoperative adaptive exercise on postoperative discomfort and quality of life in patients with PCI via radial artery

Huang Qihua; Yan Jiachang; Fu Weiqing; Zhang Yuting

doi:10.3760/cma.j.issn.1673-4351.2018.13.002

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• 护理研究 •

术前预适应锻炼对经桡动脉PCI患者术后不适及生活质量的影响

国际护理学杂志, 2018,37(13) : 1733-1736. DOI: 10.3760/cma.j.issn.1673-4351.2018.13.002

摘要

目的

探讨术前预适应锻炼对经桡动脉PCI患者术后肢体肿胀、睡眠状况及生活质量的影响。

方法

将2015年10月～2016年10月于该院行经桡动脉PCI术的冠心病患者92例随机分为两组。对照组患者采用常规护理，观察组患者经桡动脉PCI术前进行预适应锻炼。对比两组患者肢体肿胀、睡眠状况及生活质量(QOL评分)等方面的差异。

结果

干预后，观察组患者QOL评分较对照组明显提高，差异有统计学意义(P<0.05)。术后3 d及术后5 d观察组患者的SSRS评分明显低于对照组，差异均有统计学意义(均P<0.01)。观察组患者的肢体肿胀情况明显得到改善，两组比较，差异有统计学意义(P<0.05)。观察组患者在经桡动脉PCI术后自我护理能力评分显著高于对照组，差异有统计学意义(P<0.01)。

结论

术前预适应锻炼有效提高经桡动脉PCI患者QOL评分及自理能力，改善其睡眠质量及肢体肿胀情况，值得临床推广使用。

引用本文: 黄奇花, 严家嫦, 傅为清, 等. 术前预适应锻炼对经桡动脉PCI患者术后不适及生活质量的影响 [J] . 国际护理学杂志,2018,37 (13): 1733-1736. DOI: 10.3760/cma.j.issn.1673-4351.2018.13.002

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版权归中华医学会所有。

未经授权，不得转载、摘编本刊文章，不得使用本刊的版式设计。

除非特别声明，本刊刊出的所有文章不代表中华医学会和本刊编委会的观点。

冠心病是许多国家的致死病因之一，主要因冠脉血管出现粥样硬化，造成血管管腔狭窄、阻塞，最终导致患者因供氧不足或心肌缺血而死亡^〔1〕。研究发现，通过直接经皮冠状动脉介入(Percutaneous Coronary Intervention，PCI)治疗可使患者的心脏功能得到一定改善。植入心脏支架不仅能够疏通闭塞血管，还可扩张狭窄血管腔，重建血液循环系统^〔2,3〕。但PCI患者若不进行持续性、长期专业的护理指导，其再次发病的概率为32%^〔4〕。同时PCI术后常导致患者一侧肢体疼痛、肿胀、瘀血、血肿及睡眠质量下降等现象^〔5〕。本研究通过对患者进行PCI术前预适应锻炼，增强其前臂血流，降低肢体肿胀程度，提高患者术后睡眠质量及生活质量，并对患者的术后自理能力有所改善，现报告如下。

贡献者信息

黄奇花

529000　广东省江门市人民医院心血管科

严家嫦

529000　广东省江门市人民医院心血管科

傅为清

529000　广东省江门市人民医院心血管科

张玉婷

529000　广东省江门市人民医院心血管科

关键词

PCI术; 预适应锻炼; QOL评分; 睡眠; 肢体肿胀;

历史

出版日期：2018-07-08

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腾悦

Research on Nursing

Effect of preoperative adaptive exercise on postoperative discomfort and quality of life in patients with PCI via radial artery

Huang Qihua, Yan Jiachang, Fu Weiqing, Zhang Yuting

Published 2018-07-08

Cite as Int J Nurs, 2018,37(13): 1733-1736. DOI: 10.3760/cma.j.issn.1673-4351.2018.13.002

Abstract

Objective

To explore the effect of preoperative adaptive exercise on postoperative limb swelling, sleep status and quality of life in patients with PCI via radial artery.

Methods

From October 2015 to October 2016, 92 patients with coronary heart disease who underwent PCI were randomly divided into two groups.The patients in the control group received routine nursing, and the patients in the observation group received preoperative adaptive exercise through radial artery PCI.The differences in limb swelling, sleep status and quality of life (QOL score) were compared between the two groups.

Results

After the intervention, the QOL score of the observation group was significantly higher than that of the control group, and the difference was statistically significant (P<0.05). The SSRS scores of the observation group were significantly lower than those of the control group at 3 days and 5 days after operation, and the differences were statistically significant (P<0.01). Limb swelling was significantly improved in the observation group, and the difference between the two groups was statistically significant (P<0.05). The self-care ability score of patients in the observation group after PCI was significantly higher than that of the control group, and the difference was statistically significant (P<0.01).

Conclusions

The application of preconditioning exercise before PCI via radial artery surgery can improve the QOL score, self-care ability, sleep and limb swelling status of patients.It is worthy of clinical promotion.

Key words:

PCI postoperative; Preconditioning exercise; QOL score; Sleep; Limb swelling

Contributor Information

Huang Qihua

Department of Cardiovascular, the People's Hospital of Jiangmen, Jiangmen 529000, China

Yan Jiachang

Fu Weiqing

Zhang Yuting

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