心外科术后患者的早期康复护理流程管理
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广东省科学技术研究基金项目(A2019316)


Early rehabilitation nursing process management for ICU patients after cardiac surgery
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    目的 探讨康复护理小组进行流程管理在心脏外科ICU患者早期活动中的可行性及效果分析。方法 按住院时间先后将心外科术后入住ICU的患者分为对照组(158例)、观察组(127例)。对照组以常规床上康复运动为主,观察组由ICU康复护理管理团队制定针对心脏外科手术后ICU患者的早期渐进式分级活动流程,进行全程康复护理与质量控制。结果 观察组开始进行离床活动时间、ICU停留时间、术后住院时间与对照组比较,差异有统计学意义(P<0.05,P<0.01);观察组出ICU时的肌力评分显著高于术后(P<0.01)。结论 对心脏外科术后患者实施早期康复流程管理,有利于促进其康复进程。

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    Objective To explore the feasibility and effect of process management by a rehabilitation nursing team for early mobilization of ICU patients after cardiac surgery. Methods ICU patients after cardiac surgery were divided into a contro group of 158 cases and an intervention group of 127 cases based on the admission time. The control group was subjected to routine in-bed exercise, while the intervention group was managed by a rehabilitation nursing team, who was responsible for whole course rehabilitation and quality control, and formulated an early stepwise and progressive mobilization process. Results The intervention group took shorter time to achieve out-of-bed mobilizatipon, had shorter ICU stay,and post-operative hospital stay than the controls (P<0.05,P<0.01). The intervention group also had higher muscle strength at ICU discharge than after the surgery (P<0.01). Conclusion Rehabilitation process management for ICU patients after cardiac surgery can promote recovery of patients.

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隆韩燕,杨洁,李水金,钟杏,黄梓贤,吴岚.心外科术后患者的早期康复护理流程管理[J].护理学杂志,2020,35(6):1-4

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  • 收稿日期:2019-10-19
  • 最后修改日期:2019-12-05
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  • 在线发布日期: 2022-08-31