文献类型：期刊文献

中文题名：经桡动脉行经皮冠状动脉介入治疗术后早期不同下床时间的对比研究

英文题名：A comparative study of different early time of getting out of bed after transradial percutaneous coronary interventions

作者：张丽[1];王瑞[1];乔丽娟[2];徐晓东[1];狄婷[1];龚亚慧[1]

第一作者：张丽

机构：[1]甘肃中医药大学附属医院心血管三科,兰州730000;[2]甘肃省妇幼保健院(甘肃省中心医院)小儿综合内科,兰州730030

第一机构：甘肃中医药大学第二附属医院

年份：2024

卷号：40

期号：18

起止页码：1361

中文期刊名：中国实用护理杂志

外文期刊名：Chinese Journal of Practical Nursing

收录：CSTPCD;;Scopus

基金：甘肃省卫生健康行业科研资助项目(GSWSHL2020-15);甘肃中医药大学附属医院科研及技术创新基金资助项目(gzfy-2021-22)。

语种：中文

中文关键词：桡动脉;血管成形术,经腔,经皮冠状动脉;早日下床活动;临床疗效

外文关键词：Radial artery;Angioplasty,balloon,coronary;Early ambulation;Clinical effect

摘要：目的对比经桡动脉行经皮冠状动脉介入治疗(PCI)术后1 h下床与术后12 h下床的临床疗效,为PCI术后早期安全下床提供依据。方法采用类实验研究方法,以目的抽样法选取甘肃中医药大学附属医院心血管中心2022年7月至2023年5月经桡动脉行PCI术的患者84例,采用随机数字表法分为对照组和试验组各42例。对照组给予术后12 h下床活动方案,试验组给予术后1 h下床活动方案。比较2组患者干预前后生命质量、日常生活自理能力等指标,并比较2组患者干预后康复满意度。结果2组最终各有42例患者完成本研究。对照组男24例,女18例,年龄(66.08±6.78)岁;试验组男22例,女20例,年龄(68.03±7.17)岁。2组患者干预前生命质量、日常生活自理能力、心脏不良事件比较差异均无统计学意义(均P>0.05)。试验组患者干预后生命质量在躯体功能、社会关系、情感功能、环境领域评分分别为(77.20±4.17)、(42.40±3.71)、(68.10±4.74)、(76.90±4.38)分,高于对照组的(74.50±3.91)、(40.20±3.94)、(67.70±3.88)、(74.35±3.41)分,2组比较差异均有统计学意义(t值为2.17~2.98,均P<0.05)。试验组患者干预后日常生活自理能力在修饰、进食、穿衣、如厕、上下楼梯、床椅转移、平地行走方面评分分别为(4.62±1.33)、(6.37±2.26)、(8.00±2.48)、(6.25±2.46)、(4.62±2.08)、(10.12±3.09)、(10.50±3.54)分,高于对照组的(4.06±1.96)、(5.75±1.79)、(6.37±2.26)、(5.25±1.10)、(3.37±2.62)、(8.75±2.19)、(8.87±2.11)分,2组比较差异均有统计学意义(t值为2.29~3.30,均P<0.05)。试验组患者干预后康复满意度在康复治疗效果、团队专业水平、康复治疗安排方面的评分分别为(4.55±0.50)、(4.82±0.38)、(4.77±0.42)分,高于对照组的(4.20±0.64)、(4.47±0.64)、(4.40±0.81)分,2组比较差异均有统计学意义(t=2.69、2.96、2.59,均P<0.05)。结论经桡动脉行PCI术后1 h下床活动是安全、有效的,可以显著提高患者的生命质量、日常生活自理能力和康复满意度,有望在临床中推广使用。
Objective To compare the clinical efficacy of 1 h and 12 h getting out of bed after transradial percutaneous coronary intervention(PCI),and to provide evidence for early safe getting out of bed after PCI.Methods The quasi-experimental method was used in this study.A total of 84 patients undergoing radial artery PCI in the Cardiovascular Center of the Affiliated Hospital of Gansu University of Chinese Medicine from July 2022 to May 2023 were selected by purpose sampling method,and were divided into the control group and the experimental group by random number table method,with 42 patients in each group.The control group was given 12 h post-operative getting out of bed activity program,and the experimental group was given 1 h post-operative getting out of bed activity program.The quality of life and self-care ability of daily life were compared before and after intervention.Besides patients′rehabilitation satisfaction was compared after intervention.Results Ultimately there were 42 patients in each group completed the research.In the control group,there were 24 males,18 females,aged(66.08±6.78)years old;in the experimental group there were 22 males,20 females,aged(68.03±7.17)years old.Before intervention,there were no significant differences in quality of life,self-care ability of daily life and adverse cardiac events between 2 groups(all P>0.05).After intervention,the scores of quality of life in physical function,social relationship,emotional function and environment were(77.20±4.17),(42.40±3.71),(68.10±4.74)and(76.90±4.38),respectively.Higher than(74.50±3.91),(40.20±3.94),(67.70±3.88),(74.35±3.41)in the control group,the differences between the two groups were statistically significant(t values were 2.17-2.98,all P<0.05).The scores of daily self-care ability in grooming,eating,dressing,going to the toilet,going up and down stairs,bed chair transfer and flat walking were(4.62±1.33),(6.37±2.26),(8.00±2.48),(6.25±2.46),(4.62±2.08),(10.12±3.09),(10.50±3.54)points,higher than the control group(4.06±1.96),(5.75±1.79),(6.37±2.26),(5.25±1.10),(3.37±2.62),(8.75±2.19),(8.87±2.11)points.The differences between the two groups were statistically significant(t values were 2.29-3.30,all P<0.05).The scores of rehabilitation satisfaction of experimental group in rehabilitation treatment effect,team professional level and rehabilitation treatment arrangement were(4.55±0.50),(4.82±0.38),(4.77±0.42)points,respectively,which were higher than(4.20±0.64),(4.47±0.64),(4.40±0.81)points of control group.The differences between the two groups were statistically significant(t=2.69,2.96,2.59,all P<0.05).Conclusions Getting out of bed 1 h after radial artery PCI is safe and effective,which can significantly improve patients′quality of life,self-care ability and satisfaction.It is expected to be clinically promoted and trialed.