儿童心脏病康复计划的核心组成部分
Ana Ubeda Tikkanen1,2,3,4, Joshua Vova5, Lainie Holman6
1Department of Pediatric Rehabilitation, Spaulding Rehabilitation Hospital, Boston, MA, United States.
Frontiers in pediatrics
|June 19, 2023
概括
儿科心脏康复计划可以改善先天性心脏病儿童的生活质量. 推个性化,多学科的计划来增强功能和减少并发症.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 康复医学 康复医学 康复医学
- 生活质量研究 研究 生命质量研究
背景情况:
- 越来越关注改善先天性心脏病 (CHD) 的儿科患者的护理,功能和生活质量.
- 随着手术死亡率的下降,术后发病率和生活质量是关键的质量指标.
- 影响儿科心血管疾病生活质量的因素包括疾病本身,手术,并发症和治疗,影响运动,认知和心理社会领域.
研究的目的:
- 为儿科心脏康复计划制定基于证据和实践的指南.
- 增强患有心脏病的儿童的功能能力和生活质量.
- 为了解决关于儿科心脏康复的有限文献.
主要方法:
- 召集了来自主要机构的多学科专家团队.
- 为住院和门诊儿科心脏康复机构制定了指导方针.
- 建议个性化,多学科的康复计划.
主要成果:
- 准则是由一个多学科专家团队创建的.
- 建议的课程包括医疗管理,神经心理学,护理,治疗 (身体,职业,语言,养) 和运动训练.
- 关注个性化和多学科的方法.
结论:
- 为改善生活质量,提出了个性化,多学科的儿科心脏康复计划.
- 这些计划旨在增强功能并减少患有心脏病的儿童的并发症.
- 进一步的研究和实施这些指南对于儿科心血管疾病护理至关重要.
相关概念视频
Cardiomyopathy V: Interprofessional Care
18
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
18
Restorative Care
2.0K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.0K
Cardiomyopathy II: Dilated Cardiomyopathy
12
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
12
Heart Failure VI: Adjunct Therapies
17
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
17
Pathophysiology of Cardiac Performance
712
Typical heart performance is influenced by heart rate, rhythm, myocardial contraction, and metabolism or blood flow. The cardiac muscle exhibits distinct electrophysiological features, including pacemaker activity and calcium channel control, which play a vital role in the heart's response to various drugs. The autonomic nervous system, comprising the sympathetic and parasympathetic branches, regulates heart rate. Sympathetic activation increases heart rate, while parasympathetic activation...
712
Cardiomyopathy VII: Pre and Post Operative Nursing Management
16
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
16


