早期动员对接受心脏手术的老年患者的影响
İsmail Ceylan1, Azhar Hassan Mhmood2, Raed Qadri Khudhair Al-Janabi2
1Department of Hand Rehabilitation, School of Physical Therapy and Rehabilitation, Kirsehir Ahi Evran University, Kirsehir, Turkey. fztceylan@gmail.com.
早期动员计划显著改善老年心脏病患者手术后的平衡,功能和生活质量. 与常规治疗相比,这种方法可以提高身体活动水平和恢复.
科学领域:
- 老年心脏病学 老年心脏病学
- 术后康复 术后康复
- 物理疗法物理治疗
背景情况:
- 早期动员对于手术后心脏病患者的改善结果至关重要.
- 在老年心脏病患者中实施早期动员具有独特的挑战.
- 标准的康复方案可能无法完全满足这一群体的需求.
研究的目的:
- 设计和评估适用于接受冠状动脉旁路移植 (CABG) 手术的老年患者的早期动员计划.
- 评估该计划对身体功能,平衡和生活质量的影响.
主要方法:
- 一项随机临床试验,涉及100名CABG手术后的老年患者 (≥65岁).
- 患者被分配到早期动员组 (A组) 或常规治疗组 (B组).
- 评估包括简短形式的国际体育活动问卷 (SF-IPAQ),时间和时间 (TUG),2分钟的步行测试 (2MWT) 和短时间的体育性能电池 (SPPB).
主要成果:
- 早期动员组 (A组) 与常规组 (B组) (123.4 ± 8.48 m) 相比,早期动员组 (A组) 的平均步行距离 (135.6 ± 9.29 m) 显著增加.
- A组的SF-IPAQ平均得分 (556.16 ± 91.47) 与B组 (389.44 ± 85.7) 相比较高,表明身体活动增加 (P < 0.001).
- 在SF-IPAQ和2MWT之间发现了强烈的正相关性 (r=0.957),在早期动员组中,在2MWT和TUG之间发现了显著的负相关性 (r=-0.768).
结论:
- 设计的早期动员计划有效地提高了老年心脏病患者的平衡,功能能力和生活质量.
- 建议早期动员和功能炼,以改善这种患者群体的康复和结果.
- 该研究强调了针对老年心脏手术患者量身定制的康复策略的重要性.
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