| 刘博淼,冯 雪,俞莞琦,江露莹,王 祎.以功能恢复为目标导向的多维度康复干预对心脏瓣膜置换术后患者康复效果的随机对照研究[J].中国康复医学杂志,2021,(4):431~436 |
| 以功能恢复为目标导向的多维度康复干预对心脏瓣膜置换术后患者康复效果的随机对照研究 点此下载全文 |
| 刘博淼 冯 雪 俞莞琦 江露莹 王 祎 |
| 中国医学科学院阜外医院心脏康复中心，北京市，100037 |
| 基金项目：阜外医院特色学科发展专项基金（零余额2019-F02） |
| DOI：10.3969/j.issn.1001-1242.2021.04.008 |
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| 摘要： |
| 摘要
目的：评估以功能恢复目标为导向的多维度康复干预模式对瓣膜置换术后患者在住院期间的康复疗效。
方法：将40例拟行心脏瓣膜置换术患者分为干预组和对照组，每组各20例。对照组将进行常规标准化康复干预，干预组将进行以功能恢复目标为导向的康复干预措施，方案的实施分为目标制定、目标执行、目标反馈三个阶段，出院时进行疗效评价。主要结果指标为出院时6min步行距离，次要结果指标为活动功能达标时间、术后住院时长、功能独立性评定。
结果：与对照组相比，干预组患者出院时6min步行距离明显延长（P<0.01），活动功能达标时间明显缩短（P<0.05），术后住院时长明显缩短（P<0.05），功能独立性明显增加（P<0.05）。
结论：心脏瓣膜术后进行以功能恢复目标为导向的多维度康复干预措施，可以改善患者出院时的功能活动能力，减少住院时间，促进心脏功能的恢复。 |
| 关键词：以功能恢复为目标导向的多维度康复干预 围术期康复 功能独立性 |
| Effects of goal-directed multi-dimensional rehabilitation intervention on functional recovery in patients after cardiac valve replacement： a randomised controlled trial research Download Fulltext |
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| National Center for Cardiovascular Diseases and Fuwai Hospital， Beijing，100037 |
| Fund Project: |
| Abstract: |
| Abstract
Objective： To investigate the effect of goal-directed multi-dimensional rehabilitation intervention on functional recovery of patients after cardiac valve replacement during hospital stay.
Method： Forty patients who underwent cardiac valve replacement were recruited and conducted a randomized controlled study. They were divided into intervention group and control group with 20 cases in each group. The control group accepted a routine standardized rehabilitation intervention， whereas the intervention group accepted functional recovery directed multi-dimensional rehabilitation intervention. Three stages were designed for the programs： goal setting， execution and feedback， outcome evaluation on discharge. Walk distance in 6-minute walk test was regarded as primary outcome parameter. Secondary outcome parameters consisted of the duration reaching certain standards，length of hospital stay after surgery， and FIM score.
Result： Patients of the intervention group walked obviously longer distance in the 6-minute walk test (P<0.01)， took shorter time to meeting the standards (P<0.05) and shorter hospital stay after surgery (P<0.05). They improved the FIM score significantly more(P<0.05) as comparing with the control group when discharged from the hospital.
Conclusion： The goal-directed multi-dimensional rehabilitation intervention is benificial to patients after cardiac valve surgery， such as improvement in FIM score and 6 minutes walk test, and shorter stay in hospital. |
| Keywords:goal-directed multi-dimensional rehabilitation intervention perioperative rehabilitation functional independence |
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