The First Affiliated Hospital of Army Medical University, Chongqing 400000, China.
Comput Math Methods Med. 2022 Mar 30;2022:2894755. doi: 10.1155/2022/2894755. eCollection 2022.
To explore the mechanism of intensive care of the heart after thoracoscopic surgery.
104 patients with severe cardiac disease were selected after thoracoscopic surgery in our hospital, received nursing care after surgery, and divided into control group ( = 53) and research group ( = 51) according to different nursing methods. Before nursing, the research group carried out targeted nursing and prevention of postoperative complications. The quality of life, complications, anxiety, depression and satisfaction scores, 6-minute walking distance, self-care ability scores, and cardiac function were compared between the two groups.
Patients' quality of life scores improved significantly in both groups after treatment, but the increase was greater in the study group than in the control group ( < 0.05); the incidence of complications was 18.9% and 5.9% in the study and control groups, respectively, and the incidence of complications was lower in the study group than in the control group ( < 0.05); and the incidence of complications was lower in the study group than in the control group ( < 0.05). After care, patients' anxiety and depression scores were significantly lower, and satisfaction scores were significantly higher in both groups, with a greater change in the study group than in the control group ( < 0.05); after care, patients' 6-minute walking distance was significantly higher in both groups, with a greater change in the study group than in the control group ( < 0.05); after care, LVEF indicators were significantly higher, and LVESD and LVED indicators were significantly higher, with a greater change in the study group than in the control group. After care, LVEF indexes increased significantly in both groups, while LVESD and LVED indexes decreased significantly in the study group, with a greater change than in the control group ( < 0.05); after care, systolic blood pressure and heart rate increased significantly in both groups, with a greater increase in the study group than in the control group ( < 0.05); after care, systolic blood pressure and heart rate increased significantly in both groups, with a more significant increase.
Targeted nursing for patients with severe cardiac disease after thoracoscopic surgery has a significant effect, which can improve patients' anxiety and depression, significantly improve patients' self-care ability and quality of life, and at the same time improve patients' cardiac function, heart rate, and blood pressure, with high patient satisfaction.
探讨胸腔镜手术后的心脏重症监护机制。
选择我院胸腔镜手术后重症心脏病患者 104 例，术后接受护理，根据不同护理方法分为对照组（n=53）和研究组（n=51）。护理前，研究组针对并发症进行有针对性的护理和预防。比较两组患者的生活质量、并发症、焦虑、抑郁和满意度评分、6 分钟步行距离、自理能力评分和心功能。
两组患者治疗后生活质量评分均明显提高，但研究组较对照组升高幅度更大（<0.05）；研究组和对照组的并发症发生率分别为 18.9%和 5.9%，研究组的并发症发生率低于对照组（<0.05）；护理后，两组患者焦虑、抑郁评分均明显降低，满意度评分均明显升高，研究组变化大于对照组（<0.05）；护理后，两组患者 6 分钟步行距离均明显升高，研究组变化大于对照组（<0.05）；护理后，LVEF 指标明显升高，LVESD 和 LVED 指标明显降低，研究组变化大于对照组（<0.05）；护理后，两组 LVEF 指标均明显升高，LVESD 和 LVED 指标均明显降低，研究组变化大于对照组（<0.05）；护理后，两组收缩压和心率均明显升高，研究组升高幅度大于对照组（<0.05）；护理后，两组收缩压和心率均明显升高，研究组升高幅度大于对照组（<0.05）。
对胸腔镜手术后重症心脏病患者进行有针对性的护理效果显著，能改善患者的焦虑和抑郁，显著提高患者的自理能力和生活质量，同时改善患者的心功能、心率和血压，患者满意度高。
