Nursing Department, The Affiliated Changzhou Second People's Hospital of Nanjing Medical University, Changzhou, Jiangsu Province, China.
Division of Cardiothoracic Surgery, The Affiliated Changzhou Second People's Hospital of Nanjing Medical University, Changzhou, Jiangsu Province, China.
Heart Surg Forum. 2023 Feb 10;26(1):E074-E080. doi: 10.1532/hsf.5249.
To investigate the effect of individualized cardiac rehabilitation (CR) on cardiac function, time consumption, and quality of life (QoL) in post-CABG patients.
Two different CR strategy: basic rehabilitation and individualized rehabilitation was designed. The patients were screened and randomized into the two groups: the basic rehabilitation group (BRG) and individualized rehabilitation group (IRG). Data, such as clinical characteristics, LVEF, 6MWD (6-min walk distance), BNP, LVEDD (left ventricular end diastolic dimension), SF-36 score, and time consumption were collected and recorded.
There was no difference between the IRG and BRG patients in the clinical characteristics. The 6MWD and LVEF on post-op significantly were higher, while BNP and LVEDD significantly was lower in the IRG than in BRG. The time to first out-of-bed activity, ICU stay time, and post-op hospital stay time of the IRG in post-op was significantly shorter than BRG. The IRG patients scored significantly higher on the SF-36.
Individualized CR is safe and can reduce the time consumption and improve the cardiac function and QoL of patients undergoing CABG.
研究个体化心脏康复（CR）对 CABG 术后患者心功能、时间消耗和生活质量（QoL）的影响。
设计了两种不同的 CR 策略：基础康复和个体化康复。对患者进行筛选和随机分组：基础康复组（BRG）和个体化康复组（IRG）。收集和记录临床特征、LVEF、6MWD（6 分钟步行距离）、BNP、LVEDD（左心室舒张末期内径）、SF-36 评分和时间消耗等数据。
IRG 和 BRG 患者在临床特征方面无差异。IRG 患者术后 6MWD 和 LVEF 显著升高，而 BNP 和 LVEDD 显著降低。IRG 患者术后首次下床活动时间、ICU 停留时间和术后住院时间明显短于 BRG。IRG 患者在 SF-36 上的评分显著更高。
个体化 CR 安全有效，可缩短时间消耗，改善 CABG 术后患者的心功能和 QoL。
