开展心脏康复护理的动力因素分析

目的 通过对临床医院在循环内科工作过的护土的调查，分析了护理人员开展心脏康复护理的动力因素，以探讨临床护理人员实施心脏康复护理的可行性。方法了以Pender的健康促进模式为理论框架，自行设计问卷，并对曾在循环内科工作过的注册护士进行问卷调查。结果 总动力因素均数为高水平，动力因素的子因素均数水平按降序排列依次为：自身工作的成就感；对新知识的渴望；乐于同其他医务人员合作；可获得更高评价及医院行政部门要求。结论 为了调动护理人员开展心脏康复的积极性，在护理实践、护理行政答理、及护理教育方面应制定相应措施。     

心脏康复护理专家共识

目的形成《心脏康复护理专家共识》（以下简称《共识》）,规范医疗机构心脏康复护理相关工作。方法 在全面回顾国内外心脏康复相关指南、专家共识、系统评价、原始研究等文献及相关疾病诊疗方案、管理共识等相关文献的基础上,形成《共识》初稿,并邀请心血管领域的临床护理、医疗以及护理管理等相关领域专家开展专家论证。结果 共邀请37名专家开展了3轮专家论证,对初稿进行修改和完善,形成终版《共识》,包括心脏康复护理工作目标,心脏康复护士资质、培训、核心能力与职责,心脏康复护理工作内容,心脏康复护理质量管理,心脏康复患者安全管理5个方面。结论 《共识》是在综合专家意见及心脏康复相关指南、共识及临床研究基础上形成,可为医疗机构开展心脏康复护理工作提供参考。     

影响护理人员开展心脏康复护理的阻力因素调查

目的分析影响护理人员开展心脏康复护理的因素。方法对我校两所临床医院 13 4名在循环内科护士进行调查 ,运用多因素统计分析。结果阻力因素总平均分数为中等水平。其中包括 :无现存的正规临床心脏康复计划 ;缺乏心脏康复护理知识 ;缺乏心脏康复仪器设备 ;缺乏其他医务人员的支持 ;对心脏康复认识不足等。结论应改进护理临床实践、护理行政管理及护理教育以将阻力因素降低到最少。     

影响非手术治疗腰椎间盘突出症患者康复的相关因素分析

目的：对影响腰椎间盘突出症患康复因素的问卷调查，了解腰椎间盘突出症患的认知缺陷。方法：选择2001-07／2002-01深圳市宝安区中医院康复理疗科门诊腰椎间盘突出症患40例，利用调查问卷记录可能影响腰椎间盘突出症康复的有关项目，以腰部功能障碍问卷评定腰椎间盘突出症患康复疗效，分析两关系。结果：4例在治疗过程中失访，90％(36例)完成问卷调查。①腰椎间盘突出症的发病年限和发病次数与其康复效果显相关。②不同年龄，化程度，病变节段，是否有腰椎间盘突出症家族史及对腰椎间盘突出症了解程度不同的患，其康复效果之间也有显差异。③67％的患存在着对腰椎间盘突出症相关康复知识的认知缺陷。结论：非手术治疗的腰椎间盘突出症患的康复结果受到生理、社会、疾病本身等多种因素影响，并与多数患存在着对腰椎间盘突出症知识认知的缺陷有关。     

颞骨创伤性面神经瘫痪康复的相关因素分析

目的通过总结分析与颞骨创伤性面瘫康复相关的因素,进一步提出合理的康复诊断及治疗方案。方法对196例颞骨创伤性面瘫的临床资料进行回顾性分析,结果采用单因素及多因素统计学处理。结果影响面瘫康复的因素很多,根据康复结果将各种影响康复因素综合归纳成3组。Ⅰ组:轻度、中度面瘫,失神经支配Ⅰ度、Ⅱ度,药物减压70例,其中临床康复61例(87.1%)。良好康复9例(12.9%)。Ⅱ组:重度面瘫,失神经支配Ⅲ度,行面神经减压术,药物减压,无耳聋87例,临床康复60例(69.0%),良好康复26例(29.9%),有效康复1例(1.1%)。Ⅲ组:重度面瘫,失神经支配Ⅲ度,面瘫4个月后行面神经减压术,晚期药物减压、耳聋39例,有效康复27例(69.2%),不良康复12例(30.8%)。Ⅰ组和Ⅱ组临床康复率间差异有非常显著性意义(χ2=7.2525,P<0.01)。Ⅱ组和Ⅲ组有效康复及不良康复率间差异有非常显著性意义(χ2=121.4779,P<0.001)。结论面瘫程度及失神经支配程度是康复诊断的基本指标,早期面神经减压术是提高康复水平的重要有效方法。     

影响非手术治疗腰椎间盘突出症患者康复的相关因素分析

目的:对影响腰椎间盘突出症患者康复因素的问卷调查,了解腰椎间盘突出症患者的认知缺陷。方法:选择2001-07/2002-01深圳市宝安区中医院康复理疗科门诊腰椎间盘突出症患者40例,利用调查问卷记录可能影响腰椎间盘突出症康复的有关项目,以腰部功能障碍问卷评定腰椎间盘突出症患者康复疗效,分析两者关系。结果:4例在治疗过程中失访,90%(36例)完成问卷调查。①腰椎间盘突出症的发病年限和发病次数与其康复效果显著相关。②不同年龄,文化程度,病变节段,是否有腰椎间盘突出症家族史及对腰椎间盘突出症了解程度不同的患者,其康复效果之间也有显著差异。③67%的患者存在着对腰椎间盘突出症相关康复知识的认知缺陷。结论:非手术治疗的腰椎间盘突出症患者的康复结果受到生理、社会、疾病本身等多种因素影响,并与多数患者存在着对腰椎间盘突出症知识认知的缺陷有关。     

心脏康复护理新进展

目前,心脏康复已经成为世界卫生组织为控制心血管疾病而制定策略的重要组成部分。心脏康复的目的不仅是训练因为心血管疾病而致残的患者改善其心脏功能和使其适应环境,而且帮助患者主动改变自己的生活方式并介入到患者所处的环境和社会中去,最终提高心血管患者的生活质量。为了     

心脏康复理念融入心血管疾病临床护理教学中的实践分析

目的 探究心脏康复理念融入心血管疾病临床护理教学中的价值。方法 选取 2021 年 6 月至 2022 年 6 月之间期间 60 名 于我院学习的护理人员作为研究对象。以随机法将护理人员分为观察组和对照组,每组 30 例。对照组采用传统护理教学;观 察组将心脏康复理念融入护理教学。分析对比两组的教学效果、护理质量以及自我效能和考试成绩。结果 观察组的理论学习 和实践学习成绩均明显好于对照组（P<0.05）。观察组的基本护理、护理安全和病区管理水平均明显优于对照组（P<0.05）。观 察组的护理满意度显著高于对照组（P<0.05）。观察组的考试成绩、自我效能评分均显著高于对照组（P<0.05）。结论 将心脏康 复理念引入到心血管疾病的临床护理教学中,能提升护生的理论知识考核、实践技能考核成绩,提升护生的自我效能,工作质 量和患者的护理满意度。     

心脏康复研究的最新进展

心脏康复医学是一门发展中的科学，它的理论与实践处于起步阶段，为适应心血管医学发展的需求，要掌握心脏临床医学的发展动向，并突出本学科特点的优势，发展成为心血管医学中重要的组成部分。心脏康复的研究有着广阔的应用前景，其研究成果将丰富康复医客心血管临床医学。     

心脏康复研究进展

心脏康复( cardiac rehabilitation,CR)是心血管疾病的治疗策略之一,效益成本比高,已做为心血管疾病治疗的Ⅰa类推荐[1-2].CR的获益在各类心血管疾病患者中得到证实,包括心肌梗死、冠脉搭桥术后、心脏瓣膜修补术后、冠脉介入术后、稳定型心绞痛、慢性稳定性心力衰竭、心脏移植术后、心律失常及重度高血压...     

心脏康复研究的最新进展

心脏康复医学是一门发展中的科学,它的理论与实践处于起步阶段,为适应心血管医学发展的需求,要掌握心脏临床医学的发展动向,并突出本学科特点的优势,发展成为心血管医学中重要的组成部分。心脏康复的研究有着广阔的应用前途,其研究成果将丰富康复医学和心血管临床医学。     

A realist study of the mechanisms of cardiac rehabilitation

AIM: The aim of this paper is to report patients' experiences of cardiac rehabilitation and perceptions of the mechanisms and contexts influencing its long-term effectiveness. BACKGROUND: Cardiac rehabilitation programmes for the secondary prevention of coronary heart disease are common. The effects of these programmes, however, can be inconsistent and little is known of the personal and contextual factors that influence service effectiveness. METHOD: Forty-seven participants with a formal diagnosis of coronary heart disease who had attended a programme of cardiac rehabilitation in Scotland 3 years previously were included in focus groups to discuss their perceptions and experiences (30 males and 17 females). The data were generated in 2002 and analysed using the realist approach of Pawson and Tilley (1997). RESULTS: Participants' accounts indicated that the didactic content of cardiac rehabilitation was not strongly linked to longer-term health behaviour change. The main positive effects of cardiac rehabilitation were related to the effect of participation on mediating social and body-focused mechanisms that were triggered when the rehabilitation setting was perceived to be safe. Social mechanisms identified included social comparisons, camaraderie, and social capital. Body-focused mechanisms included greater knowledge of personal physical boundaries and a greater trust in the heart-diseased body. Collectively, these mechanisms had a positive effect on confidence that was perceived as being imperative to maintain health behaviour change. CONCLUSIONS: More support is required to promote health behaviour change after the completion of cardiac rehabilitation. Use of community-based exercise services and conventional or web-based support groups for coronary heart disease patients should be encouraged, as these appear to extend the positive health effects of the mechanisms that promote behaviour change. At the completion of cardiac rehabilitation programmes, patients should be referred to safe and appropriate community-based exercise services. Further research is needed to examine the effects on health outcomes of mechanisms and contexts related to cardiac rehabilitation.     

Perceptions of illness as predictive factors for perceived stress in patients participating in a cardiac rehabilitation program

Psychosocial risk factors, such as perceived stress, not only increase the risk of cardiovascular disease, but also act as barriers for treatment adherence and cardiac rehabilitation. In this study, we examined the predictive role of perceptions for illness to perceived stress in Iranian patients participating in a cardiac rehabilitation program. A cross‐sectional study was conducted in 2017 to determine correlations of demographic variables and domains of illness perception with perceived stress, and to develop a predictive model for perceived stress. In total, 150 patients with cardiovascular disease, who were admitted to a cardiac rehabilitation center, completed the questionnaires. (i) demographic and health‐related characteristics; (ii) the Perceived Stress Scale‐14; and (iii) the Brief Illness Perception Questionnaire. The mean perceived stress was 16.2 (8.4), and five illness perception subscales – timeline, personal control, treatment control, understanding and emotional response – were associated with increased perceived stress. Variables in the multi‐variate predictive model accounted for 48% of the total variance in perceived stress. The results demonstrated the value of assessing and managing the patients' perceptions of illness to reduce their perceived stress, which could support adherence to cardiac rehabilitation programs.     

心脏瓣膜术后患者的康复护理探讨

目的探讨康复护理、康复运动训练对心脏瓣膜术后患者的疗效。方法对 2 6例心脏瓣膜术后患者进行全面身心评定 ,制定个体康复护理措施 ,进行 2 0天康复运动训练 ,同时做好心理康复、健康教育。结果经康复运动训练和康复护理后 ,患者的心功能提高 1— 2级 ;运动负荷提高、运动时间延长 (P<0 .0 1) ,安静状态下及运动时间、负荷相等时的心率、血压、心率—血压二项乘积 ,以及心电图 S- T段压低幅度明显改善 (P<0 .0 1— 0 .0 5 )。结论康复护理及运动训练可以减少心脏瓣膜术后患者的并发症 ,增加心脏贮备能力 ,降低心肌耗氧量 ,改善心肌缺血 ,提高患者的心肺功能和生活质量。     

日本宇都宫济生会病院心脏康复护理见闻

心脏康复护理在发达国家已开展多年,为了促进中国心脏康复护理的发展,笔介绍日本宇都宫济生会病院的心脏康复模式及康复护理内容,包括急性期(住院期,患在病区内进行床旁活动及散步,提高有氧运动能力)、恢复期(出院后的早期门诊,患在门诊心电监护下进行康复锻炼)、维持期(重返工作期,患独立进行康复锻炼,并能掌握活动进度)不同阶段的康复内容,供国内同行参考。     

脑卒中康复护理实施现状及其影响因素的调查分析

目的调查脑卒中康复护理实施现状及其影响因素。方法自行设计脑卒中康复护理现状调查问卷,对813名护士进行问卷调查。结果 813名调查对象中对自己所分管的每例患者均实施康复的占38.38%;Logistic回归分析显示,学历、缺乏相关专业知识与技能、护士是否有必要实施康复护理,患者或家属认为不需要、患者或家属主动配合意识差、医院等级、工作繁忙、缺乏康复指引、效果评价及康复护理路径10个因素是护士实施康复护理的影响因素(P0.01或P0.05)。结论影响护士康复护理实施的因素是多方面的,应根据影响因素从宏观角度进行把控,采取多维度的干预措施,提高康复护理实施率。     

Influences on women's participation in cardiac rehabilitation.

The purpose of this study was to compare the cardiac rehabilitation referral and enrollment rates of men and women eligible for cardiac rehabilitation. A review of 202 hospital charts found that men and women were equally likely to be referred for cardiac rehabilitation, but women were significantly less likely to enroll (p < 0.05). Ten women who did not enroll and 20 women who did enroll were interviewed to determine factors that influenced their participation in the program. Major motives for enrolling included a desire to improve one's health and the strength of the physician's recommendation. Barriers to enrollment included concern for family members, transportation problems, physical limitations, and expense. Surprisingly, all of the women who did not enroll showed an interest when contacted after they were discharged from the hospital. Based on the findings of this study, it was recommended that cardiac rehabilitation staff telephone women after they are discharged to answer questions, clarify misconceptions, and encourage enrollment in a cardiac rehabilitation program.     

心理护理和康复锻炼对脑梗死患者血清黏附因子及炎性因子的影响

目的探讨心理护理和康复锻炼对脑梗死患者血清黏附因子和炎性因子的影响、分析疗效变化。方法将110例患者以双盲法1∶1随机分为2组,分别采用常规护理和康复锻炼及心理护理和针对性康复,比较2组疗效及血清黏附因子、炎性因子变化。结果经治疗后,观察组有效率为87.27%,对照组为81.19%,2组患者疗效存在差异(P0.05);干预后观察组s ICAM(469.8±84.5)mg/L,低于对照组(514.3±29.5)mg/L,差异具有统计学意义(P0.05);2组IL-6、IL-8和TNF-α均下降,与干预前相比差异有统计学意义(P0.05),且观察组下降程度大于对照组(P0.05)。结论心理护理和针对性康复锻炼能够改善脑梗死患者血清黏附因子和炎性因子水平,提高脑梗死患者临床疗效。     

国内老年康复护理研究热点与研究趋势的可视化分析

目的 通过可视化图谱挖掘国内老年康复护理的研究热点和研究趋势.方法 以中国知网数据库为检索平台,运用CiteSpace软件对建库至2019年12月15日收录的老年康复护理相关文献进行可视化分析.结果 国内老年康复护理文献量呈上升趋势.该领域研究热点包括脑卒中、吞咽障碍、患肢、髋关节、髋关节置换术、针灸、生活质量、功能锻...