Abstract
Individualized early rehabilitation nursing in elderly patients with coronary heart disease
  
DOI:
EN KeyWords: elderly coronary heart disease  early rehabilitation nursing  individualized nursing care  stage I rehabilitation  length of hospital stay
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作者单位
王晓燕 沈阳医学院附属第二医院沈阳 110035 
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EN Abstract:
  Objective: Through individual early rehabilitation nursing for elderly patients with coronary heart disease (CHD), to explore the influence of early rehabilitation nursing on cardiac function and prognosis of patients with CHD, further explore the safe and effective individualized early rehabilitation nursing plan. Methods: 120 elderly patients with CHD were randomly divided into two groups, 60 cases in each group. Both groups were given the conventional drug treatment. In the first week, the patients in the control group were in bed, and in the second week activity gradually increased on the premise of bed rest. The patients in the treatment group were subjected to individualized rehabilitation plan for early rehabilitation. The auxiliary examination indexes, length of hospital stay, complications, daily life ability, and so on were compared between two groups before and after treatment. Results: After treatment, the myocardial enzymes, cardiac troponin I (TNI), and brain natriuretic peptide (BNP) levels were lower, and the LVEF was higher in the treatment group than in the control group (P<0.05). After treatment, the hospital stay and duration of vasodilators used in the treatment group were shorter than in the control group, and Barthe index was higher in the treatment group than in the control group (P<0.05). After treatment, there was no significant difference in left ventricular diastolic diameter, complications and hospitalization cost between two groups. Conclusion: The individualized early rehabilitation nursing plan was safe and feasible, which can effectively improve the heart function, and shorten hospital stay of patients with CHD.
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