The intervention effect of early mobilization combined with respiratory function training on elderly patients after coronary artery bypass surgery
早期下床活动联合呼吸功能训练对老年冠脉搭桥术后患者干预的效果

摘要

目的 探析老年冠脉搭桥术后患者采取早期下床活动联合呼吸功能训练的效果。方法 将天津市某三级甲等医院近1年内（2024年1月-2025年1月）收治的54例老年冠脉搭桥术患者作为此次研究对象，根据护理方法不同分为常规组及试验组，其中前者采取常规护理，后者行早期下床活动联合呼吸功能训练，每组27例。以运动功能、呼吸功能评价2组护理效果。结果 运动功能指标显示，试验组Rivermead运动指数、6min步行距离显优（P＜0.05）。呼吸功能指标显示，试验组脉血氧分压（PaO₂）、用力肺活量（FVC）、第一秒用力呼气容积（FEV₁）及深吸气量（IC）显优（P＜0.05）。结论 老年冠脉搭桥术后患者采取早期下床活动联合呼吸功能训练可有效改善患者的运动功能及呼吸功能，此种方法值得推广。

Abstract

Objective To explore the effect of early mobilization combined with respiratory function training in elderly patients after coronary artery bypass surgery.
Methods 54 elderly patients undergoing coronary artery bypass surgery admitted to Tianjin Chest Hospital in the past year (January 2024 January 2025) were selected as the study subjects. They were divided into a routine group and an experimental group according to different nursing methods. The former received routine nursing care, while the latter received early mobilization combined with respiratory function training, with 27 patients in each group. Evaluate the nursing effects of two groups based on their motor function and respiratory function.
Results The exercise function indicators showed that the experimental group had significantly better Rivermead exercise index and 6-minute walking distance (P<0.05). The respiratory function indicators showed that the experimental group had significantly better pulse oxygen partial pressure (PaO₂), forced vital capacity (FVC), forced expiratory volume in one second (FEV₁), and deep inspiratory capacity (IC) (P<0.05).
Conclusion   Early mobilization combined with respiratory function training can effectively improve the motor and respiratory functions of elderly patients after coronary artery bypass surgery, and this method is worth promoting.