视频化手指操对冠状动脉介入治疗患者术后肢体症状及睡眠质量的影响

周静; 李妙男; 赵娜; 王冬梅; 谢影; 王教术; 曹家玉

doi:10.16766/j.cnki.issn.1674-4152.003094

视频化手指操对冠状动脉介入治疗患者术后肢体症状及睡眠质量的影响

doi: 10.16766/j.cnki.issn.1674-4152.003094

蚌埠医学院第一附属医院心内科，安徽蚌埠 233004

基金项目:

安徽高校自然科学研究项目 KJ2018A0219

详细信息

通讯作者:
周静, E-mail: bbyxyzhoujing@163.com

中图分类号: R473.54 R541.4
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出版历程
- 收稿日期: 2022-06-26
- 网络出版日期: 2023-08-28

Effect of video based finger exercises on postoperative limb symptoms and sleep quality in patients undergoing coronary intervention therapy

Department of Cardiology, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

摘要

摘要: 目的探讨视频化手指操对冠状动脉介入治疗术后患者的影响。方法选取2020年6月—2020年12月于蚌埠医学院第一附属医院心血管内科住院且行冠状动脉介入治疗的83例冠心病患者作为研究对象，按照随机数字表法随机分为观察组(42例)和对照组(41例)。对照组患者给予冠状动脉介入治疗术后常规的肢体康复锻炼指导的护理模式，指导患者做术侧手部握拳-松展运动；观察组患者给予冠状动脉介入治疗术后视频化手指操康复锻炼指导的护理模式，手术前1 d，责任护士通过317护网络平台把录制好视频的手指操推送患者或家属，然后再进行一对一面对面的手指操锻炼指导，手术前1 d指导患者练习手指操，手术当天回病房30 min后，指导患者开始做七步手指操，非睡眠时间每小时做1次，7个步骤各循环做10~20次，每次3~5 min，直至去除止血器。结果术后2 h术侧手掌肿胀程度，观察组患者手掌肿胀(20.70±1.74)cm，对照组为(21.49±1.73)cm；术后4 h观察组患者手掌肿胀(20.63±1.67)cm，对照组为(21.37±1.71)cm，差异有统计学意义(P < 0.05)；观察组患者在术后1、2、4、12 h术侧肢体疼痛均低于对照组，2组术后2 h术侧肢体疼痛比较差异有统计学意义(P < 0.05)；观察组患者术后24、48 h睡眠质量与对照组比较差异无统计学意义(P>0.05)。结论视频化手指操可以减轻经桡动脉路径行冠状动脉介入治疗患者术后术侧手掌肿胀程度及肢体疼痛，利于术后肢体恢复。
- 冠状动脉介入治疗 /
- 手指操 /
- 肿胀 /
- 疼痛 /
- 睡眠质量
Abstract: Objective To explore the effect of video based finger exercises on patients after coronary intervention therapy. Methods A total of 83 patients with coronary heart disease who were hospitalized in the Department of Cardiovascular, the First Affiliated Hospital of Bengbu Medical College from June 2020 to December 2020 and underwent coronary intervention therapy were selected as the study subjects. They were randomly divided into an observation group (42 cases) and a control group (41 cases) using a random number table method. The control group patients were given routine limb rehabilitation exercise guidance after coronary intervention therapy, guiding them to perform hand clenching and relaxation movements on the surgical side. The observation group patients were given a nursing model of video based rehabilitation exercise guidance for finger exercises after coronary intervention therapy. One day before the surgery, the responsible nurse pushed the recorded finger exercises to the patient or family members through the 317 nursing network platform, and then provided one-on-one finger exercise guidance. The patient was instructed to practice finger exercises one day before the surgery, and 30 minutes after returning to the ward on the day of surgery, the patient was instructed to start performing seven step finger exercises, did it every hour during non-sleep time, with 10-20 cycles in each of the seven steps, for 3-5 minutes each time, until the hemostat was removed. Results The degree of palm swelling on the surgical side was (20.70±1.74) cm in the observation group 2 hours after surgery, while it was (21.49±1.73) cm in the control group. After 4 hours of surgery, the palm swelling in the observation group was (20.63±1.67) cm, while it was (21.37±1.71) cm in the control group, with a statistically significant difference (P < 0.05). The observation group patients had lower limb pain on the surgical side at 1, 2, 4 and 12 hours after surgery compared to the control group, and there was significant statistical significance in limb pain on the surgical side at 2 hours after surgery (P < 0.05). There was no statistically significant difference in sleep quality between the two groups at 24 and 48 hours after surgery (P>0.05). Conclusion Video based finger exercises can reduce the degree of palm swelling on the surgical side and limb pain in patients undergoing coronary intervention via the radial artery route, which is conducive to the recovery of limbs after surgery.
- Coronary intervention /
- Finger exercise /
- Swelling /
- Pain /
- Sleep quality

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表 1 2组冠心病患者术后手掌的肿胀程度比较(x±s，cm)

Table 1. Comparison of postoperative swelling degree of the palms between the two groups of patients with coronary heart disease (x±s, cm)

组别	例数	术前	术后1 h	术后2 h	术后4 h	术后12 h
观察组	42	20.19±1.61	20.66±1.73^a	20.70±1.74^a	20.63±1.67^a	20.34±1.56^bcd
对照组	41	20.56±1.66	21.34±1.62^a	21.49±1.73^a	21.37±1.71^a	21.01±1.69^abcd
F值		1.031	1.847	2.074	1.994	1.877
P值		0.306	0.068	0.041	0.049	0.064
注：与术前比较，^aP < 0.05；与术后1 h比较，^bP < 0.05；与术后2 h比较，^cP < 0.05；与术后4 h比较，^dP < 0.05。

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表 2 2组冠心病患者术后术侧肢体疼痛程度比较(x±s，分)

Table 2. Comparison of postoperative extremity pain between the two groups of patients with coronary heart disease (x±s, points)

组别	例数	术后1 h	术后2 h	术后4 h	术后12 h
观察组	42	2.57±1.42	1.45±1.50^a	0.90±1.66^ab	0.31±1.30^abc
对照组	41	2.85±1.41	2.27±1.25	1.29±1.10^ab	0.73±0.98^abc
F值		0.901	2.702	1.256	1.659
P值		0.370	0.008	0.212	0.101
注：与术后1 h比较，^aP < 0.05；与术后2 h比较，^bP < 0.05；与术后4 h比较，^cP < 0.05。

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表 3 2组冠心病患者术后睡眠质量比较(x±s，分)

Table 3. Comparison of postoperative sleep quality between the two groups of patients with coronary heart disease (x±s, points)

组别	例数	术前	术后24 h	术后48 h
观察组	42	7.38±3.56	7.64±3.89	7.48±3.59
对照组	41	6.98±4.54	7.49±5.12^a	7.02±4.62^b
F值		0.447	0.151	0.507
P值		0.656	0.881	0.613
注：与术前比较，^aP < 0.05；与术后2 h比较，^bP < 0.05。

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