透過您的圖書館登入
IP:34.205.246.61
  • 期刊

心臟復健運動對心瓣膜置換病患日常活動進展之探討

The Effectiveness of Cardiac Rehabilitation on the progress of the Activities of Daily Living for the Valve Replacement Patient

若您是本文的作者,可授權文章由華藝線上圖書館中協助推廣。

摘要


心臓復健運動雖然已在國外推展多年且成果斐然,但目前內臨床上,有關心瓣臘疾病患者之心臓復健運動計劃之研究仍相當有限。本研究的目的在探討心臓復健運動計劃對協助心瓣膜置換病患,早日恢復自我照顧及執行日常活動的勇力的影響。 本研究採實驗法,依選樣條件選取50名心瓣膜置換病患,隨機分派至實驗組及對照組各25名。實驗組病患住院期間接受「心臓復健運動方案」訓練,以協助執行日常活動,對照組病患則完全衣其個人需要操作日常活動。兩組病患於住院期間,出院後第一週、一個月、二個月、三個月回院複診時,接受問卷會談,以追蹤其日常活動進展狀況。 本研究統計資料分析採用卡方檢定、t-test檢定、重覆測量之變異數分析、Duncans test,研究結果顯示,(1)實驗組病患平均於術後1.6天開始執行心臟復健運動計劃,約6天可完成,(2)實驗組病患住院期間達2.5METs及3.0METs日常活動量所需的日數均比對照組爲短。(3)實驗組病患的日常活動完成率比對照組高,費力症狀出現率比對照組低。(4)實驗組病患住院期間延後執行日常活動的人數、較對照組少。(5)實驗組病患出院前達3.5METs最高日常活動量的人數較對照組顯著的多。(6)實驗組病患出院後第一週、一個月、二個月、三個月的日常活動量進展均較對照組高。 本研究結果可提供臨床護理人員協助心瓣膜置換病患執行心臟復健運動時之準則。

並列摘要


Cardiac rehabilitation programs (CRP) have been developed for many years and the effectiveness of CRP is also demonstrated. However, current research on cardiac rehabilitation program for the patients with valve disease is still limited in our country. The purpose of this study was to investigate the effects of the CRP on improving self-care and the progress of the activities of daily living to the patients with valve replacement. A Quasi-experimental design was conducted in this study. Fifty patients with valve replacement who met the inclusion criteria were selected and were divided into the experimental (N=25) and control (N=25) groups. An intervention under CRP guidance to improve the activities of daily living was given to the experimental group. The control group performed the activities of daily living based on their needs without the guidance of CPR. The progress of activities of daily living was measured by face to face interview during hospitalization and at the first week, first month, second month, and third month after discharge from the hospital. Data were analyzed using Chi-square, t-test, Repeated measure ANOVA, and Duncans test. The results indicated that; (1) In experimental group, patient began the CRP within 1.6 days after operation, and accomplished CRP within 6 days. (2) In experimental group, length of day to perform the daily activities of 2.5 METS and 3.0 METs was shorter than control group. (3) In experimental group, the rate of accomplishment of activities of daily living was more than control group, and the rate of accompanied exertion symptoms was less than control group. (4) In experiimental group, the rate of delay to perform activities of daily living was less than control group. (5) There was a significant difference between two groups in the daily activities of 3.5 METs during hospitalization. (6) There was a significant difference between two groups in the progress of daily activities at the first week, first month, second month, and third month after discharge from the hospital. This finding of this study may of for an guidance for the clinical staff to assist patients with valve replacement to perform CRP.

被引用紀錄


劉憲璁(2010)。即時行為模式辨識與評估系統之研製〔碩士論文,國立臺北科技大學〕。華藝線上圖書館。https://doi.org/10.6841%2fNTUT.2010.00043
Hsu, C. J. (2015). 使用深度資訊之即時人體動作辨識系統演算法開發與架構設計 [master's thesis, National Taiwan University]. Airiti Library. https://doi.org/10.6342%2fNTU.2015.11369
侯冠宇(2013)。以界面活性分子分離去氧核醣核酸結構之研究〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342%2fNTU.2013.02181
郭雯芳(2011)。探討冠狀動脈繞道手術後病患身體功能的改變〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342%2fNTU.2011.01892
陳玉蘭(2001)。冠狀動脈繞道術病患接受住院期跑步機心臟復健運動計劃成效之探討〔碩士論文,臺北醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0007-1704200714450785

延伸閱讀