冠脉搭桥术后患者下床活动时间的影响因素分析

摘要

目的 分析影响冠脉搭桥术后患者下床活动时间的相关因素.方法 收集166例冠脉搭桥术患者的病例资料进行单因素分析及多元线性回归分析,找出影响冠脉搭桥术后患者早期下床活动的因素.结果 患者术后下床活动时间为4～14 (8.31±2.36)d.多元线性回归分析显示,早期下床活动的影响因素为选择下肢大隐静脉作为血管桥、下肢肌力不足、疼痛、APACHEⅡ评分高、有腰部或下肢疾病史、术后发生应激性高血糖、取血管桥肢体切口水疱、肢体肿胀(P＜0.05,P＜0.01).结论 上述8项是影响冠脉搭桥术后患者下床活动时间较晚的重要因素,护理人员应针对个体不同影响因素加以干预,使之早期下床活动,促进康复.%Objective To analyze factors related to ambulation time after coronary artery bypass graft surgery (CABG).Methods Data of 166 patients undergoing CABG were collected and factors influencing early ambulation were analyzed.Results Ambulation was performed by patients at postoperative 4-14 (8.31± 2.36) d.Multivariate linear regression analysis showed that use of saphenous vein as a conduit,poor muscle strength of the lower extremity,pain,high APACHE Ⅱ score,history of waist or lowe-extremity diseases,postoperative stress hyperglycemia,blister at graft harvest site,and limb swelling were predictors of early ambulation (P＜0.05,P＜0.01).Conclusion These 8 factors affect early ambulation after CABG.Nursing staff should focus on the affecting factors and provide individualized intervention,thus to facilitate early ambulation and promote recovery.