The impact of rehabilitation nursing on early quality of life in patients after rheumatic heart disease valve replacement
康复护理对风湿性心脏病瓣膜置换术后患者早期生存质量的影响

摘要

目的 分析基于循证医学理念的综合性康复护理方案，对风湿性心脏病（RHD）患者接受瓣膜置换术后早期生存质量的影响。方法 选取我院2023年6月至2025年6月期间行瓣膜置换术的RHD患者106例作为研究对象，采用随机数字表法将其分为干预组与对照组。结果 干预组患者在SF-36量表多个维度的评分均显著高于对照组，且干预组的术后并发症总发生率显著低于对照组，干预组的平均住院日更短，术后1个月的6MWT距离更长（P<0.05）。结论 系统化的康复护理能够有效改善RHD瓣膜置换术后患者的早期生存质量，降低并发症风险，促进机体功能恢复。

Abstract

Objective To analyze the impact of a comprehensive rehabilitation nursing program based on the concept of evidence-based medicine on the early quality of life in patients with rheumatic heart disease (RHD) after valve replacement surgery.
Methods A total of 106 RHD patients who underwent valve replacement surgery in our hospital from June 2023 to June 2025 were selected as the study subjects and randomly divided into an intervention group and a control group using a random number table method.
Results The intervention group scored significantly higher than the control group in multiple dimensions of the SF-36 scale, with a significantly lower total incidence of postoperative complications, a shorter average hospital stay, and a longer 6-minute walk test (6MWT) distance at one month post-surgery (P<0.05).
Conclusion   Systematic rehabilitation nursing can effectively improve the early quality of life in RHD patients after valve replacement, reduce the risk of complications, and promote functional recovery.