A Study Of Influences Of Early Mobilization On Extracorporeal Circulation Postoperative Rehabilitation Of Children With Congenital Heart Disease

Objective: To explore the safety and efficacy of early mobilization of children with congenital heart disease after surgery,and evaluate the effect of early mobilization on postoperative recovery of children with congenital heart disease.In order to improve children'cardiopulmonary function,quality of life,and to promote postoperative recovery of children,shorten hospitalization time,save medical resources and provide scientific evidence for early mobilization intervention in the clinical work.Method: According to the inclusion exclusion criteria and the random numbers table method,106 children with congenital heart disease were randomly divided into experimental group and control group,each with 53 cases for a prospective randomized controlled trial.The control group was given routine care,and the experimental group increased the intervention of early mobilization in addition to routine nursing.These include preoperative education of early mobilization,and early mobilization guidance of postoperative,and so on.The indicators of postoperative recovery of children include cardiac ejection fraction,six-minute walking test,quality of life scale,hospital stays,and so on.Data collection was carried out when out of the hospital and three months out of the hospital,and SPSS 18.0 software was used for statistical analysis.Results:(1)Basic information of the two groups of children: In terms of gender,age,race,disease type,place of residence,the number of children in the family,main caregiver,cardiac ejection fraction,6MWD,the score of survival quality.There is no statistical difference(P?0.05)between the two groups of children.(2)Postoperative rehabilitation condition(1)The time of hospitalization: The total hospitalization time of the children in the intervention group is 10.00±2.39 d,which was less than the control group of 12.34±4.31 d,and the difference has statistical significance(P ? 0.05);The postoperative hospitalization time of children in the intervention group is 6.24±1.39 d,which was less than the control group of 7.36±1.61 d,and the difference has statistical significance(P?0.05);There is no statistical significance between the two groups of children with postoperative ICU hospitalization and tracheal intubation time(P?0.05).(2)Cardiopulmonary function: When out of the hospital,the cardiac ejection fraction of the children in the intervention group is 69.04±4.18,which was higher than the control group of 66.92±3.31,and the difference has statistical significance(P?0.05);Three months after out of the hospital,there is no statistical significant between the two groups of children with cardiac ejection fraction(P?0.05).When out of the hospital,Six-minute walking distances of the invention group and control group are respectively: 2-4 years old(338.50 ± 57.62 m vs 302.41 ± 40.54m);5-7 years old(417.77 ± 36.77 m vs 376.72 ±43.43m);8-10 years old(457.44±32.95 m vs 419.13±20.99m);11-14 years old(501.08± 14.40 m vs 442.06 ± 22.88m).The difference has statistical significance(P ? 0.05).Three months after out of the hospital,the six-minute walking distances of the invention group and control group are respectively: 2-4 years old(358.67±42.91 m vs 345.82±49.12m);5-7 years old(467.17±37.16 m vs 429.34±53.30m);8-10 years old(507.28±30.83 m vs 470.40±29.24m);11-14 years old(570.65±34.76 m vs 494.14±61.44m).Except the group of 2-4 years old,other groups have statistical significance(P?0.05).(3)Quality of life: Three months after out of the hospital,the scores of total score,heart symptoms,treatment for anxiety and communication of intervention group are higher than those of control group(P?0.05).In terms of cognitive psychology and the feelings of physical appearance,there is no statistical difference between the two groups(P?0.05).Three months after out of the hospital,the scores of heart symptoms,treatment for anxiety and communication of intervention group are higher than those of control group(P?0.05).There is no statistical difference between the two groups of cognitive psychology and the feelings of physical appearance(P?0.05).Conclusion: The children with congenital heart disease after extracorporeal circulation by early mobilization can shorten the recovery process and reduce hospital stay time,savemedical resources;enhance the cardiopulmonary function,improve the sports ability and the exercise tolerance,and improve the quality of life of children.