Prevention and Treatment of Cardiovascular Disease

Table of Content

30 August 2024, Volume 14 Issue 16

Application effect of the teach-back method in health education for patients at a high risk of falls in department of cardiology

LI Guimei, ZHANG Meiping, FENG Chuntao

2024, 14(16): 68-71.

Abstract ( 20 )

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Objective To investigate the application of the teach-back method in health education for patients at a high risk of falls in department of cardiology, as well as its application effect through a comparative analysis. Methods A total of 80 patients at a high risk of falls who were admitted to Department of Cardiology in our hospital from January to December 2023 were enrolled as subjects, and the numbers of 1-80 were generated using a random number software. The 40 patients with even numbers were enrolled as control group and received conventional health education, and the 40 patients with odd numbers were enrolled as observation group and received health education with the teach-back method. The two groups were observed and compared in terms of the incidence rate of falls, the degree of mastering the knowledge of falls, and the scores of Modified Fall Efficacy Scale (MFES), Berg Balance Scale (BBS), and Enhanced Self-Care Ability Scale (ESCA) before and after intervention. Results The observation group had a significantly lower incidence rate of falls than the control group (P <0.05). After intervention, both groups had significant increases in MFES and BBS scores, and the observation group had significantly higher scores than the control group (P <0.05). After intervention, both groups had significant increases in the scores of each dimension of ESCA, and the observation group had significantly higher scores than the control group (P <0.05). The patients and their caregivers in the observation group had a significantly higher degree of mastering the knowledge of falls compared with those in the control group (P <0.05). Conclusion For patients at a high risk of falls in department of cardiology, health education with the teach-back method can further reduce the incidence rate of falls, improve fall efficacy and balance ability, enhance self-care ability, and increase the degree of mastering the knowledge of falls among patients and their caregivers.

Clinical effect of individualized exercise rehabilitation nursing in patients undergoing pacemaker implantation

SONG Xue

2024, 14(16): 109-113.

Abstract ( 24 )

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ObjectiveTo investigate the clinical effect of individualized exercise rehabilitation nursing in patients undergoing pacemaker implantation. Methods A total of 43 patients who underwent pacemaker implantation in our hospital from January 2019 to January 2023 were enrolled and divided into groups A (20 patients receiving conventional rehabilitation nursing) and B (23 patients receiving individualized exercise rehabilitation nursing) using a random number table, and the two groups were compared in terms of cardiac function, treadmill exercise test results, motor function, self-care ability of daily living, exercise compliance, and adverse reactions. Results Compared with group A, group B had significantly higher levels of the cardiac function parameters heart rate, left ventricular ejection fraction, and left ventricular end-diastolic diameter. The treadmill exercise test showed that compared with group A, group B had significantly higher exercise level, exercise time, and maximum metabolic equivalent. Moreover, compared with group A, group B had significantly higher motor function score, score of self-care ability of daily living, and exercise compliance and a significantly lower incidence rate of adverse reactions (P<0.05). Conclusion For patients undergoing pacemaker implantation, individualized exercise rehabilitation nursing can promote exercise compliance, reduce adverse reactions, and improve their cardiac function, motor function, and self-care ability of daily living, and therefore, it holds promise for clinical application.

Effect of early rehabilitation exercise in improving cardiopulmonary function after pacemaker implantation in elderly patients

CAI Ping

2024, 14(16): 114-118.

Abstract ( 20 ) PDF (1265KB) ( 2 )

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Objective To investigate the effect of early rehabilitation exercise in improving cardiopulmonary function after pacemaker implantation in elderly patients. Methods A total of 50 elderly patients who underwent pacemaker implantation in our hospital from January 2019 to June 2023 were enrolled and randomly divided into control group (conventional rehabilitation nursing) and observation group (early rehabilitation exercise), and the intervention effect was compared between the two groups. Results There was no significant difference in the time of operation between the two groups, and compared with the control group, the observation group had significantly shorter time to ambulation and length of hospital stay (P <0.05). The observation group had significantly higher scores of shoulder joint mobility and function at 1 and 12 weeks after surgery than the control group (P <0.05). There were no significant differences in forced expiratory volume in 1 second/forced vital capacity (FEV₁/FVC) and left ventricular ejection fraction (LVEF) between the two groups before surgery (P >0.05), and the observation group had significantly higher FEV₁/FVC and LVEF than the control group at 1 week and 1 month after surgery (P <0.05). Compared with the control group, the observation group had significantly higher quality of life scores (general cognition, psychological function, physical function, and social functioning) (P <0.05). The observation group had a significantly lower incidence rate of complications than the control group (8.00% vs 32.00%, P <0.05). The observation group had a significantly higher degree of satisfaction than the control group (96.00% vs 72.00%, P <0.05). Conclusion Early rehabilitation exercise has a marked effect in rehabilitation nursing after pacemaker implantation in elderly patients and can improve their shoulder joint function and cardiopulmonary function, facilitate the improvement in quality of life, reduce the incidence rate of complications, and relieve the intense nurse-patient relationship.