How do cardiac surgery care and rehabilitation
- Filed under: Heart disease
- Date: Nov 15,2008
Cardiac surgery patients regardless of the body or is a psychological trauma and stress, the trauma patient will over time, loss of ability to help patients with trauma surgery as soon as possible so that it’s close to normal well-being, rehabilitation care Is the essential tool. As the rehabilitation of the need for a step-by-step process in patients after hospital discharge, or have to carry out various forms of rehabilitation care, so helping patients to achieve the goal of rehabilitation, not only the efforts of medical personnel, but also with the patients and families Support and assistance. The basic means of rehabilitation care is based on the patient’s condition to help patients choose reasonable methods of rehabilitation, and to ensure effective implementation of the patients. The most common surgical rehabilitation exercise therapy is, that is, through the campaign to improve the patient’s organs and to restore the function of the following sports therapy and training to do a brief introduction.
(1) the purpose of the exercise therapy and physical rehabilitation: exercise therapy is aimed at improving the scope of joint activities to enhance muscle tension and promote blood uncertainty, the regulation of the main organs of the body functions and improve mood and activity of daily living. Through the campaign to improve blood flow, rhythm and increase cardiac output, increase ventilation to promote the rehabilitation of the body. Appropriate exercise of cardiac surgery patients after heart and lung function is important.
(2) the basic sports training:
A: joint movement. Joint campaign in principle to joint the last bit far to the joint position, but because of upper limb movement on the impact of large incision in the chest, to help heart patients from the lower limbs remote start activities. Activities to be carried out slowly, not too much movement, after the second day, the disease can be a smooth start under the guidance of nurses, activity was not as severe fatigue. Have lower extremities or hands when they enter the liquid would not be appropriate to do joint activities.
B: breathing exercise. Ventilator off, to prevent infection and lung atelectasis, it is necessary to carry out proper breathing and exercise training expectoration. Campaign methods for a deep breath and cough bottles, blowing balloons, breathing trainer and massage soft cushion edge to assist expectoration, and other conditions can also wear elastic vest to protect the edge.
C: life training. Stable condition after operation, the patient may sit on the bed, to practice their own to eat, drink, wash, brush, wear underwear off, and other sports. Shimoji convalescent patients walk, walk training is the order of: seat - “stations -” Fu-bed mobile - “independent walk -” room to move. Patients should continue to do so after the above-mentioned actions. Range of motion and gradually increase the amount of exercise, such as walking can be trained to gradually transition to walk on the street stairs, walking quickly, pediatric cardiac surgical knife to heal the mouth, the practice also extended arm movements, to prevent the “chicken.”
(3) do not exercise for patients: a serious, including heart and lung failure; postoperative fever, anemia; resting heart rate over 100 times / min; training when breathing difficulties, dizziness, chest pain or cyanosis; heart rate during exercise than 135-140 / Min. 45-year-old heart rate over more than 120 times / min, should be cause for concern.
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