【摘要】 目的：探讨基于加速康复外科（ERAS）理念构建的Ⅰ期心脏康复路径化护理模式在经导管主动脉瓣置换术（TAVR）老年患者中的应用效果。方法：筛选2023年6月—2024年6月于珠海市人民医院进行TAVR的64例患者作为研究对象，随机划分两组，各32例。对照组行一般护理，观察组行基于ERAS理念构建的Ⅰ期心脏康复路径化护理模式。比较两组护理效果。结果：观察组术后监护时间、术后住院时间均短于对照组，首次下床活动时间早于对照组（P<0.001）。术后，两组6 min步行距离延长，且观察组长于对照组（P<0.001）。术后，两组身体健康与心理健康评分提高（P<0.05），且观察组高于对照组（P<0.001）。术后1个月、6个月，观察组再住院率比对照组低（P<0.05）。结论：基于ERAS理念构建的Ⅰ期心脏康复路径化护理模式在TAVR老年患者中的应用效果良好，可以改善患者心功能，提高生活质量，促进患者恢复，预防术后复发。更多还原

【Abstract】 Objective: To explore the application effect of phase Ⅰ cardiac rehabilitation pathway nursing mode constructed based on enhanced recovery after surgery(ERAS) concept in elderly patients undergoing transcatheter aortic valve replacement(TAVR).Methods: A total of 64 patients undergoing TAVR in Zhuhai People’s Hospital from June 2023 to June 2024 were selected as the study subjects. They were randomly divided into two groups, with 32 cases in each group. The control group was given general nursing, and the observation group was given phase Ⅰ cardiac rehabilitation pathway nursing mode constructed based on ERAS concept. The nursing effects of the two groups were compared. Results: The postoperative monitoring time and postoperative hospital stay in the observation group were shorter than those in the control group, and the first ambulation time in the observation group was earlier than that in the control group(P<0.001). After surgery, the postoperative 6-min walk distance in the two groups prolonged, and this parameter in the observation group was longer than that in the control group(P<0.001). After surgery, the scores of physical health and mental health in the two groups increased(P<0.05), and the scores in the observation group were higher than those in the control group(P<0.001). At 1 month and 6 months after surgery, the readmission rate in the observation group was lower than that in the control group(P<0.05). Conclusion: The phase Ⅰ cardiac rehabilitation pathway nursing mode constructed based on ERAS concept has a good application effect in TAVR elderly patients, and can improve the cardiac function of patients, enhance the quality of life, promote the recovery of patients, and prevent postoperative recurrence.更多还原