Cardiopulmonary rehabilitation nursing of a patient undergoing surgery for Stanford type A aortic dissection

To explore the individualized nursing strategies and clinical effects of phase I cardiopulmonary rehabilitation for patients after surgery for Stanford type A aortic dissection. The clinical data of a patient who underwent Sun's procedure combined with coronary artery bypass grafting was retrospectively analyzed. Within 24 hours after surgery, a multi-dimensional risk assessment was completed, and an interdisciplinary rehabilitation team was formed to implement a phased rehabilitation plan, covering modules such as respiratory training, exercise rehabilitation, psychological intervention, and health education. After 14 days of systematic rehabilitation care, the patient's cardiopulmonary function, activity ability and psychological state were improved. No complications such as pulmonary infection, deep vein thrombosis or wound infection occurred during hospitalization. The multi-disciplinary collaboration-based phased individualized stage I cardiopulmonary rehabilitation program can improve the function and psychological state of patients after A-type aortic dissection surgery and promote their recovery. (总结1例Stanford A型主动脉夹层术后患者Ⅰ期心肺康复的个体化护理策略及临床效果。回顾1例接受“孙氏手术”联合冠脉搭桥术的Stanford A型主动脉夹层患者的临床资料。患者术后24 h内完成多维度风险评估, 组建跨学科康复团队, 实施分阶段康复方案, 涵盖呼吸训练、运动康复、心理干预及健康教育等模块。经过14 d的系统化康复护理, 患者在心肺功能、活动能力及心理状态方面均得以改善, 且住院期间未发生肺部感染、深静脉血栓、伤口感染等并发症。基于多学科协作的分阶段个体化Ⅰ期心肺康复方案可改善Stanford A型主动脉夹层术后患者功能及心理状态, 促进患者康复。)