ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 >

2026 , Vol. 7 >Issue 9: 1067 - 1075

DOI: https://doi.org/10.3761/j.issn.2096-7446.2026.09.006

急危重症智慧护理专题

移动医患交互平台在心脏瓣膜置换患者围手术期吸气肌训练中的应用研究

  • 王慧子 ,
  • 丁岚 ,
  • 计菲菲 ,
  • 王梦甜 ,
  • 谢屹红
展开
  • 1 浙江省人民医院/杭州医学院附属人民医院心脏中心心脏大血管外科 杭州市 310014
    2 浙江省人民医院/杭州医学院附属人民医院手术室 杭州市 310014
王慧子：女，硕士，主管护师，E-mail：984554237@qq.com
作者贡献声明

王慧子：研究设计、数据分析、论文撰写；丁岚、计菲菲、王梦甜：研究实施、数据收集、平台随访管理；谢屹红：研究指导、论文审阅与修改、基金支持

*谢屹红，E-mail：xyhnurse@163.com

收稿日期: 2026-01-28

  网络出版日期: 2026-08-31

基金资助

浙江省医药卫生科技计划(2024KY700)

收起

Application of a mobile patient-physician interaction platform for perioperative inspiratory muscle training in patients undergoing heart valve replacement

  • WANG Huizi ,
  • DING Lan ,
  • JI Feifei ,
  • WANG Mengtian ,
  • XIE Yihong
Expand
  • 1 Heart Center， Department of Cardiovascular Surgery，Zhejiang Provincial People’s Hospital/Affiliated People’s Hospital，Hangzhou Medical College， Hangzhou 310014， China
    2 Operating Room， Zhejiang Provincial People’s Hospital/Affiliated People’s Hospital，Hangzhou Medical College， Hangzhou 310014， China

Received date: 2026-01-28

  Online published: 2026-08-31

Supported by

Medical Science and Techology Project of Zhejiang Province(2024KY700)

Fold

摘要

目的 探讨移动医患交互平台在心脏瓣膜置换术围手术期患者吸气肌训练（inspiratory muscle training，IMT）中的应用效果。方法 采用便利抽样法，选取2023年8月—2024年6月于浙江省某三级甲等医院心脏大血管外科行心脏瓣膜置换术的患者124例为研究对象，采用随机数字表法分为试验组和对照组，试验组患者采用联合医患交互平台的IMT，对照组采用常规呼吸功能锻炼。比较两组患者在出院时及出院1个月门诊复查时的衰弱水平、心肺功能、肺部并发症等指标。结果 最终纳入研究对象122例，试验组和对照组各脱落1例。试验组患者在出院1个月后的衰弱水平、心肺功能和肺部并发症发生率均优于对照组，差异有统计学意义（P<0.05），并且衰弱评分、握力、5次坐立试验、肺功能指标等存在交互效应（P<0.05）。结论 基于移动医患交互平台的IMT能改善心脏瓣膜置换术后的心肺功能，逆转衰弱状态，降低术后并发症发生率，为术后居家康复的延续护理提供实践路径。

关键词： 吸气肌训练; 心脏瓣膜置换术; 衰弱; 心肺功能; 康复

本文引用格式

王慧子 , 丁岚 , 计菲菲 , 王梦甜 , 谢屹红 . 移动医患交互平台在心脏瓣膜置换患者围手术期吸气肌训练中的应用研究[J]. 中华急危重症护理杂志, 2026 , 7(9) : 1067 -1075 . DOI: 10.3761/j.issn.2096-7446.2026.09.006

Abstract

Objective To explore the efficacy of a mobile patient-physician interactive platform for perioperative inspiratory muscle training（IMT） in patients undergoing heart valve replacement. Methods Using the convenient sampling method，a total of 124 patients who underwent cardiac valve replacement in the cardiovascular surgery department of a tertiary grade A hospital in Zhejiang Province from August 2023 to June 2024 were selected by convenience sampling and randomly divided into an experimental group and a control group using a random number table. The experimental group received IMT combined with a mobile patient-physician interaction platform，while the control group received conventional respiratory function exercise. Cardiopulmonary function indicators，frailty levels，cardiopulmonary function and postoperative pulmonary complications were compared between the two groups at discharge and during the one-month follow-up outpatient visit. Results A total of 122 patients were collected in this study，and one dropout each in the experimental and control groups. Patients who received mobile platform-based IMT showed significantly better frailty levels，cardiopulmonary function，and postoperative pulmonary complications at the one-month follow-up compared to the control group（P<0.05）. Additionally，interaction effects were observed in frailty score，grip strength，Five-Times Sit-to-Stand Test（FTSTS） and pulmonary function indicators（P<0.05）. Conclusion IMT delivered via a mobile patient-physician interaction platform improves cardiopulmonary function，reverses frailty，and reduces postoperative pulmonary complication rates in patients following heart valve replacement，offering a novel practical pathway for continuity of care during home-based rehabilitation.

Key words： Inspiratory Muscle Training; Cardiac Valve Replacement; Frailty; Cardiopulmonary Function; Rehabilitation

参考文献

[1] 范咏诗, 马懿, 宋金杰, 等. 心脏机械瓣膜置换术后患者肺康复训练自我管理能力现状及影响因素分析[J]. 中华急危重症护理杂志, 2025, 6(12):1444-1450.
  Fan YS, Ma Y, Song JJ, et al. Current status and influencing factors of self-management ability of pulmonary rehabilitation training in patients after mechanical heart valve replacement surgery[J]. Chin J Emerg Crit Care Nurs, 2025, 6(12):1444-1450.
[2] Wang YQ, Luo Z, Huang W, et al. Comparison of tools for postoperative pulmonary complications after cardiac surgery[J]. J Cardiothorac Vasc Anesth, 2023, 37(8):1442-1448.
[3] Kim DH, Rockwood K. Frailty in older adults[J]. N Engl J Med, 2024, 391(6):538-548.
[4] James K, Jamil Y, Kumar M, et al. Frailty and cardiovascular health[J]. J Am Heart Assoc, 2024, 13(15):e031736.
[5] 段俊滔, 刘聪颖, 于桂香, 等. 吸气肌训练对经皮冠状动脉介入治疗术后患者的影响研究[J]. 中华护理杂志, 2020, 55(4):519-523.
  Duan JT, Liu CY, Yu GX, et al. Effects of inspiratory muscle training on cardiopulmonary function and exercise capacity of patients after percutaneous coronary intervention[J]. Chin J Nurs, 2020, 55(4):519-523.
[6] Mehta A, Das DAK, Diwate DAD, et al. Effect of 4 weeks inspiratory muscle training on inspiratory muscle strength and quality of life in dialysis patients. A pilot study[J]. Vims J Phys Ther, 2022, 4(1):19-25.
[7] Saka S, Gurses HN, Bayram M. Effect of inspiratory muscle train-ing on dyspnea-related kinesiophobia in chronic obstructive pulmonary disease:a randomized controlled trial[J]. Complementary Ther Clin Pract, 2021, 44:101418.
[8] Zeren M, Cakir E, Gurses HN. Effects of inspiratory muscle training on postural stability,pulmonary function and functional capacity in children with cystic fibrosis:a randomised controlled trial[J]. Respir Med, 2019, 148:24-30.
[9] Gobbens RJJ, van Assen MALM, Luijkx KG, et al. The Tilburg frailty indicator:psychometric properties[J]. J Am Med Dir Assoc, 2010, 11(5):344-355.
[10] 奚兴, 郭桂芳, 孙静. 中文版Tilburg衰弱评估量表的信效度研究[J]. 护理学报, 2013, 20(16):1-4,5.
  Xi X, Guo GF, Sun J. Reliability and validity of Chinese version of Tilburg frailty indicator[J]. J Nurs, 2013, 20(16):1-4,5.
[11] Huang YC, Dong Y, Tang CM, et al. Mortality and disability risk among older adults unable to complete grip strength and physical performance tests:a population-based cohort study from China[J]. BMC Public Health, 2024, 24(1):797.
[12] Park C, Sharafkhaneh A, Bryant MS, et al. Toward remote assessment of physical frailty using sensor-based sit-to-stand test[J]. J Surg Res, 2021, 263:130-139.
[13] Ren Z, Zhou ZY, Yang JK, et al. Inspiratory muscle training improves respiratory muscle strength and cardiovascular autonomic regulation in obese young men[J]. Life, 2025, 15(8):1191.
[14] Williams E, Cooper I, Beer K, et al. Does inspiratory muscle training improve lung function and quality of life in people with inclusion body myositis:a pilot study[J]. Neuromuscul Disord, 2024, 37:6-12.
[15] Buran Cirak Y, Yilmaz Yelvar GD, Durustkan Elbasi N. Effectiveness of 12-week inspiratory muscle training with manual therapy in patients with COPD:a randomized controlled study[J]. Clinical Respiratory J, 2022, 16(4):317-328.
[16] Beaujolin A, Mané J, Presse C, et al. Inspiratory muscle training intensity in patients living with cardiovascular diseases:a systematic review[J]. Hearts, 2024, 5(1):75-90.
[17] Engelman DT, Ben Ali W, Williams JB, et al. Guidelines for perioperative care in cardiac surgery:enhanced recovery after surgery society recommendations[J]. JAMA Surg, 2019, 154(8):755.
[18] Hsieh TJ, Su SC, Chen CW, et al. Individualized home-based exercise and nutrition interventions improve frailty in older adults:a randomized controlled trial[J]. Int J Behav Nutr Phys Act, 2019, 16(1):119.
[19] Berentschot JC, Heijenbrok-Kal MH, Bek LM, et al. Physical recovery across care pathways up to 12 months after hospitalization for COVID-19:a multicenter prospective cohort study(CO-FLOW)[J]. Lancet Reg Health Eur, 2022, 22:100485.
[20] Yang X, Cheng CX, Ma W, et al. Longitudinal association of lung function with frailty among older adults:the English longitudinal study of ageing[J]. Eur Geriatr Med, 2023, 14(1):173-180.
[21] Hamazaki N, Kamiya K, Nozaki K, et al. Correlation between respiratory muscle weakness and frailty status as risk markers for poor outcomes in patients with cardiovascular disease[J]. Eur J Cardiovasc Nurs, 2022, 21(8):782-790.
[22] Rezaei S, Eslami R, Tartibian B. The effects of TRX suspension training on sarcopenic biomarkers and functional abilities in elderlies with sarcopenia:a controlled clinical trial[J]. BMC Sports Sci Med Rehabil, 2024, 16(1):58.
[23] Liu X, Chen T, Chen S, et al. The relationship between psychological distress and physical frailty in Japanese community-dwelling older adults:a cross-sectional study[J]. J Frailty Aging, 2023, 12(1):43-48.
[24] Pinton A, Wroblewski K, Schumm LP, et al. Relating depression,anxiety,stress and loneliness to 5-year decline in physical function and frailty[J]. Arch Gerontol Geriatr, 2023, 115:105199.
[25] 罗泽汝心, 王渝强, 周亚馨, 等. 有限资源下创新性吸气肌训练方案对心脏瓣膜疾病患者术后肺部并发症的影响[J]. 中国康复医学杂志, 2024, 39(1):39-44,69.
  Luo ZRX, Wang YQ, Zhou YX, et al. Effects of an innovative inspiratory muscle training program on postoperative pulmonary complications in patients with valvular heart disease with limited resources[J]. Chin J Rehabil Med, 2024, 39(1):39-44,69.
Options
文章导航

/

〈 〉