快速康复护理联合呼吸功能训练对心脏瓣膜置换术患者预后的影响

Objective To investigate the effect of enhanced recovery after surgery(ERAS) nursing combined with respiratory function training on the prognosis of patients undergoing heart valve replacement. Methods A total of 110 patients who underwent heart valve replacement from May 2022 to May 2025 were enrolled and randomly divided into two groups(n=55 each) using a random number table. The control group received conventional nursing, while the observation group received ERAS nursing combined with respiratory function training. Results The observation group showed shorter postoperative intubation removal time, ICU stay duration, bed rest time, and total hospital stay compared to the control group(P<0.05). The observation group also demonstrated lower scores on the Self-Rating Anxiety Scale(SAS) and SelfRating Depression Scale(SDS)(P<0.05). The observation group exhibited higher values for forced expiratory volume in 1 second(FEV1), forced vital capacity(FVC), and FEV1/FVC ratio compared to the control group(P<0.05). The incidence of adverse events was lower in the observation group(P<0.05), and nursing satisfaction was higher(P<0.05). Conclusion ERAS nursing combined with respiratory function training can shorten the rehabilitation process, alleviate anxiety and depression, improve pulmonary function and nursing satisfaction, and enhance patient prognosis.