Postoperative individualized pulmonary rehabilitation nursing for patients with severe valvular heart disease complicated by COPD
LIU Chun
HU Yuexiu
XIE Xiaoli
ZHANG Ping
SU Yunyan
Abstract：This study summarizes the postoperative individualized pulmonary rehabilitation nursing practices for 12 patients with severe valvular heart disease(VHD)complicated by chronic obstructive pulmonary disease(COPD).A multidisciplinary team was established to develop a stepwise pulmonary rehabilitation protocol,which included:inspiratory muscle training combined with chest physiotherapy to prevent pulmonary complications;nutritional support and resistance training to improve sarcopenia;a progressive exercise program to enhance exercise tolerance;lung-protective ventilation strategies with step-down oxygen therapy for dynamic oxygenation support;standardized airway clearance techniques with air-driven nebulization to promote sputum excretion;transcutaneous carbon dioxide monitoring to establish a nocturnal respiratory surveillance system;personalized health education to improve self-management and treatment compliance and participation.After comprehensive intervention,all 12 patients achieved successful extubation,were transferred to general wards,and were discharged in stable condition.Three-month postoperative follow-up demonstrated sustained improvements in pulmonary function and exercise capacity,confirming the clinical value of individualized pulmonary rehabilitation in critically ill patients with comorbidities.
Keywords：Severe valvular heart diseaseChronic obstructive pulmonary diseasePostoperative pulmonary rehabilitationIndividualized nursingMultidisciplinary collaboration
Publication Date：2025-11-20
Online Publishing Date：2025-12-11(First online date of this platform, not the publication date of the document)
Pages：4( 524-527 )