Abstract:

This study summarizes exercise rehabilitation nursing care for 4 pediatric heart transplant recipients across disease phases. Key interventions are establishing a multidisciplinary cardiac rehabilitation team with comprehensive assessment. The initiation of early exercise interventions in critical care phase：passive exercises during mechanical ventilation to prevent complications；active exercises post-weaning to facilitate ambulation. The implementation of progressive training in cardiac rehabilitation phase：beginning with low-intensity aerobic games for muscle recovery，advancing to resistance-aerobic collaborative training to enhance endurance. Continuous risk monitoring with dynamic adjustments was conducted to ensure safety. Personalized nursing care improved both motor abilities and muscle endurance. All children completed rehabilitation and were discharged without adverse events.

Key words: Heart Transplantation, Children, Exercise Rehabilitation, Pediatric Nursing

摘要：

总结4例行心脏移植患儿基于疾病周期的运动康复护理经验。护理要点：组建心脏移植运动康复多学科团队并开展全面的康复评估。危重症监护阶段启动早期运动康复训练：机械辅助通气期间开展被动运动训练，预防制动并发症；撤机后实施主动运动训练，促进早期离床活动。心脏康复病房阶段实施进阶运动康复训练：初始阶段实施低强度有氧运动游戏，促进肌力恢复；过渡阶段实施抗阻-有氧运动协同训练，提升活动耐力。全程运动风险监测并动态调整方案，保障运动安全。经过个性化的运动康复护理，有效改善了患儿的运动能力和肌肉耐力，所有患儿均顺利完成了运动康复计划并出院，期间未发生运动相关不良事件。

关键词: 心脏移植, 儿童, 运动康复, 儿科护理学