系统护理干预在心房颤动患者瓣膜置换同期房颤射频消融术后的应用观察

Application of Systematic Nursing Intervention in Patients with Atrial Fibrillation after Valve Replacement and Atrial Fibrillation Radiofrequency Ablation at the Same Time

目的:探讨系统护理干预在心房颤动患者瓣膜置换同期房颤射频消融术后的应用效果。方法:选取我院2015年10月~2017年8月心房颤动患者84例,随机数字表法分为对照组(n=42)与研究组(n=42)。2组均接受瓣膜置换同期房颤射频消融术治疗,术后对照组采取常规护理,研究组于常规护理基础上采取系统护理干预。统计2组护理前后生活质量(SF-36)评分、负性情绪[焦虑(SAS)、抑郁(SDS)]分值、术后并发症发生情况、护理满意度。结果:护理后2组精神健康、一般健康状况、躯体疼痛、生理机能分值较护理前增高,且研究组高于对照组(P <0. 05);护理后2组SDS及SAS分值较护理前降低,且研究组低于对照组(P <0. 05);研究组并发症发生率(7. 14%)低于对照组(23. 81%)(P <0. 05);研究组护理满意度(95. 24%)高于对照组(76. 19%)(P <0. 05)。结论:心房颤动患者瓣膜置换同期房颤射频消融术后实施系统护理干预,可缓解患者抑郁及焦虑等负性情绪状态,提高其生活质量,且可降低术后并发症发生风险,还可有效提高护理满意度。

Objective： To investigate the application effect of systematic nursing intervention in patients with atrial fibrillation after valve replacement and atrial fibrillation radiofrequency ablation at the same time. Methods ： 84 patients with atrial fibrillation from October 2015 to August 2017 were selected and divided into the control group （ n = 4 2 ） and the study group （ n = 4 2 ） . The two groups were all treated with alve replacement and atrial fibrillation radiofrequency ablation at the same time. Then the control group received routine care, and the study group received systematic nursing intervention on the basis of routine nursing. The quality of life （SF-36） score, negative emotion [ anxiety （ SAS）, depression （ SDS） ] score, postoperative complications and nursing satisfaction of two groups before and after nursing were statistically analyzed. Results： After nursing, the scores of two groups of mental health, general health, body pain and physiological function were higher than those before nursing, and the study group was higher than the control group （P 〈 0. 05） . After nursing,the scores of two groups of SDS and SAS were lower than those before nursing,and the study group was lower than the control group （ P 〈 0. 05）. The incidence of complications in the study group （7. 14% ） was lower than thatof the control group （23. 81% ） （P 〈0. 05）. The nursing satisfaction of the study group （95. 24% ） was higher than that of the control group （76. 19%） （P 〈0. 05）. Conclusion ： The systematic nursing intervention in patients with atrial fibrillation after valve replacement and atrial fibrillation radiofrequency ablation at the same time can relieve the negative emotion state of patients such as depression and anxiety, improve their quality of life, reduce the risk of postoperative complications, and effectively improve the nursing satisfaction.