医护联合责任组对经导管射频消融治疗心房颤动患者健康教育的影响

Influence of health education of joint medical responsibility group on patients with atrial fibrillation treated by catheter radiofrequency ablation

目的观察经导管射频消融治疗心房颤动患者采用医护联合责任组的健康教育效果。方法选择2015年2月~2016年2月海南省人民医院收治的采用经导管射频消融治疗的心房颤动患者54例,按随机抽签原则分为对照组和观察组,每组各27例。对照组患者采用常规宣传教育,观察组患者采用医护联合责任组进行健康教育,比较两组患者健康教育后的生活质量以及下肢静脉血栓形成情况。结果观察组患者在躯体功能、躯体角色、总的健康状况、活力、社会功能、情感角色和心理健康等方面均明显高于对照组,差异有高度统计学意义(P<0.01);观察组患者的肌体疼痛与对照组比较,差异无统计学意义(P>0.05);观察组患者下肢静脉血栓发生率低于对照组,差异有统计学意义(P<0.05)。结论临床对经导管射频消融治疗心房颤动患者予以医护联合责任组进行健康教育,能够有效提升患者的生活质量,降低患者下肢静脉血栓形成的比例,值得临床应用并且推广。

Objective To observe the effect of health education of joint medical responsibility group on patients with a- trial fibrillation treated by radiofrequeney catheter ablation. Methods From February 2015 to February 2016, 54 pa- tients with atrial fibrillation treated by radiofrequeney catheter ablation in Hainan Provincial People＇s Hospital were se- lected, they were divided into control group and observation group by random lottery principle, with 27 cases in each group. The control group was given routine education, and the observation group was given health education of joint medical responsibility group, the quality of life of patients in the two groups after health education and the formation of lower extremity venous thrombosis were compared. Results The physical function, physical role, general health, vitality, social function, emotional role and mental health in observation group were significantly better than the control group, the differences were statistically significant （P 〈 0.01）; there was no significant difference in the body pain between the control group and the observation group （P 〉 0.05）; the occurrence rate of lower limb vein thrombosis in the observation group was lower than the control group, the difference was statistically significant （P 〈 0.05）. Conclusion The applica- tion of health education of joint medical responsibility group in patients with atrial fibrillation radio frequency catheter- ization can effectively improve the quality of life of patients, and reduce the proportion of patients with venous thrombo- sis, it is worthy of clinical application and promotion.