连续性护理干预对老年糖尿病合并心律失常患者置入心脏起搏器后的影响研究

Effects of Continuous Nursing Intervention on Cardiac Pacemaker in Elderly Patients with Diabetes Mellitus with Arrhythmia

目的探究连续性护理干预对老年糖尿病合并心律失常患者行心脏起搏器置入术后的临床疗效,观察患者术后负性情绪及生活质量。方法选择我院82例择期行心脏起搏器置入术的老年糖尿病合并心律失常患者,按照随机数字表法分组,各41例。对照组实施常规护理,观察组采取连续性护理干预,比较两组干预前后护理效果。结果观察组干预后HAMD、HAMA评分均较对照组降低(P<0.05);经随访,观察组干预后4 y SF-36评分较对照组提高(P<0.05);观察组并发症发生率17.07%低于对照组36.59%(P<0.05)。结论对行心脏起搏器置入术的老年糖尿病合并心律失常患者采用连续性护理干预效果显著,可明显缓解患者负性情绪,减少并发症发生情况,提升患者生活质量。

Objective To explore the clinical curative effect of continuous nursing intervention on elderly patients with diabetes mellitus complicated with cardiac arrhythmia after pacemaker implantationthe postoperative negative mood and quality of life.Methods In our hospital 82 cases of patients undergoing pacemaker implantation in elderly diabetic patients with arrhythmia were grouped according to the random number table,each of 41 cases.The control group received routine nursing,the observation group adopted continuous nursing intervention,compared two groups before and after nursing intervention.Results The observation group after HAMD,HAMA scores were lower than the control group(<0.05);after the follow-up,the observation group after the intervention of 4 y SF-36 score higher than the control group(<0.05);the observation group complication rate was 17.07%lower than 36.59%in the control group(<0.05).Conclusion Continuous nursing intervention for elderly patients with diabetes and arrhythmia with cardiac pacemaker implantation has a significant effect,which can significantly relieve the negative emotions of patients,reduce the incidence of complications,and improve the quality of life of patients.