集束化护理在永久性心脏起搏器患者快速康复中的效果观察

Effect of Cluster Nursing on Rapid Rehabilitation of Patients with Permanent Pacemaker

目的探讨集束化护理策略在永久性心脏起搏器植入术患者快速康复中的作用。方法将符合纳入标准的永久性起搏器植入患者158例随机分为观察组和对照组,每组各79例。对照组采用常规护理,观察组在常规护理的基础上采用集束化护理策略,比较两组患者焦虑情况、生活质量情况、住院满意度及平均住院日。结果观察组患者术前、术后1d、出院时SAS评分分别为(53.3±5.2)、(27.2±3.1)、(31.4±4.1)明显低于对照组的(63.4±5.9)、(53.1±5.2)、(50.7±4.9),差异均有统计学意义(P<0.05);两组患者生活质量得分术前观察组与对照组无统计学意义(t=0.378,P=0.714),但术后1d及出院时观察组均明显高于对照组,差异均有统计学意义(P<0.05);观察组住院满意度高于对照组(Z=12.133,P=0.001),观察组平均住院日短于对照组(t=4.271,P=0.021)。结论集束化护理有助于缓解患者焦虑情绪,改善患者生活质量,提高患者住院满意度并缩短平均住院日。

Objective To explore the role of cluster nursing strategy in rapid recovery of patients with permanent pacemaker implantation. Methods 158 cases of permanent pacemaker implantation with inclusion criteria were randomly divided into observation group and control group,each group with 79 cases.The control group took routine nursing,the observation group took cluster nursing strategy on the basis of routine nursing,and compared the anxiety situation,quality of life,hospitalization satisfaction and average hospitalization day in the two groups. Results The SAS scores of the patients in the observation group were(53.3±5.2),(27.2±3.1)and(31.4±4.1)respectively Preoperative and postoperative 1d,significantly lower than those in the control group(63.4±5.9),(53.1±5.2)and(50.7±4.9),statistically significant differences( P <0.05).There was no statistically significant difference in quality of life scores between the observation group and the control group before the operation( t =0.378, P =0.714),while the scores of life quality in the observation group was significantly higher than that in the control group one day after surgery and at discharge,statistically significant differences( P <0.05).The satisfaction in the observation group was higher than that in the control group( Z =12.133, P =0.001),and the average length of hospitalization in the observation group was shorter than that in the control group( t =4.271, P =0.021). Conclusion Cluster nursing can help relieve patients ‘anxiety,improve patients’ quality of life,improve patients hospitalization satisfaction and shorten the average hospitalization day.