集束化护理对起搏器植入术后不适感的影响研究

Bundles of care research on the influence of discomfort after pacemaker implantation

目的探讨集束化护理对起搏器植入术后患者舒适度的影响。方法选取2016年1月至2017年5月收治的36例患者为常规护理组,2017年6月至2018年10月收治的38例患者为集束化护理组。手术结束后,常规护理组给予常规护理,集束化护理组给予集束化护理,比较2组患者手术前后Kolcaba舒适状况量表(GCQ)评分、焦虑自评量表(SAS)评分、腰背部数字疼痛评估法(NRS)评分等方面的变化。结果术前常规护理组和集束化护理组的GCQ评分、SAS评分、腰背部NRS评分比较差异均无统计学意义(均P>0.05);术后常规护理组与集束化护理组的GCQ评分分别为(43.71±3.29)、(73.27±4.37)分,SAS评分分别为(53.49±6.18)、(38.29±7.35)分,腰背部NRS评分分别为(4.31±1.07)、(1.56±1.04)分,2组比较差异有统计学意义(t=8.478、3.218、6.293,均P<0.05)。结论起搏器植入术后患者应用集束化护理干预,可以有效改善患者的躯体不适感,提高心脏康复效果及生命质量,值得临床推广。

Objective To explore the effect of intensive care on the comfort of patients after pacemaker implantation.Methods 36 patients admitted from January 2016 to May 2017 were selected as routine care group,and 38 patients admitted from June 2017 to October 2018 were selected as cluster care group.Routine care was given in the postoperative routine care group,and intensive care was given in the intensive care group until the day before the postoperative discharge.The changes in comfort score,anxiety score,and lumbar and back pain score of the two groups were recorded and compared on the day before the surgery and the day before discharge.Results There were no statistically significant differences in comfort score,lumbar and back pain score and SAS score between the intensive care group and the preoperative conventional care group(all P>0.05).Postoperative comfort score(43.71±3.29,73.27±4.37),lumbar and back pain score(4.31±1.07,1.56±1.04)and SAS score(53.49±6.18,38.29±7.35)in the intensive care group were significantly better than those in the conventional care group,with statistically significant differences(t=8.478,3.218,6.293,all P<0.05).Conclusion The application of bundles of care after pacemaker implantation can effectively improve patients′body discomfort,cardiac rehabilitation effect and quality of life,which is worthy of clinical promotion.