针对性护理模式对先天性心脏病CPB术后患者护理满意度及睡眠质量的影响

Effect of Targeted Nursing Mode on Nursing Satisfaction and Sleep Quality of Patients with Congenital Heart Disease after CPB Operation

目的:探讨针对性护理干预模式对先天性心脏病体外循环(CPB)术后患者护理满意度及睡眠质量的影响。方法:选取2017年9月至2019年2月厦门大学附属心血管病医院心外ICU收治的先天性心脏病患者132例作为研究对象,按照随机数表法分为观察和对照组,每组66例,对照组给予普通护理模式,观察组给予针对性护理干预模式,比较2组护理满意度及睡眠质量。结果:观察组患者的呼吸机使用时间、重症监护时间短于对照组,白细胞计数、C反应蛋白含量、降钙素原含量低于对照组,差异有统计学意义(P <0.05),护理满意度高于对照组,差异有统计学意义(P <0.05)。术后14 d,观察组患者的PSQI评分低于对照组,差异有统计学意义(P <0.05)。结论:针对性护理干预可缩短先天性心脏病患者CPB术后呼吸机使用时间和重症监护时间,控制炎性反应因子水平,改善睡眠质量。

Objective: To explore the influence of the targeted nursing intervention model over the Cardiopulmonary Bypass( CPB)surgery on the patient’s care satisfaction and sleep quality. Methods: A total of 132 patients with cardiovascular disease between September 2017 and February 2019 in Xiamen university were selected as the research object,according to the random indicator method divided into observation and control group,66 cases in each group,control group given ordinary nursing mode,nursing group was given targeted nursing intervention mode,comparing two groups of nursing satisfaction and quality of sleep. Results: The ventilator use time and intensive care time of nursing group patients were shorter than the control group,the white blood cell count,C-reactive protein content,calcitonin content were lower than the control group,the difference was statistically significant( P < 0. 05),nursing satisfaction was higher than the control group,the difference was statistically significant( P < 0. 05). On the 14 th day after surgery,PSQI score of nursing group was lower than that of control group,and the difference was statistically significant( P <0. 05). Conclusion: Targeted nursing intervention can shorten the time of ventilator use and intensive care for patients with congenital heart disease after CPB operation,control the level of inflammatory factors,and improve the quality of sleep.