永久性起搏器植入手术后缩短卧床时间对患者并发症以及舒适度的影响

Effect of Shortening Bed Rest Time after Permanent Pacemaker Implantation on Complications and Comfort of Patients

目的评价永久性起搏器植入术后缩短患者卧床时间对患者并发症以及舒适度的影响。方法回顾性分析86例需实施心脏起搏器植入术治疗患者作为本次研究对象,两组均接受常规术后护理,按照术后卧床时间长短分为两组,对照组40例术后卧床3 d,观察组46例术后卧床12 h,比较不同卧床时间下对患者身体健康状况的影响。结果观察组术后总并发症发生率(6.52%)、术后总不适发生率(8.70%)低于对照组术后总并发症发生率(55.00%)、术后总不适发生率(52.50%),差异有统计学意义(χ^(2)=24.39、19.91,P<0.05);观察组的术后拆线时间(7.0±2.4)d、住院时间(8.2±2.2)d短于对照组的术后拆线时间(9.8±3.6)d、住院时间(13.8±3.0)d,差异有统计学意义(t=4.293、9.954,P<0.05);观察组术后1、2、3 d舒适度评分(82.69±7.12)分、(89.30±8.15)分、(101.25±9.20)分均高于对照组的(71.22±5.12)分、(83.65±5.65)分、(91.32±6.52)分,差异有统计学意义(t=8.460、3.681、5.694,P<0.05)。观察组护理7 d后的生理功能、躯体疼痛、一般健康状况、生理职能、社会功能、情感职能、精神健康、精力评分与对照组比较,差异有统计学意义(P<0.05)。结论合理缩短卧床时间不仅不会影响患者的心脏起搏器功能恢复,而且可促进患者伤口早日愈合,减少并发症的发生,促患者早日康复,改善患者的生活质量。

Objective To evaluate the effect of reducing the time of lying in bed after permanent pacemaker implantation on the complications and comfort of patients.Methods A total of 86 patients who needed cardiac pacemaker implantation were analyzed retrospectively.Both groups received routine postoperative care.They were divided into two groups according to the length of postoperative bed rest time.The 40 patients in the control group were in bed for 3 days,and 46 patients in the observation group was in bed for 12 hours.The effects of different bed rest time on the physical health of patients were compared.Results The total incidence of postoperative complications(6.52%)and the incidence of postoperative discomfort(8.70%)in the observation group were less than those in the control group(55.00% and 52.50%),the difference was statistically significant(χ^(2)=24.39,19.91,P<0.05).The postoperative suture removal time(7.0±2.4)d and hospital stay(8.2±2.2)d in the observation group were less than those(9.8±3.6)d and hospital stay(13.8±3.0)d in the control group(t=4.293,9.954.P<0.05).The comfort scores at 1,2,and 3 days after operation(82.69±7.12),(89.30±8.15),(101.25±9.20)in the observation group were higher than(71.22±5.12),(83.65±5.65),(91.32±6.52)in the control group(t=8.460,3.681,5.694,P<0.05).There were significant differences in physiological function,body pain,general health status,physiological function,social function,emotional function,mental health and energy scores between the observation group and the control group after 7 days of nursing(P<0.05).Conclusion Reasonably shortening the bed rest time will not affect the recovery of cardiac pacemaker function,but can promote the wound healing,reduce the occurrence of complications,promote the early recovery of patients and improve the quality of life of patients.