医护协同管理模式在经导管消融房颤患者芬太尼镇静中的应用

Application of doctor-nurse collaborative management mode in fentanyl sedation of patients undergoing transcatheter ablation of atrial fibrillation

目的:探讨医护协同管理模式在经导管消融房颤患者芬太尼镇静中的应用。方法:选取264例经导管消融房颤患者为研究对象,根据护理干预方式不同分为对照组与观察组,每组各132例。对照组患者实施常规围术期干预;观察组患者在其基础上实施医护协同管理模式干预,两组患者均从入院开始干预至患者出院时。比较两组患者围术期指标;入院时、术前焦虑情况;术前、术毕时生命体征;麻醉不良反应及术后并发症发生情况。结果:干预后,两组患者围术期指标比较,差异无统计学意义(P>0.05)。两组患者术前阿姆斯特丹术前焦虑与信息量表(APAIS)评分均高于入院时(P<0.05),但观察组低于对照组(P<0.05)。两组患者术毕时心率(HR)、平均动脉压(MAP)、呼吸频率(RR)均高于术前(P<0.05),但观察组低于对照组(P<0.05)。两组患者麻醉不良反应总发生率及术后并发症总发生率比较,差异均无统计学意义(P>0.05)。结论:医护协同管理模式干预经导管消融房颤患者可缓解患者手术焦虑,有利于稳定患者生命体征。

Objective:To explore the application effects of doctor-nurse collaborative management mode in fentanyl sedation of patients undergoing transcatheter ablation of atrial fibrillation.Methods:264 patients with transcatheter ablation of atrial fibrillation were divided into control group and observation group according to the different nursing regimens,with 132 cases in each group.The patients in control group were treated with routine perioperative intervention,and the patients in observation group were given doctor-nurse collaborative management mode intervention on the basis of the control group.Both groups of patients were intervened from admission to discharge.Perioperative indicators,anxiety at admission and before surgery,vital signs before surgery and after the end of surgery,anesthesia adverse reactions and postoperative complications were compared between the two groups of patients.Results:After intervention,there were no significant differences in perioperative indicators between both groups(P>0.05).Amsterdam Preoperative Anxiety and Information Scale(APAIS)score in both groups before surgery was higher than that at admission,but the score was lower in observation group than that in control group(P<0.05).Heart rate(HR),mean arterial pressure(MAP)and respiratory rate(RR)in both groups at the end of surgery were higher than those before surgery,and the observation group was lower than the control group(P<0.05).There were no significant differences in total incidence rate of anesthesia adverse reactions and total incidence rate of postoperative complications between the two groups of patients(P>0.05).Conclusion:Doctor-nurse collaborative management mode intervention can relieve the surgical anxiety and help stabilize the vital signs in patients undergoing transcatheter ablation of atrial fibrillation.