围术期优质护理应用于射频消融术治疗阵发性房颤的效果评价

Effect Evaluation of Perioperative High-Quality Nursing in Radiofrequency Ablation for Paroxysmal Atrial Fibrillation

目的 分析围术期优质护理应用于射频消融术治疗阵发性房颤的效果。方法 选择2021年5月—2023年6月间本院心内科收治的105例阵发性房颤患者,所有患者均需采用射频消融术治疗,把患者随机分为对照组与研究组,分别为52例、53例,对照组采用常规护理方式,研究组实施优质护理,对比两组的护理效果。结果 对照组患者的治疗总有效率为84.62%(44/52),研究组为96.23%(51/53),显著高于对照组(P<0.05);对照组患者的SAS焦虑自评量表得分为(48.65±4.51)分、SDS抑郁自评量表得分为(52.46±4.93)分,研究组分别为(42.37±3.96)分、(45.39±4.26)分,均显著低于对照组(P<0.05);对照组患者的SF-36生活质量评分为(83.57±4.51)分,研究组为(92.34±3.96)分,显著高于对照组(P<0.05);对照组患者的国际标准化比值(INR)达标率为73.08%(38/52),研究组为88.68%(47/53),显著高于对照组(P<0.05);对照组患者的并发症发生率为17.31%(9/52),研究组为3.77%(2/53),显著低于对照组(P<0.05)。结论 围术期优质护理应用于射频消融术治疗阵发性房颤,有利于提高患者的治疗有效率,改善患者情绪状况和生活质量,避免各种并发症的发生,具有显著的应用效果。

Objective To analyze effect of high-quality perioperative nursing in radiofrequency ablation in treatment of paroxysmal atrial fibrillation.Methods The paper chose 105 patients with paroxysmal atrial fibrillation admitted to cardiology department of our hospital from May 2021 to June 2023,with radiofrequency ablation treatment,and divided them into control group and study group randomly,with 52 and 53 cases respectively.Control group was treated with routine nursing,while study group with high-quality nursing.Nursing effect between two groups was compared.Results Total effective rate of treatment in control group was 84.62%(44/52),that in study group it was 96.23%(51/53),significantly higher than control group(P<0.05).SAS Self Rating Anxiety Scale scores of control group were(48.65±4.51) points,and SDS Self Rating Depression Scale scores were(52.46±4.93) points,those of study group were(42.37±3.96) points and(45.39±4.26) points respectively,significantly lower than control group(P< 0.05).SF-36 life quality scores of control group were(83.57±4.51) points,while those of study group were(92.34±3.96) points,significantly higher than control group(P<0.05).International standardized ratio(INR) compliance rate of control group was 73.08%(38/52),while that of study group was 88.68%(47/53),significantly higher than control group(P<0.05).Incidence of complications in control group was 17.31%(9/52),while that of study group was 3.77%(2/53),significantly lower than control group(P<0.05).Conclusion High-quality perioperative nursing can improve treatment efficiency,emotional status and life quality,avoide incidence of various complications in radiofrequency ablation in treatment of paroxysmal atrial fibrillation,which has significant application effect.