心房颤动合并脑栓塞患者的急性期护理体会

Experience of the acute care of patients with cerebral embolism in atrial fibrillation

目的:总结心房颤动合并脑栓塞患者的急性期护理经验,进一步提高护理质量。方法:2013年8月-2014年9月收治心房颤动合并脑栓塞患者90例,男58例,女32例,年龄46~79岁,平均63.3岁,所有患者均给予稳定血压,改善脑循环、抗自由基等治疗。在治疗的同时,加强心理护理、加强常规护理、加强护理观察、及时书写护理记录、制定详细的宣教及康复方案等。结果:本组90例患者经过治疗和护理,治愈33例,治愈率36.7%,显著进步27例(30.0%),进步27例(30.0%),无效2例(2.2%),死亡1例(1.1%),总有效率96.7%。结论:加强心理护理、加强常规护理、加强护理观察、及时书写护理记录、制定详细的宣教及康复方案可明显提高心房颤动合并脑栓塞患者的治疗效果和护理质量,明显改善患者预后,值得推广。

Objective:To summarize the experience of the acute care of patients with cerebral embolism in atrial fibrillation,to further improve the quality of care.Methods:90 patients with atrial fibrillation with cerebral embolism were selected from August 2013 to September 2014.There were 58 males and 32 females,aged from 46 to 79 years,mean 63.3 years.All patients were given blood pressure,improving brain circulation,anti-free radical treatment.While in treatment,strengthening psychological care, strengthening routine care,intensive care observation,timely writting nursing records,developping a detailed mission and rehabilitation programs.Results:This group of 90 patients with treatment and care,33 cases were cured,the cure rate was 36.7%, significant progress in 27 cases(30% ),progress in 27 cases(30% ),invalid in 2 cases(2.2% ),1 cases of death(1.1% ).The total efficiency of 96.7% .Conclusion:Strengthening psychological care,strengthening routine care,intensive care observation,timely writting nursing records,developping a detailed mission and rehabilitation programs can significantly improve the effectiveness and quality of care for the treatment of patients with cerebral embolism in atrial fibrillation.It significantly improved the prognosis of patients.It is worth promoting.