全埋藏永久起博器安置术后体位和卧床时间的探讨  

Nursing discussion of patient position and duration on bed after permanent pacemaker placement

作　　者：王红霞[1] 

机构地区：[1]海南医学院附属医院心血管内科,海南海口571101

出　　处：《海南医学院学报》2007年第1期53-54,共2页Journal of Hainan Medical University

摘　　要：目的:探讨全埋藏永久起博器安置术后患者体位和卧床时间与患者舒适度的关系。方法:随机将40例行全埋藏永久起博器安置术后的患者,分成对照组和观察组各20例。对照组采用常规护理方法;观察组:在常规护理基础上采用医护人员指导协助进行术后体位的训练,调整术后卧床时间。结果:两组电极移位、出血和血肿的发生率无显著性差异(P>0.05);对照组患者的不舒适率为100%,观察组为20%,有显著性差异(P<0.05)。结论:术后缩短卧床时间,不会增加出血、血肿和电极移位的发生率,可提高患者住院期间的生活质量。Objective： Todiscuss the relation ship of postoperative posture and on-bed duration and comfort-sense. Methods： Forty patients placed permanent pacemaker were randomly grouped into control and viewing group, 20 cases for each group. Usual care and traditional method were subjected to control group. Besides these, postural training and adjustment were taken under nurse direction for viewing group. All outcomes were recorded. Results. The rates of electrode displace,bloody and hematoma were 5% and there was no difference in two group（P〉0.05）. Discomfort rate was 100% in control, but 20% in viewing group. It showed significant difference（P〈0.05）. Conclusion： A shorten period on bed do not increase the possibility of bloody, hematoma and electrode displace, hence improves their living quality in the ward.

关 键 词：超搏器 人工 体位 卧床休息 时间 

分 类 号：R473.5[医药卫生—护理学]