护理干预对心脏射频消融术患者的影响  

Impact of nursing intervention for patients with cardiac radiofrequency ablation

作　　者：罗燕华[1] 蔡志雄[1] 洪蝶玟[1] 陈平[1] 刘少玲[1] 朱稚丹[1] 马贵洲[1] 陈少敏[1] 倪楚民[1] 刘志芸[1] 

机构地区：[1]中山大学附属汕头医院,汕头515031

出　　处：《国际医药卫生导报》2013年第9期1332-1335,共4页International Medicine and Health Guidance News

摘　　要：目的探讨护理干预对心脏射频消融术患者的影响。方法将50例心律失常行心脏射频消融术患者随机分为干预组及对照组各25例。对照组患者给予传统的常规护理，干预组在此基础上给予重点实施护理程序健康教育行为干预，如术前心理疏导、术中耐心详细的护理干预，术后并发症的观察与护理治疗的疾病宣传等一系列的精心护理。分别在出院时通过问卷调查评估，评估两组患者的心理状况，同时对干预组巩固教育，进行效果评价，观察两组患者对疾病相关知识、自我保健知识以及健康相关行为、体育锻炼、情绪表现等。结果干预组的健康相关行为（P〈0．01）及情绪表现（P〈0．05）明显优于对照组，有明显差异性，具有统计学意义。结论护理程序健康教育能更好的提高患者的健康知识水平、有效缓解了患者紧张焦虑恐惧的心理压力，提高了手术成功率与患者的生活质量，降低了复发率、病死率，杜绝了手术并发症的发生，促进疾病的康复，还能建立新的医护关系，提高了护理工作效率和护士的专业素质。Objective To investigate the impact of nursing intervention on patients with cardiac radiofrequency ablation. Methods 50 patients with arrhythmia undergoing cardiac radiofrequency ablation were randomly divided into intervention group and control group, 25 for each group. The control group received conventional care, while the intervention group received nursing process of health education behavioral interventions including preoperative psychological counseling with patience, intraoperative detailed care intervention, postoperative complications observation, and education of the disease in addition to the conventional care. A questionnaire survey was used to assess the psychological status in all the patients on discharge. The educational intervention group were consolidated and the effects were evaluated at the same time.The disease-related knowledge, self-care knowledge, health-related behavior, physical exercise, and emotional performance were observed. Results The health-related behavior （P〈0.01）, and emotional expression （P〈0.05） were significantly better in of the intervention group than in the control group, with significant statistical differences. Conclusions Nursing program on health education is better to improve health knowledge, effectively alleviate the psychological pressure in patients with intense anxiety and fear, improve the success rate of surgery, reduce the recurrence rate, mortality rate, eliminate the occurrence of surgical complications, and improve quality of life in patients, and promote rehabilitation of the disease. A new doctor-nurse relationship is established. The efficiency of nursing and the professional levels are improved.

关 键 词：护理干预 射频消融术 患者 影响 

分 类 号：R473.5[医药卫生—护理学]