舒适护理在高龄患者永久心脏起搏器治疗中的效果观察  

Effect of comfort nursing on elderly patients after permanent cardiac pacemaker

作　　者：张杉[1] 白梅[1] 何维玉 赵婷婷[1] 林洁[1] 白华[1] 孙凌燕[1] 崔永慧[1] 

机构地区：[1]首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所心内科,100029

出　　处：《心肺血管病杂志》2014年第5期726-728,共3页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：目的:观察舒适护理在高龄患者接受永久性心脏起搏器治疗的临床效果。方法:对80例高龄安装永久性心脏起搏器患者随机分为两组,进行舒适护理和常规护理对比观察研究,分析两组住院期间腰酸背痛、睡眠障碍、尿潴留、焦虑及肩周炎的发生率及住院时患者满意度有无差异。结果:相对于常规护理,采取舒适护理后,可明显减少高龄患者安装永久性心脏起搏器术后腰酸背痛(P<0.01)、睡眠障碍(P<0.01)、尿潴留(P<0.01)、焦虑(P<0.01),肩周炎(P<0.05),住院时间与对照组比较明显减少(P<0.01)。实验组患者的满意度较对照组明显提高,差异有统计学意义(P<0.01)。结论:对高龄安装永久性心脏起搏器术后患者实行舒适护理,可明显提高患者术后的舒适度,减少并发症,缩短住院时间及提高患者满意度,值得临床推广。Objective：To observe the clinical effect of comfort nursing on the elderly patients after permanent cardiac pacemaker. Methods： Eighty patients with permanent cardiac pacemaker were randomly divided into comfort nursing group and routine nursing group. Collecting and analyzing the incidence of backache,sleep disorders,urinary retention,anxiety and scapulohumeral periarthritis,as well as the difference in satisfaction of patients. Results： In comfort nursing group,the incidence was relatively less in backache（ P〈0.01）,sleep disorders（ P〈0.01）,urinary retention（ P〈0.01）,anxiety（ P〈0.01） and scapulohumeral periarthritis（ P〈0.05）. In addition,compared with routine nursing group,the average hospital stay reduced（ P〈0.01） and the satisficing increased（ P〈0.01） significantly in comfort nursing group patients. Conclusion： Comfortable nursing could improve comfort level and satisfactoriness of elderly patients,decrease the complications and shorten hospital stay after permanent cardiac pacemaker implantation,and it should be used in more clinical practice.

关 键 词：舒适护理 高龄患者 永久心脏起搏器 

分 类 号：R54[医药卫生—心血管疾病]