经导管射频消融治疗心房颤动患者的依从性分析与干预  

The compliance analysis and nursing intervention for the atrial fibrillation by the radiofrequency catheter ablation

作　　者：林小洁[1] 林虹[1] 张敬文[1] 

机构地区：[1]海南省人民医院心内科,海口570311

出　　处：《临床心血管病杂志》2016年第1期47-51,共5页Journal of Clinical Cardiology

基　　金：海南省卫生厅医学科研重点项目(No:琼卫2012ZD-01)

摘　　要：目的:探讨护理经导管射频消融治疗心房颤动患者的依从性状况、护理方法及效果。方法:心房颤动患者160例根据随机抽签法分为干预组与非干预组各80例,所有患者都给予经导管射频双房消融治疗,非干预组在治疗期间给予常规健康教育,针对性阶段护理干预,持续3个月。结果:所有患者完成手术,无手术相关严重并发症发生;两组的消融时间、主动脉阻断时间、体外循环时间、手术时间和住院时间对比差异无统计学意义(P>0.05)。两组术后3个月的左房和左室内径都明显缩小,而射血分数(EF)值明显上升,对比差异有统计学意义(P<0.05),在组间对比也有统计学差异(P<0.05)。在术后3个月进行调查,干预组的意向、生活方式、态度、责任、药物治疗依从性评分都明显低于非干预组,干预组的客观支持、主观支持和社会支持利用度评分明显高于非干预组,对比差异都有统计学意义(P<0.05)。结论:经导管射频消融治疗心房颤动是有效安全的方法,但是患者自我干预依从性低,针对性阶段护理干预能提高患者的依从性与社会支持性,从而改善心功能的预后。Objective：To investigate an analysis of the compliance and nursing intervention for the atrial fibrillation by the radiofrequency catheter ablation.Method：The 160 atrial fibrillation patients based on randomly were equally divided into intervention group and no-intervention group.All patients were given double atrial radiofrequency catheter ablation therapy,and the no-intervention group were received conventional health education during treatment.The intervention group were given the targeted stage nursing intervention.The cycles were three months.Result：All patients were completed the surgery without any surgery-related serious concurrent occurred.The ablation time,aortic clamping time,cardiopulmonary bypass time,operative time and hospital stay compared between the two groups were no significant differences（P〉0.05）.Three months after surgery,the left atrial and left ventricular internal diameter were significantly decreased,while the EF values were increased significantly that compared to the difference were statistically significant and compared within the two groups were also statistically significant（P〈0.05）.In the 3-month postoperative,the intention,lifestyle,attitude,responsibility,medication adherence scores of the intervention group were significantly lower than the no-intervention group,the objective support,subjective support and utilization of social support scores of the intervention group were significantly higher than the no-intervention group,the differences were all statistically significant contrast（P〈0.05）.Conclusion：The treatment of atrial fibrillation catheter ablation is safe and effective method,but patients＇ compliance is low self-intervention.The targeted stage nursing intervention can improve patients compliance and social support,thereby improve the prognosis of cardiac function.

关 键 词：经导管射频消融 心房颤动 依从性 护理干预 

分 类 号：R541.7[医药卫生—心血管疾病]