重症心脏瓣膜病患者瓣膜置换术后护理体会  

Postoperative nursing experience in severe valvular heart disease patients after valve replacement

作　　者：周菲菲 ZHOU Fei-fei.(Department of Cardiovascular Surgery, Inner Mongolia Autonomous Region People＇s Hospital, Hohhot 010010, China)

机构地区：[1]内蒙古自治区人民医院心血管外科,010010

出　　处：《中国实用医药》2017年第2期146-148,共3页China Practical Medicine

摘　　要：目的研究重症心脏瓣膜病采用瓣膜置换术治疗术后有效的护理方法及效果。方法 60例重症心脏瓣膜病患者,以随机数字表法分为对照组和实验组,每组30例。所有患者均采用瓣膜置换术进行治疗,其中对照组患者予以常规护理,而实验组患者予以全面护理,对两组患者的临床护理效果进行对比分析。结果护理后,对照组患者的非常满意、一般满意和不满意例数分别为11例、9例和10例,实验组患者的非常满意、一般满意和不满意例数分别为25例、5例和0例,实验组患者的护理满意度100.00%明显较高于对照组的66.67%,比较差异具有统计学意义(P<0.05)。实验组患者中无一例发生并发症;而对照组中有8例发生并发症,并发症发生率为26.67%。两组患者的并发症发生率比较差异具有统计学意义(χ~2=9.2308,P=0.0024<0.05)。结论重症心脏瓣膜病采用瓣膜置换术治疗术后予以全面护理干预具有确切的护理效果,在临床护理中值得应用和推广。Objective To research effective postoperative nursing method and effect in severe valvular heart disease patients after valve replacement. Methods A total of 60 patients with severe valvular heart disease were divided by random number table into control group and experimental group, with 30 cases in each group. All patients received valve replacement for treatment. The control group received conventional nursing, and the experimental group received comprehensive nursing. Clinical nursing effects were compared and analyzed in the two groups. Results After nursing, the control group had 11 cases with great satisfaction, 9 cases with general satisfaction and 10 cases with dissatisfaction. The experimental group had 25 cases with great satisfaction, 5 cases with general satisfaction and 0 case with dissatisfaction. The experimental group had obviously higher nursing satisfaction as 100.00% than 66.67% in the control group, and their difference had statistical significance（P〈0.05）. There was no case with complications in the experimental group, while the control group had 8 cases with complications, with incidence of complications as 26.67%. The difference of incidence of complications had statistical significance between the two groups（χ2=9.2308, P=0.00240.05）. Conclusion Implement of postoperative comprehensive nursing in severe valvular heart disease patients after valve replacement shows precise nursing effect, and this method is worth application and promotion in clinical nursing.

关 键 词：重症心脏瓣膜病 瓣膜置换术 护理 

分 类 号：R473.6[医药卫生—护理学]