心脏希氏束或希氏束旁起搏的集束化围手术期护理  

Perioperative bundle of cares for patients receiving His bundle pacing or para-His bundle pacing

作　　者：叶红[1] 张军[2] 辛玲[3] 胡婷业[4] 安成玲[5] 程琳慧 李艳红 王明凤 YE Hong;ZHANG Jun;XIN Ling;HU Tingye;AN Chengling;CHENG Linghui;LI Yanhong;WANG Mingfeng(Cardiac and Cerebral Vascular Department, Chuzhou Municipal First People＇s Hospital, Affiliated Chuzhou Clinical College of Anhui Medical University, Chuzhou, Anhui Province 239001, China)

机构地区：[1]安徽医科大学附属滁州临床学院(滁州市第一人民医院)心脑血管科,安徽滁州239001 [2]安徽医科大学附属滁州临床学院(滁州市第一人民医院)心内3科,安徽滁州239001 [3]安徽医科大学附属滁州临床学院(滁州市第一人民医院)护理部,安徽滁州239001 [4]安徽医科大学附属滁州临床学院(滁州市第一人民医院)介入血管科,安徽滁州239001 [5]安徽医科大学附属滁州临床学院(滁州市第一人民医院)DSA室,安徽滁州239001

出　　处：《介入放射学杂志》2017年第12期1143-1146,共4页Journal of Interventional Radiology

基　　金：安徽省科技攻关计划项目(1501041163)

摘　　要：目的探讨心脏希氏束或希氏束旁起搏患者最佳围手术期护理方案。方法 26例患者采用希氏束或希氏束旁起搏,通过强化对专科小组成员的培训,完善术前干预、术中配合及术后病情、并发症的观察、预防和健康指导等集束化护理干预措施。结果 26例该束式起搏患者在特制的集束化护理干预下能良好配合,术后顺利康复,无并发症发生,达到预期效果。结论集束化护理干预措施科学、合理,能提升护士专业护理能力,确保专科护理质量。Objective To explore the optimal perioperative nursing program for patients receiving cardiac pacemaker by His bundle pacing or by para-His bundle pacing. Methods A total of 26 patients, who were receiving cardiac pacemaker by His bundle pacing or by para-His bundle pacing, were enrolled in this study. The bundle of cares, used as the nursing intervention measures, was executed in all patients, which included strengthening the professional training for specialist team members, improvement of preoperative intervention, careful intraoperative cooperation, postoperative observation of patient＇s condition and complications, prevention and health guidance, etc. Results Through the strict implementation of the special bundle of nursing cares, all the 26 patients could well cooperated with surgical procedure, and after the treatment the patients recovered smoothly and achieved the desired results with no occurrence of complications. Conclusion The intervention measures of the bundle of cares are scientific and reasonable. The implementation of the special bundle of nursing cares can promote the professional nursing ability of nurses and ensure the quality of nursing service.

关 键 词：希氏束或希氏束旁起搏 集束化护理 护理干预 

分 类 号：R473.5[医药卫生—护理学]