快速康复护理对心脏永久起搏器植入患者术后舒适度及并发症的影响  

Effects of Fast Rehabilitation Nursing on Postoperative Comfort and Complications in Patients undergoing Permanent Cardiac Pacemaker Implantation

作　　者：张艳红[1] 伦爱美[1] 郭里 邓洁梅 何子妍 ZHANG Yanhong;LUN Aimei;GUO Li;DENG Jiemei;HE Ziyan(Department of Cardiology,Zhaoqing First People's Hospital,Zhaoqing 526000,China)

机构地区：[1]肇庆市第一人民医院心血管内科,广东肇庆526000

出　　处：《中国医药指南》2020年第24期12-14,共3页Guide of China Medicine

摘　　要：目的探讨快速康复护理对心脏永久起搏器植入患者术后舒适度及并发症的影响。方法随机选取2018年10月至2019年12月于本院行心脏永久起搏器植入的患者86例为研究对象,随机数表法分为观察组和对照组各43例,对照组患者行常规术后护理,观察组患者采用快速康复护理。比较两组患者围手术期指标,Kolcaba简化舒适状况评分、术后并发症发生率以及护理满意度情况。结果观察组患者首次下床活动时间、住院时间、住院费用均低于对照组,差异有统计学意义(P <0.05)。术后6 h,观察组Kolcaba舒适度各部分评分及总分均高于对照组,差异有统计学意义(P <0.05)。术后当天观察组腰背酸痛、排尿困难、排便困难、尿潴留的并发症发生率为2.33%低于对照组16.28%,差异有统计学意义(P <0.05);术后3个月,观察组囊袋感染、电极移位的并发症发生率为2.33%低于对照组6.98%,差异无统计学意义(P> 0.05)。护理后,观察组患者的护理满意度得分高于对照组(P <0.05)。结论快速康复护理模式有利于缩短心脏永久起搏器植入患者术后首次下床活动时间及住院时间,增强舒适度,降低住院费用,护理满意度更高。Objective To explore the effects of rapid rehabilitation nursing on postoperative comfort and complications in patients undergoing permanent cardiac pacemaker implantation.Methods A total of 86 patients who underwent permanent cardiac pacemaker implantation in the hospital from October 2018 to December 2019 was randomly enrolled as the research objects.They were divided into observation group and control group by random number table method,43 cases in each group.The control group was given routine postoperative nursing,while observation group was given fast rehabilitation nursing.The perioperative indexes,treadmill exercise results,scores of simplifi ed Kolcaba comfort scale,the incidence of postoperative complications and nursing satisfaction were compared between the two groups.Results The first leaving bed time,hospitalization time and hospitalization cost in observation group were lower than those in control group(P<0.05).At 6h after surgery,scores of Kolcaba comfort and its total score in observation group were higher than those in control group(P<0.05).During hospitalization,the incidence of complications such as back pain,dysuria,defecation diffi culties and urinary retention in observation group was lower than that in control group(2.33%vs 16.28%)(P<0.05).At 3 months after surgery,the incidence of complications such as pocket infection and electrode displacement in observation group was lower than that in control group(2.33%vs 6.98%)(P>0.05).After nursing,scores of nursing satisfaction in observation group were higher than those in control group(P<0.05).Conclusion The rapid rehabilitation nursing mode is benefi cial to shorten the postoperative fi rst leaving bed time and hospitalization time in patients undergoing permanent cardiac pacemaker implantation,enhance comfort and reduce hospitalization cost,with higher nursing satisfaction.

关 键 词：永久起搏器植入 快速康复护理 舒适度 并发症 护理满意度 

分 类 号：R473.5[医药卫生—护理学]