术后6 h下床活动对永久性心脏起搏器植入患者的影响  

Influence of getting out of bed 6 hours after surgery on patients with permanent cardiac pacemaker implantation

作　　者：黄荣芳 潘英文 蒋志琼 HUANG Rongfang;PAN Yingwen;JIANG Zhiqiong(Department of Cardiology of Qingyuan People’s Hospital,Qingyuan 511500 Guangdong,China)

机构地区：[1]清远市人民医院心内科,广东清远511500

出　　处：《中国民康医学》2022年第10期179-182,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察术后6 h下床活动对永久性心脏起搏器植入患者的影响。方法:选取71例永久性心脏起搏器植入术后患者为研究对象,按照随机数字表法分为对照组(n=35)和观察组(n=36)。对照组实施术后24 h下床活动,观察组实施术后6 h下床活动,比较两组干预前后舒适度[舒适状况量表(GCQ)]评分、生命质量[简明健康调查量表(SF-36)]评分及并发症发生率。结果:干预后,观察组心理、生理、环境、社会文化等GCQ评分均高于对照组,差异有统计学意义(P<0.05);观察组生理机能、社会功能、生理职能、躯体疼痛、精神健康、情感职能、精力、一般健康状况等生命质量评分均高于对照组,差异有统计学意义(P<0.05);观察组腰痛、尿潴留发生率低于对照组,差异有统计学意义(P<0.05);两组电极脱位、囊袋出血发生率比较,差异无统计学意义(P>0.05)。结论:术后6 h下床活动应用于永久性心脏起搏器植入术后患者,可提高其舒适度,改善生命质量,降低腰痛和尿潴留发生率,且不增高电极脱位和囊袋出血发生率,其效果优于术后24 h下床活动。Objective:To observe influence of getting out of bed 6 hours after surgery on patients with permanent cardiac pacemaker implantation.Methods:71 patients after permanent cardiac pacemaker implantation were selected as the research objects and were divided into control group(n=35)and observation group(n=36)according to the random number table method.The control group was getting out of bed 24 h after the surgery,while the observation group was getting out of bed at 6 h after the surgery.The scores of comfort degree[general comfort questionnaire(GCQ)],the quality of life[short form health survey scale(SF-36)]and the incidence of complications were compared between the two groups before and after the intervention.Results:After the intervention,the GCQ scores of psychology,physiology,environment,and social culture in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The scores of quality of life such as physiological functioning,social function,physical function,physical pain,mental health,emotional function,vitality,general health were higher than those of the control group,and the differences were statistically significant(P<0.05).The incidence rates of low back pain and urinary retention in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).However,there were no significant differences in the incidence of electrode dislocation and pocket bleeding between the two groups(P>0.05).Conclusions:Getting out of bed for 6 hours after the surgery can improve comfort degree,improve the quality of life,and reduce the incidence of low back pain and urinary retention without increasing the incidence of electrode dislocation and capsular bleeding.Moreover,it is superior to getting out of bed 24 hours after the surgery.

关 键 词：起搏器 舒适度 生命质量 尿潴留 囊袋出血 

分 类 号：R473.5[医药卫生—护理学]