快速康复护理干预对永久起搏器植入患者术后康复进程及预后的影响  

Influence of Fast Rehabilitation Nursing Intervention on Postoperative Rehabilitation Process and Prognosis of Patients with Permanent Pacemaker Implantation

作　　者：潘婧婧 宋美燕[1] 许建新 何梅芬 PAN Jing-jing;SONG Mei-yan;XU Jian-xin(Affiliated Hospital of Putian College,Putian,Fujian,351100,China)

机构地区：[1]莆田学院附属医院,福建莆田351100

出　　处：《黑龙江医学》2022年第22期2757-2759,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨快速康复护理干预在永久性起搏器植入患者中的运用效果。方法:选取2018年2月—2021年2月莆田学院附属医院收治的168例行永久起搏器植入的患者作为研究对象,以随机数表法分为对照组(常规护理)与观察组(快速康复护理),每组各84例。对比两组患者术后机体康复进程、肩关节功能、并发症发生率及生活质量。结果:观察组术后下床活动时间、住院时间均短于对照组,差异有统计学意义(t=41.791、11.062,P<0.05);干预后,观察组肩关节疼痛与功能障碍指数(SPADI)量表中的疼痛及功能活动两个部分评分均低于对照组,差异有统计学意义(t=10.610、9.187,P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(χ^(2)=4.085,P<0.05);随访3个月后,观察组中国心血管患者生活质量评定问卷(CQQC)量表中体力、病情、医疗状况、一般生活、社会心理状况、工作状况等维度评分均高于对照组(t=10.270、6.200、6.141、6.031、9.388、7.121,P<0.05)。结论:快速康复护理干预能够降低永久起搏器植入患者术后并发症发生风险,促进肩关节功能恢复,提高生活质量,利于预后。Objective:To explore the effect of fast recovery nursing intervention in patients with permanent pacemaker implantation.Methods:A total of 168 patients with permanent pacemaker implantation admitted to the hospital from February 2018 to February 2021 were selected as the research subjects,and divided into the control group(routine nursing)and the observation group(rapid rehabilitation nursing)by random number table method,with 84 cases in each group.The postoperative rehabilitation process,shoulder joint function,complication rate and quality of life were compared between the two groups.Results:The postoperative ambulation time and hospital stay in the observation group were shorter than those in the control group,and the difference was statistically significant(t=41.791,11.062,P<0.05).After the intervention,the pain and functional activity scores of the Shoulder pain and Disability index(SPADI)scale in the observation group were lower than those in the control group,and the difference was statistically significant(t=10.610,9.187,P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(χ^(2)=4.085,P<0.05).After 3 months of follow-up,the scores of physical strength,disease condition,medical condition,general life,social psychological condition,work condition and other dimensions of the Chinese cardiovascular patients quality of life assessment questionnaire(CQQC)scale in the observation group were higher than those in the control group,and the difference was statistically significant(t=10.270,6.200,6.141,6.031,9.388,7.121,P<0.05).Conclusion:Fast rehabilitation nursing intervention can reduce the risk of postoperative complications in patients with permanent pacemaker implantation,promote the recovery of shoulder joint function,improve the quality of life,and benefit the prognosis.

关 键 词：永久起搏器植入术 快速康复护理 机体康复进程 并发症 肩关节功能 生活质量 

分 类 号：R49[医药卫生—康复医学]