基于愿景管理的结构性心脏病护理团队的构建及在经导管主动脉瓣置换术治疗中的应用研究  

The application of vision management based nurse-led structural heart disease care in patients receiving TAVR

作　　者：李天赐 黄旭 刘欢 张红 李玉芳 杨春莲[1] LI Tian-ci;HUANG Xu;LIU Huan;ZHANG Hong;LI Yu-fang;YANG Chun-lian(Catheterization Laboratory,Yijishan Hospital,Wannan Medical College;Operating Room,Second Affiliated Hospital of Wannan Medical College,Wuhu,Anhui 241000)

机构地区：[1]皖南医学院弋矶山医院导管室 [2]皖南医学院第二附属医院手术室,安徽芜湖241000

出　　处：《赣南医学院学报》2023年第12期1269-1274,共6页JOURNAL OF GANNAN MEDICAL UNIVERSITY

基　　金：皖南医学院教学质量与教学改革工程项目(2020jyxm58);皖南医学院中青年科研基金项目(WKS2019F01)。

摘　　要：目的:观察基于愿景管理的结构性心脏病护理团队的构建并在经导管主动脉瓣置换术(Transcatheter aortic valve replacement,TAVR)治疗中的应用效果,以期为提高主动脉瓣疾病患者介入护理质量提供参考。方法:选择2021年3月—2022年2月于皖南医学院弋矶山医院导管室行TAVR治疗的患者(n=41)为对照组,采用常规护理;2022年3—12月行TAVR治疗的患者(n=42)为观察组,实施基于愿景管理的结构性心脏病护理团队主导的护理。收集两组患者围手术期的相关资料,比较术前准备完成率、手术敷料浸湿率、手术时间、患者住院时间、X线曝光量、患者对护理工作的满意度以及围手术期并发症发生情况。结果:观察组术前准备完善率高于对照组,手术敷料浸湿率低于对照组,差异均有统计学意义(P<0.05);观察组手术时间、住院时间均短于对照组,X线曝光量低于对照组,且护理服务满意度高于对照组,差异均有统计学意义(P<0.05);观察组有6例(14.28%)患者出现并发症,对照组有17例(41.46%)患者出现并发症,差异有统计学意义(P<0.01)。结论:基于愿景管理的结构性心脏病护理团队在主动脉瓣疾病患者行TAVR治疗的围手术期护理中能以患者为导向,相互协作,显著提高护理质量。Objective:To observe the construction of a nursing team for structural heart disease based on vision management and its application in the treatment of transcatheter aortic valve replacemen(TAVR),in order to provide a reference for improving the quality of intervention care for patients with aortic valve disease.Methods:Patients(n=41)who received TAVR treatment in catheterization lab of Yijishan Hospital from March 2021 to February 2022 were selected as control group,and routine nursing was used.Patients(n=42)from March 2022 to December 2022 were selected as observation group,and vision management-based team-led care for structural heart disease was implemented.Data of perioperative period of the two groups were collected.The completion rate of preoperative preparation,the wetting rate of surgical dressing,the length of operation,days of hospitalization,the amount of X-ray exposure,the satisfaction of patients on nursing and the complications during perioperative period were compared.Results:The preoperative preparation improvement rate of the observation group was higher than that of the control group,and the wetting rate of surgical dressing was lower than that of the control group,and the difference was statistically significant(P<0.05);the operation time and hospitalization days of patients in the observation group were shorter than the control group,the X-ray exposure was lower than the control group,and the nursing service satisfaction was higher than that of the control group,and the difference was statistically significant(P<0.05);6 cases(14.28%)in the observation group had complications,and 17 cases(41.46%)in the control group had complications,and the difference was statistically significant(P<0.05).Conclusion:The nursing team of structural heart disease based on vision management can be patient-oriented and cooperate with each other in perioperative nursing of aortic valve disease patients undergoing TAVR treatment,which can significantly improve the quality of nursing.

关 键 词：愿景管理 结构性心脏病 护理团队 经导管主动脉瓣置换术 应用 

分 类 号：R473.54[医药卫生—护理学]