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作 者:赵明明 ZHAO Ming-ming(General Ward,Tianjin Chest Hospital,Tianjin 300000,China)
出 处:《医学信息》2024年第3期161-164,共4页Journal of Medical Information
摘 要:目的研究心脏介入股动静脉入路患者应用集束化康复护理干预对术后非切口疼痛的影响。方法选取2022年1月-12月在我院行心脏介入股动静脉入路术的54例患者为研究对象,采用随机数字表法分为对照组和观察组,各27例。对照组应用常规护理,观察组开展集束化康复护理干预,比较两组术后不同时间段(术后6、12、24 h)非切口疼痛发生率和非切口疼痛(VAS)评分、心脏不良事件发生率及护理满意度。结果观察组术后6、12、24 h非切口疼痛发生率均低于对照组(P<0.05);观察组术后6、12、24 h非切口疼痛评分均低于对照组(P<0.05);观察组心脏不良事件发生率(7.41%)低于对照组(25.93%)(P<0.05);观察组护理满意度(96.30%)高于对照组(81.48%)(P<0.05)。结论集束化康复护理干预对心脏介入股动静脉入路术后非切口疼痛具有积极影响,可降低术后24 h内非切口疼痛发生率,减轻患者24 h内非切口疼痛评分,降低心脏不良事件发生率,提高护理满意度,是一种可行、有效的护理模式。Objective To study the effect of cluster rehabilitation nursing intervention on non-incision pain after cardiac interventional via femoral arteriovenous approach.Methods A total of 54 patients who underwent cardiac interventional vis femoral arteriovenous approach in our hospital from January to December 2022 were selected as the research objects.They were divided into control group and observation group by random number table method,with 27 patients in each group.The control group was given routine nursing,and the observation group was given cluster rehabilitation nursing intervention.The incidence of non-incision pain at different time periods(6,12,24 h after operation),non-incision pain(VAS)score,incidence of adverse cardiac events and nursing satisfaction were compared between the two groups.Results The incidence of non-incision pain at 6,12 and 24 h after operation in the observation group was lower than that in the control group(P<0.05).The non-incision pain score of the observation group at 6,12 and 24 h after operation was lower than that of the control group(P<0.05).The incidence of adverse cardiac events in the observation group(7.41%)was lower than that in the control group(25.93%)(P<0.05).The nursing satisfaction of the observation group(96.30%)was higher than that of the control group(81.48%)(P<0.05).Conclusion Cluster rehabilitation nursing intervention has a positive effect on non-incision pain after cardiac interventional via femoral arteriovenous approach,which can reduce the incidence of non-incision pain within 24 hours after operation,reduce the non-incision pain score within 24 hours after operation,reduce the incidence of adverse cardiac events,and improve nursing satisfaction.It is a feasible and effective nursing mode.
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