安装起搏器术后肢体制动带的设计和临床应用效果评价  

Design and clinical evaluation of limb brake band after the installation of pacemaker

作　　者：张玉 周宜芳 王曦 丁源 毕玉洁 Zhang Yu;Zhou Yifang;Wang Xi;Ding Yuan;Bi Yujie(Department of Cardiology,Huaihai Hospital Affiliated to Xuzhou Medical University,Xuzhou 221004,China)

机构地区：[1]徐州医科大学附属淮海医院心内科,徐州221004

出　　处：《国际护理学杂志》2024年第7期1276-1281,共6页international journal of nursing

摘　　要：目的探究安装起搏器术后肢体制动带的设计和临床应用效果评价。方法选取2018年1月至2021年1月于徐州医科大学附属淮海医院心内科行安装起搏器术的符合标准的117例患者作为研究对象,采用随机数字表法将所有患者随机分为观察组(n=57)和对照组(n=60),其中观察组安装起搏器后采用肢体制动带的方法进行制动,对照组采用传统制动方法进行制动。观察并比较两组患者术后不良反应发生的情况;通过患者填写焦虑抑郁量表、睡眠状况自评量表及舒适程度量表,评估并比较两组患者术后的心理情况、睡眠情况及舒适情况;随访所有患者3月,通过患者填写生活质量量表进行评估患者生活质量情况。结果通过比较两组患者术后不良反应发生情况发现,观察组患者腹胀便秘、肩部疼痛、腰部酸痛发生情况较对照组均明显减少,差异有统计学意义(均P<0.05),而两组患者在电极移位、伤口出血、尿潴留方面无明显区别,差异均无统计学意义(均P>0.05);通过比较两组患者术后的心理及睡眠情况发现,观察组患者术后的睡眠、心理和舒适状况均明显好于对照组,差异有统计学意义(均P<0.05);通过随访患者3个月并比较两组患者的生活质量评分发现,观察组患者在体能、体力所致工作和生活受限、躯体疼痛、情感状况、生理领域、心理健康方面均明显好于对照组,差异有统计学意义(均P<0.05),而在总体健康、精力状况、社会功能、情感所致工作和生活受限方面无明显区别,差异均无统计学意义(均P>0.05),观察组患者的生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论肢体制动带的发现对安装起搏器术后的患者具有重要意义,可降低并发症的发生,改善生活质量,值得在临床上大力推广。Objective To explore the design and clinical application of limb brake band after the installation of pacemaker.Methods A total of 117 patients who underwent pacemaker installation in the department of cardiology,Huaihai Hospital Affiliated to Xuzhou Medical University from January 2018 to January 2021 were selected as the research objects.All patients were randomly divided into observation group(n=57)and control group(n=60)by random number table method.After the installation of pacemaker,the observation group was immobilized by limb brake belt,while the control group was immobilized by traditional braking method.The postoperative adverse reactions of the two groups were observed and compared.The psychological,sleep and comfort conditions of the two groups were evaluated and compared by filling in the Anxiety and Depression Scale,Self-Rating Sleep Scale and Comfort Scale.All patients were followed up for 3 months,and their life quality was evaluated by filling in the quality of life scale.Results By comparing the occurance of postoperative adverse reactions between the two groups,it was found that the occurance of abdominal distension,constipation,shoulder pain and waist pain in the observation group was significantly reduced compared with that in the control group,and the differences were statistically significant(P<0.05).There were no significant differences in electrode shift,wound bleeding and urinary retention between the two groups(P>0.05).By comparing the postoperative psychology and sleep of the two groups,it was found that the postoperative sleep,psychology and comfort of the patients in the observation group were significantly better than those in the control group,and the differences were statistically significant(P<0.05).By following up patients for 3 months and comparing the scores of quality of life between the two groups,it was found that the patients in the observation group were significantly better than those in the control group in terms of physical fitness,limitation of work and life caused by

关 键 词：肢体制动带 起搏器术后 临床应用 效果 

分 类 号：R473.6[医药卫生—护理学]