基于格林模式的心房颤动经导管射频消融术后患者健康干预方案的构建及应用研究  

Construction and application of a health intervention plan for patients with atrial fibrillation after transcatheter radiofrequency ablation based on Green's model

作　　者：王良 江小燕[2] 王旋 严双 WANG Liang;JIANG Xiao-yan;WANG Xuan;YAN Shuang(department of nursing,sichuan academy of medical sciences·sichuan provincial people's hospital(affiliated hospital of university of electronic science and technology of china),chengdu 610072,china;infection control center,sichuan academy of medical sciences·sichuan provincial people's hospital(affiliated hospital of university of electronic science and technology of china),chengdu 610072,china;department of cardiology,sichuan academy of medical sciences·sichuan provincial people's hospital(affiliated hospital of university of electronic science and technology of china),chengdu 610072,china)

机构地区：[1]四川省医学科学院·四川省人民医院(电子科技大学附属医院)护理部,四川成都610072 [2]四川省医学科学院·四川省人民医院(电子科技大学附属医院)医院感染控制中心,四川成都610072 [3]四川省医学科学院·四川省人民医院(电子科技大学附属医院)心内科,四川成都610072

出　　处：《实用医院临床杂志》2024年第3期151-155,共5页Practical Journal of Clinical Medicine

基　　金：四川省干部保健科研项目(编号:川干研2021-222)。

摘　　要：目的基于格林模式构建心房颤动(AF)患者经导管射频消融术(RFCA)后的健康干预方案,并对其临床应用效果进行评价。方法选取2021年10月至2022年4月于我院RFCA治疗的AF患者70例,按照随机数字表法分为研究组与对照组各35例。对照组采用常规健康干预,研究组在此基础上实施基于格林模式健康干预方案。比较两组患者干预前、干预3、6个月的知识、态度、行为维度水平变化;以及干预前、干预6个月后左心室舒张末期直径(LVEDd)、左心房直径(LAD)、左心室射血分数(LVEF)心功能指标变化;并比较两组术后并发症发生率及生活质量。结果与对照组相比,研究组在干预3个月、6个月后,知-信-行总得分及知识维度、态度维度、行为维度得分均显著增加(P<0.05);在心功能方面,干预6个月后,研究组患者LAD、LVEDd水平较对照组显著减小,LVEF水平显著增加(P<0.05);干预6个月后,研究组生活质量显著改善,术后并发症发生率低于对照组(P<0.05)。结论基于格林模式构建的AF患者RFCA后健康干预方案,在项目内容上可行性较好,能够极大满足患者术后护理需求,有效提高了患者预防AF知、信、行水平及生活质量,同时也降低了并发症发生率,值得临床推广。Objective To construct a health intervention program for patients with atrial fibrillation(AF)after radiofrequency catheter ablation(RFCA)based on Green's model,and evaluate its clinical application effect.Methods Seventy AF patients treated with RFCA in our hospital from October 2021 to April 2022 were selected.The patients were divided into a study group and a control group using random number table method,35 in each group.The control group received routine health interventions,while the study group implemented the health intervention plan based on the Green model.Changes of knowledge,attitude and behavior dimensions before and after 3 and 6 months of intervention were compared between the two groups.Changes of left atrial diameter(LAD),left ventricular end diastolic diameter(LVEDd)and left ventricular ejection fraction(LVEF)before and after 6 months of intervention were compared between the two groups.The incidence of postoperative complications and quality of life were also compared between the two groups.Results Compared with the control group,and the scores of knowledge dimension,attitude dimension and behavior dimension were increased significantly in the study group(P<0.05).In terms of cardiac function,the levels of LAD and LVEDd in the study group were significantly lower than those in the control group,while LVEF level was significantly increased after 6 months of intervention(P<0.05).After 6 months of intervention,the quality of life in the study group was significantly improved,and the incidence of postoperative complications was lower than that in the control group(P<0.05).Conclusions The health intervention plan constructed based on the Green model for AF patients after RFCA has good feasibility in terms of project content.It can greatly meet the postoperative nursing needs of patients,effectively improve their knowledge,attitude and behavior and quality of life in preventing AF.It also reduces the incidence of complications.Thus,it is worthy of clinical promotion.

关 键 词：心房颤动 经导管射频消融术 格林模式 健康干预 应用 

分 类 号：R473.54[医药卫生—护理学] R541.7[医药卫生—临床医学]