白噪声联合握力球干预对心房颤动射频消融术患者的影响  

Effects of white noise combined with grip ball intervention in patients with atrial fibrillation during radiofrequency ablation

作　　者：王彦哲 赵静[2] 闫春林[2] 杨春晓[1] 郝恩刚 王平凡[2] Wang Yanzhe;Zhao Jing;Yan Chunlin;Yang Chunxiao;Hao Engang;Wang Pingfan(Interventional Clinic,The Second People′s Hospital of Liaocheng City.The Se-cond Hospital Affiliated to Shandong First Medical University,Liaocheng 252600,China)

机构地区：[1]聊城市第二人民医院,山东第一医科大学附属聊城二院介入诊疗室,山东聊城252600 [2]聊城市第二人民医院,山东第一医科大学附属聊城二院护理部,山东聊城252600 [3]聊城市第二人民医院,山东第一医科大学附属聊城二院心内科,山东聊城252600

出　　处：《护理学杂志》2024年第15期23-26,共4页Journal of Nursing Science

基　　金：山东省医药卫生科技发展计划项目(202103010807)。

摘　　要：目的探讨白噪声联合握力球干预对心房颤动射频消融术患者的影响。方法将177例行射频消融术的心房颤动患者按照随机数字表法分为三组各59例。对照组术中给予常规护理;握力球组在对照组的基础上持握力球,术中不适时随意加压握力球;白噪声+握力球组(联合组)在握力球组的基础上进入手术室即佩戴耳机播放预先选择的白噪声音乐。结果三组分别有51、52、50例完成研究。干预后,在消融术10 min时(T2)、消融到左右肺静脉前壁(T3)和后壁(T4)时,三组疼痛评分、焦虑评分、芬太尼使用总剂量比较,差异有统计学意义,且联合组显著低于或少于握力球组和对照组(均P<0.05)。三组T2、T3、T4的生命体征比较,差异有统计学意义,联合组心率及收缩压的稳定性优于握力球组和对照组(均P<0.05)。结论白噪声联合握力球干预可有效缓解心房颤动患者在射频消融术中的疼痛感和焦虑情绪,维持患者生命体征稳定。Objective To explore the effects of white noise combined with grip ball intervention in patients with atrial fibrillation du-ring radiofrequency ablation.Methods A total of 177 atrial fibrillation patients undergoing radiofrequency ablation were randomized into a control group,a grip ball group and a combined group using a random number table,with 59 patients in each group.During radiofrequency ablation,the control group received routine nursing,the grip ball group additionally held a grip ball to pinch and squeeze when they were not comfortable,and the combined group,on the basis of the grip ball group,worn earphones to play the pre-selected white noise music when they entered the operating room.Results In the three groups,51,52 and 50 patients completed the study,respectively.After the intervention,at 10 minute of radiofrequency ablation(T2),and ablation to the anterior and posterior walls of the right and left pulmonary veins(T3,T4),there were statistically significant differences in the scores of pain and anxiety,and the total dose of fentanyl among the three groups,which were significantly lower or less in the combined group than those in the other two groups(all P<0.05).Comparison of the vital signs among the three groups at T2,T3 and T4 showed statistically significant differences,and the stability of heart rate and systolic blood pressure of the combined group was better than those of the grip ball group and the control group(both P<0.05).Conclusion The intervention of white noise combined with grip ball can effectively alleviate pain and anxiety in patients with atrial fibrillation during radiofrequency ablation,and maintain the stability of their vital signs.

关 键 词：心房颤动 射频消融术 疼痛 白噪声 握力球 焦虑 芬太尼 生命体征 

分 类 号：R473.5[医药卫生—护理学]