整体干预对介入治疗术后先天性心脏病患儿提升生活质量、降低并发症的效果  

Effects of a holistic intervention on improving quality of life and reducing complications in children with congenital heart disease after interventional therapy

作　　者：王君[1] 杨玲[1] WANG Jun;YANG Ling(Pediatric Heart Center Ward,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China)

机构地区：[1]上海交通大学医学院附属新华医院儿心脏中心病区,上海市200092

出　　处：《河北医药》2024年第17期2647-2650,共4页Hebei Medical Journal

摘　　要：目的研究整体干预用于介入治疗术后先天性心脏病(CHD)患儿提升生活质量、降低并发症的效果。方法选取2021年6月至2022年5月行介入治疗术的CHD患儿102例,患儿随机分为对照组(n=51,予以常规干预)和试验组(n=51例,在对照组基础上联用整体干预)。比较2组康复情况、儿童术后疼痛行为量表(FLACC)、生活质量评价量表(SF-36)、并发症发生率、家属满意度情况。结果试验组胸闷消退时间、气促消退时间、住院时间短于对照组(P<0.05)。试验组FLACC评分低于对照组(P<0.05)。试验组SF-36量表各维度评分高于对照组(P<0.05)。试验组总并发症发生率为3.92%低于对照组的17.65%(P<0.05)。试验组满意度(专业技能、照护水平、家人参与、获取信息评分)高于对照组(P<0.05)。结论整体干预用于介入治疗术后CHD患儿中,能快速改善患儿胸闷、气促等临床症状,缩短住院时间,有效缓解机体疼痛,提升患儿生活质量和家属满意度,且术后并发症较少。Objective To study the effects of a holistic intervention on improving quality of life and reducing complications in children with congenital heart disease(CHD)after interventional therapy.Methods A total of 102 children with CHD who received interventional therapy in our hospital from June 2021 to May 2022 were selected.They were randomly assigned into control group(51 cases,routine intervention)and experimental group(51 cases,holistic intervention plus routine intervention).The recovery status,postoperative FLACC scale(Face,Legs,Activity,Cry,Consolability),36-Item Short-Form Survey(SF-36),complication rate and family satisfaction were compared between the two groups.Results The resolution time of chest distress,resolution time of breath shortness and the length of stay in the experimental group was were significantly shorter than those of the control group(P<0.05).After intervention,the FLACC score of the experimental group was significantly lower than that of the control group(P<0.05).After intervention,the scores of SF-36 in the experimental group were significantly higher than those of the control group(P<0.05).The incidence of complications in the experimental group was significantly lower than that of control group(3.92%vs 17.65%,P<0.05).The scores of professional skill,care level,family participation and access to information in the experimental group were significantly higher than those of the control group(P<0.05).Conclusion Holistic intervention can rapidly improve clinical symptoms of chest tightness and shortness of breath in children with CHD after interventional therapy,shorten the length of stay,effectively relieve body pain,improve the quality of life of children and family satisfaction,and reduce postoperative complications.

关 键 词：先天性心脏病 介入治疗 整体干预 生活质量 

分 类 号：R541[医药卫生—心血管疾病]