纽曼系统护理联合正念疗法对房颤射频消融患者围手术期负性情绪和用药依从性的影响  

Effect of newman system nursing combined with mindfulness therapy on perioperative negative emotions and medication compliance in patients undergoing radiofrequency ablation of atrial fibrillation

作　　者：张雅玺 蒋秋焕 任月霞 张乐 王林珂 韩梦梦 ZHANG Yaxi;JIANG Qiuhuan;REN Yuexia;ZHANG Le;WANG Linke;HAN Mengmeng(Arrhythmia II Ward,Fuwaihua Central Vascular Disease Hospital,People′s Hospital of Zhengzhou University,Zhengzhou 450000,China;Nursing Department,People′s Hospital of Zhengzhou University,Henan Provincial People′s Hospital,Zhengzhou 450000,China;ArrhythmiaⅡWard,Fuwai Hua Central Vascular Disease Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州大学人民医院心律失常二病区,阜外华中心血管病医院心律失常二病区,郑州450000 [2]郑州大学人民医院护理部,河南省人民医院护理部,郑州450000 [3]阜外华中心血管病医院心律失常二病区,郑州450000

出　　处：《济宁医学院学报》2024年第6期511-514,共4页Journal of Jining Medical University

基　　金：河南省医学科技攻关计划项目(LHGJ20230146)。

摘　　要：目的探讨纽曼系统护理联合正念疗法对心房颤动(房颤)射频消融患者围手术期负性情绪和用药依从性的影响。方法采取回顾性研究,选择2022年1月至2022年12月于医院接受常规护理的53例房颤射频消融患者临床资料作为对照组,另选取2023年1月至2023年12月于医院接受纽曼系统护理联合正念疗法的53例房颤射频消融患者临床资料作为观察组。均连续护理7d。比较两组护理前、护理7d负性情绪[正性负性情绪量表(PANAS)];统计并比较两组围术期用药依从性及并发症发生情况。结果护理7d,观察组PANAS中正性情绪评分(33.42±5.13)分高于对照组(31.06±4.65)分,负性情绪评分(16.23±2.98)分低于对照组(19.45±3.15)分(P<0.05);观察组用药依从性88.68%(47/53×100%)高于对照组66.04%(35/53×100%)(P<0.05),两组并发症比较[7.55%(4/53×100%)vs 1.89%(1/53×100%)](P>0.05)。结论纽曼系统护理联合正念疗法能够有效改善房颤射频消融患者正性负性情绪,提升用药依从性。Objective To investigate the effects of Newman system nursing combined with mindfulness therapy on perioperative negative emotions and medication compliance in patients with atrial fibrillation(AF)undergoing radiofrequency ablation.Methods A retrospective study was conducted.The clinical data of 53 patients with atrial fibrillation who received routine care in hospital from January 2022 to December 2022 were selected as the control group,and the clinical data of 53 patients with atrial fibrillation who received Newman system care combined with mindfulness therapy in hospital from January 2023 to December 2023 were selected as the observation group.All patients received continuous care for 7 days.The Positive and Negative Affect Schedule(PANAS)was used to compare negative emotions before and 7 days after nursing between the two groups.Perioperative medication compliance and complications were statistically compared between the two groups.Results After 7 days of nursing,the positive emotion score of PANAS in the observation group(33.42±5.13)was higher than that in the control group(31.06±4.65),and the negative emotion score(16.23±2.98)was lower than that in the control group(19.45±3.15)(P<0.05).The medication compliance of the observation group was 88.68%(47/53×100%)higher than that of the control group 66.04%(35/53×100%)(P<0.05),and the complications of the two groups were compared[7.55%(4/53×100%)vs 1.89%(1/53×100%)](P>0.05).Conclusion Newman system nursing combined with mindfulness therapy can effectively improve the positive and negative emotions of patients with radiofrequency ablation of atrial fibrillation and improve medication compliance.

关 键 词：房颤 射频消融 纽曼系统护理 正念疗法 依从性 负性情绪 

分 类 号：R541[医药卫生—心血管疾病]