1例3型长QT间期综合征患者随访9年的护理  

A 9-year nursing follow-up of a patient with type 3 long QT syndrome

作　　者：赵霞[1] 李跃丽 张钰聪[1] 夏经钢[1] ZHAO Xia;LI Yueli;ZHANG Yucong;XIA Jinggang

机构地区：[1]首都医科大学宣武医院心脏内科,北京市100053

出　　处：《中华护理杂志》2024年第23期2908-2911,共4页Chinese Journal of Nursing

摘　　要：总结1例3型长QT间期综合征患者住院期间的护理及进行9年护理随访管理的经验。患者住院期间,做好症状鉴别与紧急处理。出院后随访的护理要点:做好用药宣教,避免使用诱发心电图QT间期延长的药物;实施预见性护理,提升患者自我管理技能;家属和医护人员共同制订家庭急救预案;家庭成员的健康管理。经过系统化的筛查、疾病知识宣教与跟踪随访,患者在出院后长期口服美托洛尔,未再发生心脏相关不良事件,心功能得到改善,随访期间恢复良好,能够按照要求进行自我监测,回归正常生活。This paper reports the inpatient care and nine-year follow-up management experience of a patient with Type 3 Long QT Syndrome.During hospitalization,efforts were focused on accurate symptom identification and emergency intervention.Key points in post-discharge follow-up care include medication education to prevent the use of drugs that prolong the QT interval on ECG,the application of anticipatory care to enhance the patient’s self-management skills,and the joint development of a family emergency plan by relatives and healthcare providers.Additionally,the comprehensive family genetic health management was implemented.Through systematic screening,disease education,and continuous follow-up,the patient was maintained on long-term oral metoprolol post-discharge,with no further cardiac adverse events.The cardiac function of the patient improved,and during follow-up,the patient exhibited good recovery,being able to perform self-monitoring as required,and returned to normal life.

关 键 词：长QT间期综合征 心律失常 随访 护理 

分 类 号：R473.5[医药卫生—护理学]