加速康复外科护理在心房颤动行导管射频消融术患者中的应用效果  

Application effects of enhanced recovery after surgery nursing in patients with atrial fibrillation undergoing radiofrequency catheter ablation

作　　者：陈晨 李林 陈世超 CHEN Chen;LI Lin;CHEN Shichao(CCU of Jiujiang No.1 People’s Hospital,Jiujiang 332000 Jiangxi,China)

机构地区：[1]九江市第一人民医院CCU,江西九江332000

出　　处：《中国民康医学》2025年第6期161-163,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察加速康复外科(ERAS)护理在心房颤动行导管射频消融术患者中的应用效果。方法:选取2021年1月至2023年1月于该院行导管射频消融术的96例心房颤动患者进行前瞻性研究,按照随机数字表法将其分为观察组和对照组各48例。对照组实施常规护理,观察组在对照组基础上实施ERAS护理。比较两组护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、生命质量[生活质量综合评定问卷-74(GQOLI-74)]评分,以及护理满意度。结果:护理后,两组SAS、SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理后,两组GQOLI-74评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为95.83%(46/48),高于对照组的83.33%(40/48),差异有统计学意义(P<0.05)。结论:ERAS护理应用于心房颤动行导管射频消融术患者可降低负性情绪评分,提高生命质量评分和护理满意度,效果优于常规护理。Objective:To observe application effects of enhanced recovery after surgery(ERAS)nursing in patients with atrial fibrillation undergoing radiofrequency catheter ablation.Methods:A prospective study was conducted on 96 patients with atrial fibrillation who underwent radiofrequency ablation in this hospital from January 2021 to January 2023.According to the random number table method,they were divided into observation group and control group,48 cases in each group.The control group was given routine nursing,while the observation group was given the ERAS nursing on the basis of that of the control group.The scores of negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]and quality of life[general quality of life inventory 74(GQOLI-74)]before and after the nursing,and the nursing satisfaction were compared between the two groups.Results:After the nursing,the scores of SAS and SDS in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the GQOLI-74 scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 95.83%(46/48),which was higher than 83.33%(40/48)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The ERAS nursing in the patients with atrial fibrillation undergoing radiofrequency catheter ablation can reduce the negative emotion scores and improve the quality of life scores and the nursing satisfaction.Moreover,it is superior to the routine nursing.

关 键 词：加速康复外科护理 心房颤动 导管射频消融术 生命质量 负性情绪 护理满意度 

分 类 号：R473.5[医药卫生—护理学]