摘要
目的 分析对老年心脏起搏器植入术患者实施护理干预的应用价值。方法 选取我院行心脏起搏器植入术的老年患者84例,抽样时间2024年2月~2024年12月,随机分为观察组和对照组,每组42例。对照组接受常规护理干预,观察组在对照组基础上加以优质护理干预。比较不同护理方式的焦虑情绪、生活质量,记录并发症情况和护理满意度。结果 护理后,观察组焦虑情绪缓解、生活质量水平提升且优于对照组,差异有统计学意义(P<0.05)。观察组并发症率4.76%,护理满意率97.62%,对照组并发症率21.43%,护理满意率80.95%,组间并发症、护理满意度比较差异有统计学意义(P<0.05)。结论 优质护理干预的使用,有助于减轻起心脏搏器植入后患者的心理负担,促进良好护患关系形成,且安全性较高,值得临床推广使用。
关键词: 心脏起搏器植入术;老年人群;护理干预
Abstract
Objective To analyze the application value of nursing intervention for elderly patients undergoing cardiac pacemaker implantation. Methods A total of 84 elderly patients who underwent cardiac pacemaker implantation in our hospital were selected. The sampling period was from February 2024 to December 2024. The patients were randomly divided into an observation group and a control group, with 42 cases in each group. The control group received conventional nursing interventions, while the observation group received high-quality nursing interventions in addition to the conventional care. Compare the anxiety and quality of life of different nursing methods, record the complications and nursing satisfaction. Results After the nursing care, the anxiety of the observation group was relieved, the quality of life was improved and better than that of the control group, and the difference was statistically significant (P<0.05). The complication rate of the observation group was 4.76%, and the satisfaction rate of nursing was 97.62%. The complication rate of the control group was 21.43%, and the satisfaction rate of nursing was 80.95%. There were statistically significant differences in complications and nursing satisfaction between the groups (P<0.05). Conclusion The application of high-quality nursing intervention helps to reduce the psychological burden of patients after cardiac pacemaker implantation, promotes the formation of a good nurse-patient relationship, and has high safety. It is worthy of clinical promotion and application.
Key words: Cardiac pacemaker implantation; The elderly population; Nursing intervention
参考文献 References
[1] 吕丽艳,王立红,梁玲.探讨护理干预对永久起搏器植入患者术后并发症及生活质量的影响[J].糖尿病天地•教育(上旬), 2020, 17(10):225.
[2] 吴秀华,朱夏玲,叶莉,等.基于KANO模型的护理干预在心脏起搏器植入者居家护理中的应用[J].中华全科医学, 2025, 23(3):521-524.
[3] 张凌,李淑莹,胡慧涟,等.三主体双轨道互动护理干预模式在永久心脏起搏器植入术患者中的应用[J].齐鲁护理杂志, 2021, 27(5):33-37.
[4] 崔莉萍,李伦兰,王竹馨,等.根因分析法在永久性心脏起搏器植入术前病人跌倒/坠床管理中的应用[J].护理研究, 2021, 35(10):1835-1838.
[5] 蔡萍.早期康复锻炼对老年心脏起搏器植入术后心肺功能改善效果[J].心血管病防治知识(学术版), 2024, 14(16): 114-118.
[6] 高云楷.预见性护理在患者心脏双腔起搏器术后护理中的效果分析[J].当代护士:上旬刊, 2020, 27(3):27-29.
[7] 刘凤,任静,罗扬,等.基于赋能理论的延续护理对心脏永久起搏器植入患者肩关节功能和生存质量的影响[J].泸州医学院学报, 2021, 44(2):173-176.
[8] 陈平平,邓玉云,苏巧丽.循证护理结合心脏康复护理干预在心脏起搏器植入术后患者中的应用[J].临床医学工程, 2023, 30(10):1441-1442.
[9] 何熹丽娅.早期康复护理对人工心脏起搏器植入术后患者并发症,肩功能恢复及生活质量的影响[J].国际护理学杂志, 2021, 40(19):3716-3720.