丁媛媛

【摘要】目的：研究綜合護(hù)理干預(yù)對(duì)陣發(fā)性房顫射頻消融患者的影響。方法：選取本院心血管內(nèi)科于2020年1月—2022年10月收治的陣發(fā)性房顫射頻消融患者60例，對(duì)照組（30例，常規(guī)護(hù)理干預(yù)）和觀察組（30例，綜合護(hù)理干預(yù)）。結(jié)果：觀察組住院時(shí)間、護(hù)理后ASI焦慮評(píng)分、BDI抑郁評(píng)分、不良反應(yīng)總發(fā)生率低于對(duì)照組（P<0.05）。觀察組依從性評(píng)分、陣發(fā)性房顫疾病知識(shí)認(rèn)知、射頻消融技術(shù)認(rèn)知評(píng)分、總滿(mǎn)意度以及治療1d后、治7d后、治療14d后SF-36生活質(zhì)量評(píng)分高于對(duì)照組（P<0.05）。結(jié)論：綜合護(hù)理干預(yù)在陣發(fā)性房顫射頻消融患者中更具推廣價(jià)值。

【關(guān)鍵詞】綜合護(hù)理干預(yù)；陣發(fā)性房顫射頻消融；護(hù)理滿(mǎn)意度

Analysis of the effect of comprehensive nursing intervention on radiofrequency ablation of paroxysmal atrial fibrillation

DING Yuanyuan

The Second Peoples Hospital of Hefei（Hefei Hospital Affiliated to Anhui Medical University）， Department of Gardiovascular Medicine， Hefei， Anhui 230011， China

【Abstract】Objective： To study the effect of comprehensive nursing intervention on radiofrequency ablation of paroxysmal atrial fibrillation.Methods： Sixty patients with paroxysmal atrial fibrillation who were admitted to the Department of Cardiovascular Medicine of our hospital from January 2020 to October 2022 were selected as control group （30 cases， conventional nursing intervention） and observation group （30 cases， comprehensive nursing intervention）.Results：The time of hospitalization， ASI anxiety score， BDI depression score and total incidence of adverse reactions in the observation group were lower than those in the control group （P<0.05）. The score of compliance， knowledge of paroxysmal atrial fibrillation， cognitive score of radiofrequency ablation technology， total satisfaction and SF-36 quality of life scores after 1 day， 7 days and 14 days of treatment in the observation group were higher than those in the control group （P<0.05）.Conclusion： Comprehensive nursing intervention is more valuable to popularize in patients with paroxysmal atrial fibrillation.

【Key Words】Comprehensive nursing intervention； Radiofrequency ablation of paroxysmal atrial fibrillation； Nursing satisfaction

陣發(fā)性房顫一般是由于心房缺血，導(dǎo)致心肌痙攣、心率失常引起的。通常容易引起心慌、氣短、心前區(qū)疼痛等癥狀，可以在醫(yī)師指導(dǎo)下服用抗心律失常藥物普萘洛爾、美托洛爾和擴(kuò)張冠狀動(dòng)脈腔藥物硝酸甘油治療[1]。若患者伴隨高血壓，還需要搭配羅布麻片、珍菊降壓片等降壓藥治療[2]。陣發(fā)性房顫通常好發(fā)于勞累過(guò)后、情緒激動(dòng)時(shí)，建議平時(shí)規(guī)律作息、適當(dāng)休息[3]。本院心血管內(nèi)科于2020年1月—2022年10月收治的陣發(fā)性房顫射頻消融患者中，隨機(jī)選取60例作為樣本，觀察綜合護(hù)理干預(yù)對(duì)陣發(fā)性房顫射頻消融患者的影響。現(xiàn)將結(jié)果報(bào)告如下。

1 資料與方法

1.1 一般資料

選取本院心血管內(nèi)科2020年1月—2022年 10月收治的陣發(fā)性房顫射頻消融患者60例，隨機(jī)分成觀察組和對(duì)照組。觀察組，男22例，女8例，年齡60～75歲，平均年齡（69.13±2.80）歲；對(duì)照組，男21例，女9例，年齡60～75歲，平均年齡（69.21±2.94）歲。陣發(fā)性房顫射頻消融患者一般資料對(duì)比差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05）。納入標(biāo)準(zhǔn)：①經(jīng)診斷為陣發(fā)性房顫且患者射頻消融治療指征的患者；②患者及家屬知情同意。排除標(biāo)準(zhǔn)：①精神疾病者；②認(rèn)知障礙者；③射頻消融術(shù)禁忌癥者。

1.2 方法