应用ICD治疗恶性室性心律失常的循证护理.docVIP

应用ICD治疗恶性室性心律失常的循证护理 　　【摘要】 目的：评价在经静脉植入埋藏式心律转复除颤器（ICD）治疗恶性心律失常中应用循证护理措施的临床价值。方法：回顾性分析在74例笔者所在医院就诊罹患恶性心律失常患者，依据护理措施方案差异分为：研究组39例，接受循证护理措施；对照组35例，接受常规护理措施。随访6个月，比较两组的临床疗效差异，并总结有针对性的循证护理措施。结果：研究组的累计死亡率、再入院次数、左室射血分数（LVEF）、T波微伏特级交替变化（MTWA）阳性率均优于对照组（P0.05）。予以定期电话随访、针对性出院指导、加强心理问题辅导等循证护理措施能显著改善疗效及预后。结论：对ICD治疗恶性心律失常患者应用循证护理措施能显著改善预后。 　　【关键词】 循证护理措施； 埋藏式心律转复除颤器； 室性心律失常 　　中图分类号 R47 文献标识码 B 文章编号 1674-6805（2014）3-0081-02 　　Clinical Value of Evidence-based Nursing on Malignant Ventricular Arrhythmia by Transvenous Implantable Cardioverter Defibrillator/WU Wei-ying.//Chinese and Foreign Medical Research，2014，12（3）：81-82 　　【Abstract】 Objective：To analyze the clinical value of evidence-based nursing（EBN） on malignant ventricular arrhythmia by transvenous implantable cardioverter defibrillator（ICD）.Method：A total of 74 patients with malignant arrhythmia in our hospital were collected to retrospective analyses and divided into two groups，research group（received EBN，39 patients） and control group（received normal nursing intervention，35 patients） according to nursing intervention variation.After 6 month follow-up，the incidences of clinical efficacy were compared between two groups，and the targeted EBN was concluded to patients with malignant arrhythmia.Result：Compared to control group，the cumulative mortality rate，re-admissions frequency，left ventricular ejection fraction （LVEF） and microvolt T-wave alternans （MTWA） positive incidence rate in research group were better（P0.05）.The EBN of regular telephone follow-up，targeted discharge instruction and enhanced psychological problem guidance were improving the clinical efficacy and prognosis.Conclusion：The clinical efficacy and prognosis to patients with malignant arrhythmia by ICD was perfect. 　　【Key words】 Evidence-based nursing； Implantable cardioverter defibrillator； Ventricular arrhythmia 　　First-author’s address：The First People’s Hospital of Shaoguan City，Shaoguan 512000，China 　　循证护理（evidence-based nursing，EBN）是指以有价值的且可信