人工心脏起搏器置入术并发症预防及护理对策分析.docVIP

人工心脏起搏器置入术并发症的预防及护理对策分析 　　【摘要】 目的：探究人工心脏起搏器置入术并发症的预防及护理对策，为临床提供指导。方法：以2016年1月-2017年7月?肀收咚?在医院就医的449例人工心脏起搏器置入术患者为本次研究的观察对象，使用随机数字表法对449例患者进行分组。常规组224例患者应用常规护理，循证组225例患者应用循证护理，研究对比常规组和循证组患者的满意度、生活质量评分及并发症发生率。结果：循证组患者护理后满意度为96.89%，明显高于常规组的76.79%，差异有统计学意义（字2=39.745 6，P0.05）；循证组患者护理后生活质量评分为（83.35±4.26）分，明显高于常规组的（78.24±4.34）分，差异有统计学意义（t=12.590 3，P0.05）；循证组患者护理后并发症发生率为3.11%，明显低于常规组的16.96%，差异有统计学意义（字2=23.888 1，P0.05）。结论：对人工心脏起搏器置入术患者采取循证护理，能显著减少并发症的发生，提高患者的满意度，改善其生活质量。 　　【关键词】 人工心脏起搏器； 并发症； 预防； 护理 　　doi：10.14033/ki.cfmr.2018.10.041 文献标识码 B 文章编号 1674-6805（2018）10-0086-02 　　【Abstract】 Objective：To explore the prevention and nursing countermeasures of complications of artificial cardiac pacemaker implantation，and provide guidance for clinical practice.Method：A total of 449 patients with artificial pacemaker implantation in the author’s hospital from January 2016 to July 2017 were selected as the objects of this study，and 449 patients were divided into two groups by random number table method.Routine nursing was used in 224 patients in conventional group，and evidence-based nursing was applied in 225 patients in evidence-based group.Compared with the conventional group and evidence-based group patients of satisfaction，quality of life score and complication rate.Result：The evidence-based group of patients after nursing satisfaction was 96.89%，higher than 76.79% in conventional group，the difference was statistically significant（字2=39.745 6，P0.05）；the quality of life score was （83.35±4.26）points，higher than （78.24±4.34）% in conventional group，the difference was statistically significant（t=12.590 3，P0.05）.After nursing，the complication rate was 3.11%，lower than 16.96% in conventional group，the difference was statistically significant（字2=23.888 1，P0.05）.Conclusion：Evidence-based nursing for patients with artificial pacemaker implantation can significantly reduce the incidence of complications，improve patient satisfaction and improve their quality of life. 　　【Key words】 Artific