循证护理干预对室性心动过速患儿预后影响.docVIP

循证护理干预对室性心动过速患儿预后影响 　　[摘要] 目的 探讨循证护理干预对室性心动过速患儿预后的影响，为临床应用提供依据。 方法 将2015年1月～2016年12月北京儿童医院收治的400例室性心动过速患儿采用信封法分为观察组及对照组，每组各200例。观察组采用循证护理模式干预，对照组采用常规护理模式干预。比较两组患儿用药时治疗时间、不良反应发生率、满意度、临床总有效率和生活质量评分。 结果 观察组用药治疗时间及不良反应发生率均明显低于对照组，差异有统计学意义（P 0.05）。观察组满意度、临床总有效率和生活质量评分明显高于对照组，差异有统计学意义（P 0.05）。 结论 采用循证护理模式干预后，可有效改善室性心动过速患儿预后质量，并提高临床满意率。 　　[关键词] 循证护理；室性心动过速；预后 　　[中图分类号] R473 [文献标识码] A [文章编号] 1673-7210（2017）12（a）-0174-04 　　[Abstract] Objective To investigate the influence of evidence-based nursing intervention on the prognosis of children with ventricular tachycardia， in order to provide evidence for clinical application. Methods From January 2015 to December 2016， 400 children with ventricular tachycardia in Beijing Children′s Hospital were divided into observation group and control group by envelope method， with 200 cases in each group. The observation group was treated with evidence-based intervention nursing mode， while the control group was treated with routine nursing intervention. The time of treatment， the incidence of adverse reactions， satisfaction， clinical efficacy rate and the quality of life in the two groups were compared. Results The treatment time and the incidence of adverse reactions in the observation group were significantly lower than those in the control group （P 0.05）. The satisfaction， clinical efficacy rate and the quality of life in the observation group were significantly higher than those in the control group （P 0.05）. Conclusion The prognosis of the children with ventricular tachycardia can be improved and the clinical satisfaction rate can be improved by treated with adopting the evidence-based nursing model. 　　[Key words] Evidence-based nursing； Ventricular tachycardia； Prognosis 　　室性心动过速，指希氏束分叉以下发生的快速性心律，其频率大于100次/min，连续3个以上，心电程序刺激连续6个室性搏动以上[1]。室性心动过速是常见的心律失常，器质性心脏病患者中较为常见，且在部分健康人中也可出现，其可能无害，也可能导致严重室颤，并可能诱发心脏性猝死[2-3]。室性心动过速触发活动及折返激动与其发病机制密切相关，钙离子通道在其中发挥十分重要的作用[4]。早期后除极可能引起触发钙离子通道活动，导致大量钙离子内流出现[5]。在临床中采用钙离子阻滞剂进行治疗，并具有较好的临床效果[6]。但室性心