| 陈龙菊,梁玉华,王晓晨,等.延续护理在心房颤动射频消融患者术后管理中的应用效果评价[J].安徽医药,2018,22(8):1628-1631. |
| 延续护理在心房颤动射频消融患者术后管理中的应用效果评价 |
| The effects of transitional care for the patients with atrial fibrillation after radiofrequency ablation |
| 投稿时间：2017-02-09 |
| DOI： |
| 中文关键词: 延续护理 心房颤动 经导管射频消融术 |
| 英文关键词: Transitional care Atrial fibrillation Radiofrequency ablation |
| 基金项目:安徽省卫生和计划生育委员会会科研计划项目(2016QK017)延续护理在心房颤动射频消融患者术后管理中的应用效果评价陈龙菊,梁玉华,王晓晨,许邦龙,吴继雄,何非 (安徽医科大学第二附属医院心血管内科,安徽,合肥 230601) |
| 作者 | 单位 | | 陈龙菊 | 安徽医科大学第二附属医院心血管内科,安徽,合肥 230601 | | 梁玉华 | 安徽医科大学第二附属医院心血管内科,安徽,合肥 230601 | | 王晓晨 | 安徽医科大学第二附属医院心血管内科,安徽,合肥 230601 | | 许邦龙 | 安徽医科大学第二附属医院心血管内科,安徽,合肥 230601 | | 吴继雄 | 安徽医科大学第二附属医院心血管内科,安徽,合肥 230601 | | 何非 | 安徽医科大学第二附属医院心血管内科,安徽,合肥 230601 |
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| 中文摘要: |
| 目的 评价延续护理在心房颤动(房颤)射频消融患者术后管理中的效果。方法 房颤射频消融术患者62例为延续护理组,于出院前1周进行护理评估并制订出院护理计划,出院时及随访3个月时采用服药依从性量表、17项汉密尔顿抑郁量表(HAMD17)、汉密尔顿焦虑量表(HAMA)和自我护理能力测定表进行评价,并比较复发率和药物治疗效果。同时以66例患者作为常规护理组。结果 与常规护理组相比,延续护理组患者自我护理能力总分及各维度评分显著提高。延续护理组与常规护理组服药依从性评分为(6.50±1.10)分和(4.36±1.63)分,差异有统计学意义(t=-8.631,P<0.001),延续护理组服药依从性高、中等和低的比例分别为14、35和13,常规护理组分别为4、8和52,差异有统计学意义(χ2=56.366,P<0.001)。随访3个月时,延续护理组与常规护理组INR分别为2.18±0.73和1.67±0.90(t=-3.501,P=0.001),达标人数分别为32例和5例(χ2=30.168,P<0.001),均差异有统计学意义。房颤复发率和主要出血事件发生率下降,患者焦虑和抑郁发生率降低,差异有统计学意义(P<0.05)。结论 延续护理可提高房颤射频消融患者自我护理能力,减少术后复发率。 |
| 英文摘要: |
| Objective To explore the effect of transitional care for the patients with atrial fibrillation after radiofrequency ablation.Methods 128 patients with atrial fibrillation who underwent ablation were enrolled and divided into transitional group and conventional nursing group. After follow-up for 3 months, patients were evaluated by Exercise of Self-Care Agency Scale (ESCA), Hamilton anxiety scale (HAMD17), Hamilton Depression Scale (HAMA) and Morisky Medication Adherence Scale (MMAS-8). Major bleeding events and international normalized ratio (INR) were monitored. Results The ESCA score of patients in transitional care group was significantly higher than that in conventional group (116±5 vs. 87±9, P＜ 0.001). MMAS-8 of the two group were 6.50±1.10 and 4.36±1.63 respectively, with statistically significance (t=-8.631,P＜0.001). Patients in the transitional care group display preferable medication compliance, while 14,5,13 in the transitional care group and 4,8,52 in conventional nursing group, with statistically significance (χ2=56.366,P＜0.001). After follow-up for 3 months,INR of the two groups were 2.18±0.73 and 1.67±0.90 (t=-3.501,P=0.001),with 32 case in the transitional care group and 5 case in the conventional nursing group (χ2=30.168,P＜0.001).The rate of recurrence, anxiety, depression and major bleeding were significantly reduced in the transitional care group (P＜0.05).Conclusion Transitional care could improve the ability of self-nursing and reduce recurrence in patients with atrial fibrillation after radiofrequency ablation. |
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