经心脏再同步化起搏除颤器治疗扩张型心肌病伴恶性心律失常患者的护理研究
Nursing of the dilated cardiomyopathy complicated with malignant arrhythmia patients treated with cardiac resynchronization pacing defibrillator
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摘要: 目的:探讨心脏再同步化起搏除颤器治疗扩张型心肌病伴恶性心律失常的护理方法及其效果。方法:将行心脏再同步化起搏除颤器治疗的扩张型心肌病伴恶性心律失常患者90例,随机分为对照组(常规护理)和观察组(护理干预)各45例。采用世界卫生组织生存质量测定量表(WHOQOL-BREF)评价2组患者治疗前后的生存质量,比较2组患者临床指标改变情况、疗效、心功能分级、术后不良事件发生情况和护理满意度。结果:2组患者治疗后左心室射血分数、6 min步行距离、WHOQOL-BREF评分(生理领域、心理领域、社会领域、环境领域)均显著增加(P<0.01),而QRS波宽度、左心室舒张末期内径均显著降低(P<0.01)。观察组患者左心室射血分数、6 min步行距离均明显大于对照组(P<0.01),QRS波宽度、左心室舒张末期内径均明显小于对照组(P<0.01);观察组患者WHOQOL-BREF评分(生理领域、心理领域、社会领域、环境领域)、总有效率、护理满意度均明显高于对照组(P<0.05～P<0.01),心功能分级状况明显优于对照组(P<0.01);2组患者术后不良事件发生率差异无统计学意义(P>0.05)。结论:扩张型心肌病伴恶性心律失常患者行心脏再同步化起搏除颤器治疗时,有效的护理干预可改善患者的心功能,提高患者的生活质量。
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关键词:
- 心肌病,扩张型 /
- 恶性心律失常 /
- 心脏再同步化起搏除颤器 /
- 护理
Abstract: Objective:To investigate the nursing method and effects in the dilated cardiomyopathy complicated with malignant arrhythmia patients treated with cardiac resynchronization pacing defibrillator.Methods:Ninety patients with the dilated cardiomyopathy complicated with malignant arrhythmia treated with cardiac resynchronization pacing defibrillator were randomly divided into the control group(treatment with routine care) and observation group(treatment with nursing intervention)(45 cases each group).The quality of life in two groups was evaluated by WHO quality of life scale(WHOQOL-BREF) before and after treatment.The changes of clinical indicators,treatment effect,heart function classification,postoperative adverse events and satisfaction were compared between two groups.Results:The LÜEF,6 min walking distance,WHOQOL-BREF score(including physical field,psychological field,social field and environment field) in two groups after treatment were significantly higher than those in before treatment(P<0.01),but the QRS wave width and LÜEDD after treatment were significantly lower than those in before treatment(P<0.01).The LÜEF and 6 min walking distance in observation group were significantly larger than those in control group(P<0.01),the QRS wave width and LÜEDD in observation group were significantly less than those in control group(P<0.01).The WHOQOL-BREF score(including physical field,psychological field,social field and environment field),total effective rate and nursing satisfaction in observation group were significantly higher than those in control group(P<0.05 to P<0.01).Heart function classification in observation group was significantly better than that in control group(P<0.01).The difference of the incidence of postoperative adverse events between two groups was not statistically significant(P>0.05).Conclusions:When the patients with dilated cardiomyopathy complicated with malignant arrhythmia are treated with cardiac resynchronization pacing defibrillator,the effective nursing intervention can significantly improve heart function and quality of life. -
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