摘要
目的分析影响老年患者起搏器植入术后舒适度的相关因素,为改善患者舒适度提供依据。方法选取80例双腔永久式起搏器植入术后的老年患者,收集患者舒适度评分、焦虑自评量表评分、沙袋压迫前后切口疼痛评分及腰背酸痛发生率等结局指标,分别将舒适度评分与后4项做相关性分析,再将有相关性的单个变量纳入逐步回归分析。结果焦虑自评量表评分、沙袋压迫前后切口疼痛评分以及腰背酸痛发生率均与舒适度评分有显著负向相关性(P<0.05),经逐步回归分析后,焦虑自评量表评分、沙袋压迫后切口疼痛评分、腰背酸痛发生率这3项作为自变量被纳入回归方程(P<0.05)。结论疼痛、焦虑均与植入永久式起搏器的老年患者舒适度呈负相关,术后应加强疼痛护理和心理干预以提高患者舒适度。
Objective To analyze the related influencing factors of comfort degree after permanent pacemaker implanta- tion for elderly patients to provide evidence for improving patients＇ comfort degree. Method Choose 80 elderly patients after permanent dual chamber pacemaker implantation. Collect the scores from patients＇ comfort degree questionnaire, self-rating anxiety scale （SAS）, pain score on sandbags oppression of incision and incidence of waist and back pain. Take correlation analysis between comfort degree score and 4 items. Then make stepwise regression analysis on single corre- lation variable. Result Score on SAS, score on sandbags oppression of incision and incidence of waist and back pain all have obvious negative correlation with comfort degree score （P〈0.05）. Three items of score on SAS, score on sandbags oppression of incision and incidence of waist and back pain are concluded into regression equation as independent variable after stepwise regression analysis （P〈0.05）. Conclusion Pain and anxiety all have negative correlation with comfort degree after permanent pacemaker implantation for elderly patients. Enhancing postoperative pain nursing care and psychological intervention can im- prove patients＇ comfort degree.
出处
《护理与康复》
2017年第5期419-421,426,共4页
Journal of Nursing and Rehabilitation
关键词
起搏器
术后
舒适度
相关因素
pacemaker
post-operation
comfort degree
related factor
