摘要
目的探讨护患共同管理干预在心律失常接受静脉胺碘酮治疗患者中的应用效果。方法采用便利抽样法,选取2015年10月—2017年9月在新疆医科大学第一附属医院接受胺碘酮治疗的126例心律失常患者为研究对象。将研究对象随机分为干预组和对照组各63例。对照组实施常规护理干预,干预组实施护患共同管理干预。比较两组患者静脉炎发生情况、血压、心率、不良反应、住院时间、满意度的差异。结果干预组静脉炎发生率及其发生累计时间低于对照组(P<0.05);干预组患者用药后血压水平高于对照组、胃肠道不良反应发生率及住院时间低于对照组(P<0.05);干预组护理满意度高于对照组(P<0.05)。结论护患共同管理干预可提高心律失常患者静脉使用胺碘酮治疗的安全性,减少不良事件发生率,并提高患者满意度,值得临床推广。
Objective To explore the application effects of nurse-patient co-management intervention in arrhythmia patients with intravenous amiodarone.Methods From October 2015 to September 2017,we selected 126 arrhythmia patients with amiodarone of the First Affiliated Hospital of Xinjiang Medical University as subjects by convenience sampling.All of the subjects were randomly divided into intervention group and control group,63 cases in each group.Control group adopted routine nursing,while intervention group carried out nurse-patient co-management intervention.We compared the differences in the incidence of phlebitis,blood pressure,heart rate,adverse reactions,hospital stay and satisfaction of patients both groups.Results The incidence of phlebitis and its cumulative occurrence time of intervention group were lower than those of control group(P<0.05);the level of blood pressure after using medication of patients in intervention group was higher than that in control group,and incidence of gastrointestinal adverse reaction and hospital stay of patients in intervention group were less than those in control group(P<0.05).Satisfaction with nursing of intervention group was higher than that of control group(P<0.05).Conclusions Nurse-patient co-management intervention can increase the safety of arrhythmia patients with amiodarone,reduce the incidence of adverse reactions and improve patient satisfaction which is worthy of being widely used in clinical application.
作者
阿依苏丽丹·阿不都瓦力
丁雪茹
伊宰古丽·吐尔逊
姜丽
Ayisulidan· abuduwali;Ding Xueru;Yizaiguli· tuerxun;Jiang Li(Intensive Care Unit,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China;Nursing Department,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)
出处
《中华现代护理杂志》
2019年第12期1560-1563,共4页
Chinese Journal of Modern Nursing
关键词
心律失常
心性
胺碘酮
静脉炎
护患共同管理
不良反应
Arrhythmias,cardiac
Amiodarone
Phlebitis
Nurse-patient co-management
Adverse reaction
