摘要
目的探讨自我管理干预在永久人工心脏起搏器植入患者中的应用效果。方法选择2018年7月~2019年6月在我院植入永久性人工心脏起搏器治疗的患者60例,根据入院时间的先后顺序随机进行分配,单号定义为试验组(30例),双号定义为对照组(30例)。对照组实施常规护理及出院指导;试验组在对照组基础上增加实施自我管理干预。对比两组患者的总满意度、干预前后起搏器生活质量测定量表(QLIPPV1.0)评分水平、不良事件发生情况。结果试验组患者对植入术围术期干预模式的总满意度达到96.7%,高于对照组的80.0%,差异有统计学意义(P<0.05);试验组干预后的QLIPPV1.0评分低于对照组,差异有统计学意义(P<0.05);试验组的不良事件发生率低于对照组,差异有统计学意义(P<0.05)。结论自我管理干预可以帮助植入永久性人工心脏起搏器的患者提高自我管理能力,改善出院后的生活和生存质量,减少起搏器植入相关不良事件的发生,使患者对干预模式的满意度得到显著性提升。
Objective To explore the application effect of self-management intervention in patients with permanent pacemaker implantation.Methods From July 2018 to June 2019,a total of 60 patients with permanent pacemaker implantation in our hospital were randomly assigned according to the sequence of admission time.The single number was defined as the experimental group(30 cases)and the double number as the control group(30 cases).Routine nursing and discharge guidance were carried out in the control group,and self-management intervention was added in the experimental group on the basis of the control group.The total satisfaction,the quality of life instrument for patients with pacemaker(QLIPPV1.0)score before and after the intervention,and the occurrence of adverse events of the patients in the two groups with the perioperative intervention mode were compared.Results The total satisfaction degree of patients in the experimental group was 96.7%,higher than 80.0%in the control group,the difference was statistically significant(P<0.05);the score of QLIPPV1.0 in experimental group after the intervention was lower than that in the control group,the difference was statistically significant(P<0.05);the incidence of adverse events was only lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Self-management intervention can help patients implanted with permanent artificial cardiac pacemakers improve their self-management ability,improve their life and quality of life after discharge,reduce the occurrence of adverse events related to pacemaker implantation,and make patients satisfied with the intervention model significantly improved.
作者
李庆玲
黄颖梅
杨莉
邱赟
赖珩莉
陈颖
LI Qing-Lin;HUANG Ying-mei;YANG Li;QIU Yun;LAI Heng-li;CHEN Ying(Department of Outpatient,Jiangxi Provincial People′s Hospital,Jiangxi Province,Nanchang330000,China;Department of Cardiology,Jiangxi Provincial People′s Hospital,Jiangxi Province,Nanchang330000,China)
出处
《中国当代医药》
2020年第27期192-194,共3页
China Modern Medicine
基金
江西省卫生计生委科技计划项目(20195063)。
关键词
永久人工心脏起搏器
自我管理干预
生存质量
不良事件
Permanent artificial cardiac pacemaker
Self-management intervention
Quality of life
Adverse events
