摘要
目的分析永久性起搏器植入手术患者采用情景式引导以及针对性健康教育对患者功能锻炼的影响。方法回顾性选取2018年2月至2021年1月于徐州市中医院CCU行永久性起搏器植入手术的80例患者作为研究对象,根据患者不同入院治疗时间,将其分为参照组(2018年2月至2019年12月入院治疗者40例)与研究组(2020年1月至2021年1月入院治疗者40例)。参照组采用常规健康教育干预,研究组采用情景式引导及针对性健康教育干预。观察和比较两组患者护理前后对术后功能锻炼的认知水平、自我护理能力、生存质量及术侧肩关节活动度改善情况。结果干预后,两组患者对术后功能锻炼认知水平、自我护理能力评分、生存质量评分均有升高,且研究组均高于参照组,差异有统计学意义(P<0.05);研究组术侧肩关节外展度、外旋度、内收度、内旋度均高于参照组,差异有统计学意义(P<0.05)。结论采用情景式引导及针对性健康教育可有效提高永久性起搏器植入手术患者对术后功能锻炼认知水平、自我护理能力及生存质量,对患者术后功能锻炼具有积极作用,有助于促进术侧肢体功能的恢复。
Objective To analyze the effect of situational guidance and targeted health education on functional exercise in patients undergoing permanent pacemaker implantation surgery.Methods A total of 80 patients who underwent permanent pacemaker implantation surgery in the CCU of Xuzhou City Hospital of Traditional Chinese Medicine from February 2018 to January 2021 were retrospectively selected as study subjects,and were divided into the reference group(those admitted for treatment from February 2018 to December 2019,40 cases)and the study group(those admitted for treatment from January 2020 to January 2021,40 cases).The reference group received conventional health education interventions,and the study group received situational guidance and targeted health education interventions.The cognitive level of postoperative functional exercise,self-care ability,quality of survival and improvement of shoulder joint mobility on the operated side were observed and compared between the two groups before and after care.Results After the intervention,the cognitive level of postoperative functional exercise,self-care ability score and quality of survival score increased in both groups of patients,and those in the study group were higher in comparison with the reference group,with statistically significant differences(P<0.05);The abduction,external rotation,adduction and internal rotation of the shoulder joint on the operated side in the study group were better than those in the reference group,with statistically significant differences(P<0.05).Conclusion The situational guidance and targeted health education can effectively improve the cognitive level of postoperative functional exercise,self-care ability and quality of survival in patients undergoing permanent pacemaker implantation surgery,which exerts a positive effect on patients'postoperative functional exercise and helps to promote the recovery of limb function on the operated side.
作者
贾英
JIA Ying(CCU,Xuzhou City Hospital of Traditional Chinese Medicine,Jiangsu,Xuzhou 221000,China)
出处
《中国医药科学》
2021年第17期127-130,共4页
China Medicine And Pharmacy
关键词
永久性起搏器
情景式引导
健康教育
自我护理能力
生存质量
功能锻炼
Permanent pacemaker
Situational guidance
Health education
Self-care ability
Quality of survival
Functional exercise
