摘要
目的探讨PDCA循环护理对房颤射频消融术治疗患者疼痛程度及心理状态的影响。方法选取2019年10月—2021年10月医院行射频消融术的房颤患者198例,按照组间基本特征具有可比性的原则分为对照组和观察组,每组99例。对照组予以常规护理,观察组予以PDCA循环护理,比较两组患者的疼痛程度、心理状态、不良事件发生率及治疗效果。结果两组4个时点NRS评分均呈逐渐降低的趋势,时间之间差异有统计学意义(P_(时间)<0.05);消融开始后10 min、消融至左肺静脉前后壁、消融至右肺静脉前后壁时、结束消融时均以观察组低于对照组,差异有统计学意义(P_(组间)<0.05),并且随观察时间延长,组间差异逐渐增大,组间随时间变化的差异有统计学意义(P_(交互)<0.05)。观察组护理后的中文版疾病不确定感量表(MUIS)评分、不良事件发生率低于对照组,中文版心理弹性量表(CD-RISC)评分、术后当天窦性心律恢复率高于对照组,且观察组出院时、术后1个月、2个月、3个月时的窦性心律维持率高于对照组,组间比较差异均有统计学意义(P<0.05)。结论PDCA循环护理可减轻房颤射频消融术治疗患者疼痛程度,改善患者心理状态,降低不良事件发生率,进一步提升治疗效果。
Objective To explore the eff ect of PDCA cycle nursing on the pain degree and psychological state of patients with atrial fi brillation underwent radiofrequency ablation.Methods A total of 198 artial fi brillation patients who underwent radiofrequency ablation in the hospital from October 2019 to October 2021 were selected and divided into a control group and an observation group according to the principle of comparability of basic characteristics between groups,with 99 cases in each group.The control group was given routine nursing,the observation group was given PDCA cycle nursing.The degree of pain,psychological statue,incidence of adverse events and treatment eff ect were compared between the two groups.Results The NRS scores of the two groups showed a trend of gradual decrease at 4 time points,the diff erence between time points was statistically signifi cant(P<0.05).At 10 min after the beginning of ablation,at the time of ablation to the anterior and posterior wall of the left pulmonary vein at the time of ablation to the anterior and posterior wall of the right pulmonary vein,and at the end of ablation,the observation group was lower than the control group,the diff erences were statistically signifi cant(P<0.05).With the extension of observation time,the diff erences between groups were gradually increased,there was signifi cant diff erence between the groups with the changing of time(P<0.05),the observation group after nursing,the Chinese version of Mishel Disease Uncertainty Scale(MUIS)score,lower incidence of adverse events than the control group,the Chinese version of Connor-Davidson Resilience Scale(CD-RISC)score,sinus rhythm on the day after surgery recovery rate was higher than the control group,and group at discharge,after 1 month,2 months,3 months of sinus rhythm maintenance rate aws higher than the control group,there were significant differences between two groups(P<0.05).Conclusions PDCA cycle nursing could reduce the pain degree of patients with AF treated by radiofrequency ablation,improve th
作者
刘琪
LIU Qi(Nanjing Drum Tower Hospital,The Affi liated Hospital of Nanjing University Medical School,Nanjing,210008,China)
出处
《护理实践与研究》
2022年第17期2587-2591,共5页
Nursing Practice and Research
基金
江苏省卫生健康委科研项目(编号:ZDB2020010)。
关键词
房颤
射频消融术
PDCA循环护理
疼痛程度
心理状态
治疗效果
Atrial fi brillation
Radiofrequency ablation
PDCA cycle nursing
Degree of pain
Psychology
Treatment eff ect
