心房颤动射频消融术后患者活动时机的研究

摘要
图/表
参考文献(25)
相关文章 (15)

全文: PDF (725 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要目的探讨心房颤动（以下简称“房颤”）经股静脉行射频消融术后影响患者恢复的活动时机。方法选取2018年11月～2019年9月辽宁省大连市中心医院心内科经股静脉行射频消融术的房颤患者167例作为研究对象，采用随机数字表法将患者分为对照组（83例）与试验组（84例）。对照组采用常规护理方法，试验组采用术后早期床上活动的方法。观察两组患者并发症（穿刺部位出血、尿潴留）发生情况、腰背部舒适状况量表（GCQ）评分、疼痛评分和焦虑评分情况。结果两组术后穿刺部位出血发生率、尿潴留发生率比较，差异无统计学意义（P ＞ 0.05）；不同时间、分组患者腰背部疼痛评分、腰背部GCQ评分指标不同，且时间、分组存在交互作用，差异均有统计学意义（P ＜ 0.05）。进一步两两比较，组内比较：对照组术后各时间点腰背部疼痛评分均高于返回病房时，腰背部GCQ评分低于返回病房时，且术后各时间点比较（P ＜ 0.05），观察组术后各时间点腰背部疼痛评分均低于返回病房时，腰背部GCQ评分高于返回病房时，且术后各时间点比较（P ＜ 0.05）；组间比较：试验组术后各时间腰背部GCQ评分高于对照组，腰背部疼痛评分低于对照组，差异有统计学意义（P ＜ 0.05）。对照组术后6 h焦虑自评量表评分高于术前（P ＜ 0.05），试验组焦虑自评量表评分与术前比较，差异无统计学意义（P ＞ 0.05）。术后6 h，试验组焦虑自评量表评分低于对照组，差异有统计学意义（P ＜ 0.05）。结论及早活动并不会增加房颤射频消融术后患者并发症的发生率，但可以改善患者腰背部疼痛、舒适度及心理焦虑症状，房颤经股静脉行射频消融治疗患者术后活动时机宜及早进行。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	赵士荣1 王学1 颜燕2▲

关键词 ：心房颤动, 股静脉, 射频消融术, 活动时机

Abstract：Objective To investigate the effect of radiofrequency ablation of atrial fibrillation via femoral vein on the recovery time of patients. Methods A total of 167 patients with ATRIAL fibrillation who underwent femoral vein radiofrequency ablation in the Department of Cardiology, Dalian Municipal Central Hospital of Liaoning Province from November 2018 to September 2019 were selected as study subjects. Patients were divided into control group (83 cases) and experimental group (84 cases) by random number table method. Routine nursing was used in the control group, and early postoperative bed activity was used in the experimental group. Complications (bleeding at puncture site, urinary retention), general comfort questionnaire (GCQ), pain score and anxiety score were observed in the two groups. Results There was no significant difference between the two groups in the incidence of postoperative hemorrhage and urinary retention (P ＞ 0.05). Low back pain score and low back GCQ score of patients in different time and groups were different, and there was interaction between time and groups, and the differences were statistically significant (P ＜ 0.05). Further pair comparison and intra-group comparison: in the control group, the score of lower back pain at each time point after surgery was higher than that when patients returned to the ward, and the GCQ score of lower back was lower than that when patients returned to the ward, and the comparison of each time point after surgery (P ＜ 0.05). The score of lower back pain in the observation group at all postoperative time points was lower than that when returning to the ward, and the GCQ score of lower back was higher than that when returning to the ward, and the comparison of postoperative time points (P ＜ 0.05). Comparison between groups: the GCQ score of lower back of the experimental group was higher than that of the control group, and the score of lower back pain was lower than that of the control group, the differences were statistically significant (P ＜ 0.05). The self-rating anxiety scale score of the control group 6 h after surgery was higher than that before surgery (P ＜ 0.05), while the self-rating anxiety scale score of the test group was not statistically significant compared with that before surgery (P ＞ 0.05). 6 h after surgery, the self-rating anxiety scale score of the experimental group was lower than that of the control group, with statistically significant difference (P ＜ 0.05). Conclusion Early activity does not increase the incidence of complications in patients with AF after RADI of requency ablation, but it can improve the lower back pain, comfort level and psychological anxiety symptoms of patients. Therefore, it is advisable to conduct early postoperative activity in patients with AF treated by radiofrequency ablation through femoral vein.

Key words： Atrial fibrillation Femoral vein Radiofrequency ablation Activity time

基金资助:辽宁省大连市医学科学研究计划项目（1711007）。

通讯作者: ▲通讯作者

作者简介: 赵士荣（1974-），女，副主任护师，大连市中心医院心血管内六科护士长，主要从事心血管内科的研究。

引用本文:

赵士荣1 王学1 颜燕2▲. 心房颤动射频消融术后患者活动时机的研究[J]. 中国医药导报, 2020, 17(19): 190-193.
ZHAO Shirong1 WANG Xue1 YAN Yan2▲. Study on activity timing of patients with atrial fibrillation after radiofrequency ablation. 中国医药导报, 2020, 17(19): 190-193.

链接本文:

http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2020/V17/I19/190

[1] 史超，陈桂花.心房颤动行射频消融术的护理[J].全科护理，2012，1（10），108-109.
[2] 贾琴，郑明霞，何森.围术期优质护理在射频消融术治疗阵发性房颤中的应用效果[J].中国医药导报，2018，15（22），157-160.
[3] 胡盛寿，高润霖，刘力生，等.《中国心血管病报告2018》概要[J].中国循环杂志，2019，34（3）：209-220.
[4] 胡大一.中国心律学[M].北京：人民卫生出版社，2008.
[5] 中国生物医学工程学会心脏起搏与电生理分会.射频导管消融治疗快速心律失常指南（修订版）[J].中国心脏起搏与心电生理杂志，2002，16（2）：81-95.
[6] 吕素红，胡学慧，刘荣琴.Kolcaba K的舒适理论及实践应用[J].河北医药，2012，34（21）：3312-3314.
[7] 王莎莎，唐晓琴，匡巧珍.舒适性护理干预在ICU冠心病患者中的应用[J].齐鲁护理杂志，2018，24（19）：47-49.
[8] 张莉，何利，孟珊珊，等.中文版制动舒适度问卷在膝关节置换术后患者中应用的信效度分析[J].中华现代护理杂志，2018，24（6）：647-651.
[9] Chair SY，Li KM，Wong SW. Factors that affect back pain among Hong Kong Chinese patients after cardiac catheterization [J]. Eur J Cardiovasc Nurs，2004，3（4）：279-285.
[10] 邓蓉，任广秀.疼痛观察工具应用于ICU非气管插管患者的信效度分析[J].齐鲁护理杂志，2019，25（8）：88-90.
[11] 李春蕊，张雯，樊碧发.数字评分法（NRS）与口述评分法（VRS）在老年慢性疼痛患者中的比较[J].中国疼痛医学杂志，2016，22（9），683-686.
[12] 辛若丹，李文森，管考华.焦虑抑郁障碍与冠心病的相关性[J].中国老年学杂志，2017，37（6）：1556-1559.
[13] 陈丹，赵祥虎，徐亮等.肌内效贴联合手指操在经桡动脉行冠状动脉介入治疗术后患者中的应用[J].中国卫生标准管理，2018，25（19）：62-65.
[14] Bakhshi F，Namjou Z，Andishmand A，et al. Effect of positioning on patient outcomes after coronary angiography：a single- blind randomized controlled trial [J]. J Nurs Res，2014，22（1）：45-50.
[15] Olson NC. Comparison of head elevation protocols following femoral artery sheath removal after coronary angiography [J]. Crit Care Nurse，2016，36（3）：20-34.
[16] Kowalik U，Plante MK. Urinary retention in surgical patients [J]. Surg Clin North Am，2016，96（3）：453-467.
[17] Hofmann LV，Kuo WT. Catheter- directed thrombolysis for acute DVT [J]. Lancet，2012，379（9810）：3-4.
[18] Suggs PM，Lewis R，Hart AC，et al. What′s your position? Strategies for safely reaching patient comfort goals after cardiac catheterization via femoral approach [J]. Dimens Crit Care Nurs，2017，36（2）：87-93.
[19] 陈晓丽，任学军，韩智红，等.老年患者双腔起搏器置人术后发生心房颤动的相关因素分析[J].心肺血管病杂志，2017，36（3）：190-193.
[20] 李海楠.房颤患者行射频消融术的护理[J].护士进修杂志，2014，29（24）.
[21] Abdollahi AA，Mehranfard S，Behnampour N，et al. Effect of positioning and early ambulation on coronary angiography complications：a randomized clinical trial [J]. J Caring Sci，2015，4（2）：125-134.
[22] Matte R，Hilario TS，Reich R，et al. Reducing bed rest time from five to three hours does not increase complications after cardiac catheterization：the THREE CATH Trial [J]. Rev Lat Am Enfermagem，2016，24：e2796.
[23] D?説 bski M，Ulman M，Z?諭 bek A，et al. Gender differences in dualchamber pacemaker implantation indications and long -term outcomes [J]. Acta Cardiologica，2016，71（1）：41-45.
[24] 吴玉萍，李斌，林小洁，等.医护联合责任组对经导管射频消融治疗心房颤动患者健康教育的影响[J].中国医药导报，2018，15（28）：161-163，封3.
[25] 吴佳佳，朱瑞斐，金敏丽，等.综合性康复干预对房颤射频消融术后患者负性情绪和生活质量的影响[J].中国现代医生，2018，56（25）：98-100，104.