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| Study on activity timing of patients with atrial fibrillation after radiofrequency ablation |
| ZHAO Shirong1 WANG Xue1 YAN Yan2▲ |
1.The Sixth Department of Cardiovascular Medicine, Dalian Municipal Central Hospital, Liaoning Province, Dalian 116033, China;
2.the First Department of Cardiology, Dalian Municipal Central Hospital, Liaoning Province, Dalian 116033, China |
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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.
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