Influence of individualized and human culture nursing on complications of cardiac interventional therapy
GAO Yan1 CAO Yukun2 WANG Tao3
1.Department of Cardiovascular Surgery, Baoji Central Hospital, Shaanxi Province, Baoji 721008, China;
2.Department of Cardiovascular Surgery, Air Force General Hospital of PLA, Beijing 100142, China;
3.Department of Hepatobiliary and Pancreatic Splenic Surgery, Baoji Central Hospital, Shaanxi Province, Baoji 721008, China
Abstract:Objective To explore the effect of personalized and humanistic nursing on the complications of cardiac interventional therapy. Methods From January to December 2017, in Baoji Central Hospital, 170 hospitalized patients underwent cardiac interventional therapy technique were selected, according to random number table method, they were divided into traditional nursing group (85 cases) and individual character humanistic nursing group (85 cases). The traditional nursing group was given routine nursing heart operations, individual character humanistic nursing group was given the personalization and humanization nursing measures on the basis of conventional nursing. The pain, anxiety and sleep quality in the two groups after operation for 2 weeks were compared, and the postoperative complications were statistically analyzed. Results After nursing, the scores of visual analogue scale (VAS), HAMA anxiety scale (HAMA) and Pittsburgh sleep quality index (PSQI) in two groups were significantly lower than before nursing, and the VAS scores, HAMA scores and PSQI scores in individual character humanistic nursing group were significantly lower than those of traditional nursing group, the differences were statistically significant (P < 0.05). The incidence of cardiac complications and non-cardiac complications in individual character humanistic nursing group were significantly lower than those of traditional nursing group, the differences were statistically significant (P < 0.05). Conclusion Humanistic nursing personality comprehensive considers the needs for interventional heart surgery patients with various personalized care, and from the perspective of humanistic care, it reduces the pain patients maximally, improves the prognosis of disease recovery, decreases the incidence of complications after cardiac interventional therapy.
高艳1 曹钰琨2 王涛3. 个性化加人文化护理对心脏介入治疗并发症发生情况的影响[J]. 中国医药导报, 2018, 15(25): 156-159.
GAO Yan1 CAO Yukun2 WANG Tao3. Influence of individualized and human culture nursing on complications of cardiac interventional therapy. 中国医药导报, 2018, 15(25): 156-159.
[1] 徐丹苹.基于循证实践探索临床疗效最大化的中西医结合心脏康复模式[J].中国循环杂志,2017,32(z1):219-220.
[2] Narayan M,Jones J,Portalupi LB,et al. Patient perspectives on communication of individualized survival estimates in heart failure [J]. J Card Fail,2017,23(4):272-277.
[3] Liljeroos M,?魡gren S,Jaarsma T,et al. Long-term effects of a dyadic psycho-educational intervention on caregiver burden and morbidity in partners of patients with heart failure:a randomized controlled trial [J]. Qual Life Res,2017,26(2):367-379.
[4] Hung YC,Tseng YJ,Hu WL,et al. Demographic and prescribing patterns of chinese herbal products for individualized therapy for ischemic heart disease in Taiwan:Population-Based Study [J]. PLoS One,2015,10(8):e0137058.
[5] Weldam SW,Lammers JJ,Zwakman M,et al. Nurses′ perspectives of a new individualized nursing care intervention for COPD patients in primary care settings:a mixed method study [J]. Appl Nurs Res,2017,33(2):85-92.
[6] Borhani F,Abbaszadeh A,Rabori RM. Facilitators and threats to the patient dignity in hospitalized patients with heart diseases:a qualitative study [J]. Int J Community Based Nurs Midwifery,2016,4(1):36-46.
[7] Hornblow AR,Kidson MA. The visual analogue scale for anxiety:a validation study [J]. Aust NZ J Psychiatry, 1976, 10(4):339-341.
[8] Thompson E. Hamilton Rating Scale for Anxiety (HAMA) [J]. Occup Med(Lond),2015,65(7):601.
[9] Tuyan ■lhan T,U?觭ar MG,Gül A,et al. Sleep quality of endometrial cancer survivors and the effect of treatments [J]. Turk J Obstet Gynecol,2017,14(4):243-248.
[10] 杨静.冠脉介入术后患者服药依从性与生活质量的相关性研究及护理干预[D].广州:南方医科大学,2012.
[11] Gwadz M,Cleland CM,Applegate E,et al. Behavioral intervention improves treatment outcomes among HIV-infected individuals who have delayed,declined,or discontinued antiretroviral therapy:a randomized controlled trial of a novel intervention [J]. AIDS Behav,2015,19(10):1801-1817.
[12] 陈永强.《2015美国心脏协会心肺复苏及心血管急救指南更新》解读[J].中华护理杂志,2016,51(2):253-256.
[13] 王瑜,单文生.新疆不同民族冠状动脉再狭窄患者PCI术后遵医行为及影响因素比较[J].护理学报,2013,20(1B):25-29.
[14] 楚广玉,张清.心脏介入术中监测有创压力有效降低不良事件的发生[J].中国老年学杂志,2016,36(8):1840-1841.
[15] 周萌,胡可鉴,石丽,等.心脏术后患者发生获得性吞咽障碍的危险因素分析[J].中华护理杂志,2016,51(4):420-423.
[16] 王霞.急性心肌梗死经皮冠状动脉介入治疗术后患者早期心脏康复计划的护理进展[J].护理实践与研究,2013, 10(16):114-116.
[17] 顾淑芳,孙娜,连围.急性心肌梗死急诊经皮冠状动脉介入患者术后早期康复治疗的研究进展[J].中国实用护理杂志,2016,32(11):872-875.
[18] Hickey PA,Gauvreau K,Curley MA,et al. The effect of critical care nursing and organizational characteristics on pediatric cardiac surgery mortality in the United States [J]. J Nurs Adm,2013,43(12):637-644.
[19] Wong FM,Sit JW,Wong EM,et al. Factors associated with health-related quality of life among patients with implantable cardioverter defibrillator:identification of foci for nursing intervention [J]. J Adv Nurs,2014,70(12):2821-2834.
[20] 史利锋,林平.经皮冠状动脉介入治疗患者术后心脏不良事件的发生情况及影响因素[J].中华护理杂志,2015, 50(12):1449-1453.
[21] 郭蕾,沈莹,王琳.心脏介入诊疗术并发迟发心脏压塞的早期识别与抢救护理进展[J].护士进修杂志,2015, 30(1):38-41.
[22] 刘芳,常芸,吴筱娴.冠心病介入治疗术后连续性护理的实施效果评价[J].中国实用护理杂志,2017,33(16):1223-1226.