Application of directional health guidance based on patients’ feedback in extended nursing after radiofrequency ablation of paroxysmal supra-ventricular tachycardia#br#
GAO Huimin WANG Xu WANG Lin▲
Department of Cardiology, Jiangsu Provincial People’s Hospital, Jiangsu Province, Nanjing 210029, China
Abstract:Objective To investigate the application of directional health guidance based on patients’ feedback in extended nursing after radiofrequency catheter ablation (RFCA) of paroxysmal supra-ventricular tachycardia (PSVT). Methods A total of 90 PSVT patients treated with RFCA from May 2019 to April 2021 in Jiangsu Provincial People’s Hospital were selected, according to random number table, the patients were divided into routine group and observation group, with 45 cases in each group. The routine group received routine extended nursing intervention after discharge, while the observation group received routine extended nursing and directional health guidance based on patients’ feedback after discharge, and all of them were intervened for three months. The scores of health knowledge before and after intervention, the complete compliance rates of taking medicine and incidence rates of adverse events of anticoagulants were compared between the two groups. Results The scores of health knowledge in the two groups after the intervention were higher than those before the intervention, and the observation group after the intervention was higher than that in the routine group (P < 0.05). The complete compliance rate of taking medicine in the observation group was higher than the routine group (P < 0.05). The incidence rate of adverse events of anticoagulants in the observation group was lower than the routine group (P < 0.05). Conclusion The application of directional health guidance based on patients’ feedback in extended nursing after RFCA of PSVT patients is helpful to improve the level of patients’ health knowledge, improve taking medicine compliance, and it can reduce the incidence rate of adverse event of anticoagulants.
高慧敏 王旭 王琳▲. 基于患方反馈的定向健康指导在阵发性室上性心动过速射频消融术后延伸护理中的应用[J]. 中国医药导报, 2022, 19(9): 173-176.
GAO Huimin WANG Xu WANG Lin▲. Application of directional health guidance based on patients’ feedback in extended nursing after radiofrequency ablation of paroxysmal supra-ventricular tachycardia#br#. 中国医药导报, 2022, 19(9): 173-176.
[1] Chiang JK,Kao HH,Kao YH. Association of Paroxysmal Supraventricular Tachycardia with Ischemic Stroke:A National Case-Control Study [J]. J Stroke Cerebrovasc Dis,2017,26(7):1493-1499.
[2] Cosgun M,Gunes Y,Sincer I,et al. Assessment of the hemogram parameters in patients with paroxysmal supraventricular tachycardia:a retrospective study [J]. Rev Assoc Med Bras(1992),2020,66(10):1371-1375.
[3] 高建萍.胺碘酮治疗阵发性室上性心动过速转复率分析[J].中国药物与临床,2018,18(S1):48-49.
[4] 王雪生,周祁娜,顾琦,等.经皮迷走神经耳支刺激抑制心肌梗死后室性心律失常发生及机制[J].中华心律失常学杂志,2018,22(2):161-166.
[5] Zhao QX,Zhao YM,Mao L,et al. Atrial fibrillation prevalence and atrial vulnerability analysis in paroxysmal supraventricular tachycardia patients after radiofrequency ablation [J]. Eur Rev Med Pharmacol Sci,2017,21(3):584-589.
[6] Casella M,Ribatti V,Catto V,et al. Benefits of electroanatomic ablation of conventional cardiac arrhytmias:from fluoroscopy to zero X-ray mapping [J]. Minerva Cardioangiol,2018,66(1):49-62.
[7] 中华医学会心电生理和起搏分会,中国医师协会心律学专业委员会.室性心律失常中国专家共识[J].中华心律失常学杂志,2016,20(4):279-326.
[8] 吴凡,赵金霞,王天晟,等.中文版MMAS-8测量类风湿关节炎患者用药依从性的信效度分析[J].中国药房,2018, 29(2):263-268.
[9] Brembilla-Perrot B,Olivier A,Villemin T,et al. Follow-up of children or teenagers with paroxysmal supraventricular tachycardia,but without pre-excitation syndrome [J]. Arch Cardiovasc Dis,2017,110(11):599-606.
[10] 孙奇,马坚,姚焰,等.年龄和性别对阵发性室上性心动过速患者电生理机制的预测价值[J].中华心律失常学杂志,2017,21(1):37-40.
[11] Al-Zaiti SS,Magdic KS. Paroxysmal Supraventricular Tac-hycardia:Pathophysiology,Diagnosis,and Management [J]. Crit Care Nurs Clin North Am,2016,28(3):309-316.
[12] Wagner MK,Zwisler AO,Risom SS,et al. Sex differences in health status and rehabilitation outcomes in patients with atrial fibrillation treated with ablation:Results from the CopenHeartRFA trial [J]. Eur J Cardiovasc Nurs,2018,17(2):123-135.
[13] Papiashvili G,Tabagari-Bregvadze N,Brugada J. Influence of paroxysmal supraventricular tachycardia on patient' anxiety [J]. Georgian Med News,2018,243(1):58-60.
[14] 戈海延,李小梅,江河,等.平板运动试验对儿童儿茶酚胺敏感性多形性室性心动过速的诊治价值分析[J].中国心血管杂志,2021,26(1):21-26.
[15] 王永春,肖平,张晓兰,等.围手术期心理护理及健康教育对射频消融治疗室上性心动过速患者的影响[J].四川医学,2014,35(7):908-910.
[16] 黄晓兰,顾沈兵,高晶蓉,等.上海市医疗机构门诊患者健康教育需求及满意度分析[J].中国健康教育,2017, 33(11):987-991.
[17] 王薇,卜煌.一例心肌梗死合并室壁瘤后频发室性心动过速患者心脏康复的延续性护理[J].中国实用护理杂志,2019,35(8):607-610.
[18] 徐庆群,张芹.基于患方反馈的持续改进护理在血液透析联合血液灌流患者中的应用[J].广西医学,2019,41(18):2408-2411.
[19] 潘育敏,潘丽霞.目标导向性健康宣教措施对妊娠期糖尿病患者糖脂代谢及认知功能的影响[J].中国妇幼保健,2019,34(19):36-38.
[20] 康伟,何丽芸,牛琴,等.目视管理结合反馈式健康指导对行PCI患者医院-居家护理中效果分析[J].现代预防医学,2019,46(22):186-189.
[21] 张桂然,高丽,张丽.反馈加强化式健康教育路径在全膝关节置换患者中的应用[J].中国医药导报,2018,15(6):153-157.
[22] 郭小玲.反馈式健康教育对冠心病经皮冠状动脉介入术术后服药依从性的影响[J].中国药物与临床,2019, 19(8):159-161.
[23] 李文欢,杨和银.先天性心脏病患儿家属健康宣教中引入教学反馈策略的效果分析[J].中国妇幼保健,2019, 34(22):5092-5095.
[24] Ooi EH,J Y Chia N,Ooi ET,et al. Comparison between single- and dual-porosity models for fluid transport in predicting lesion volume following saline-infused radiofrequency ablation [J]. Int J Hyperthermia,2018,34(8):1142-1156.
[25] 杨玲,边燕,夏英华.教学反馈法在先天性心脏病患儿家属健康教育中的应用[J].上海护理,2017,17(1):31-34.