综合护理干预对阵发性房颤射频消融患者的影响分析

丁媛媛

【摘要】目的：研究综合护理干预对阵发性房颤射频消融患者的影响。方法：选取本院心血管内科于2020年1月—2022年10月收治的阵发性房颤射频消融患者60例，对照组（30例，常规护理干预）和观察组（30例，综合护理干预）。结果：观察组住院时间、护理后ASI焦虑评分、BDI抑郁评分、不良反应总发生率低于对照组（P<0.05）。观察组依从性评分、阵发性房颤疾病知识认知、射频消融技术认知评分、总满意度以及治疗1d后、治7d后、治疗14d后SF-36生活质量评分高于对照组（P<0.05）。结论：综合护理干预在阵发性房颤射频消融患者中更具推广价值。

【关键词】综合护理干预；阵发性房颤射频消融；护理满意度

Analysis of the effect of comprehensive nursing intervention on radiofrequency ablation of paroxysmal atrial fibrillation

DING Yuanyuan

The Second Peoples Hospital of Hefei（Hefei Hospital Affiliated to Anhui Medical University）， Department of Gardiovascular Medicine， Hefei， Anhui 230011， China

【Abstract】Objective： To study the effect of comprehensive nursing intervention on radiofrequency ablation of paroxysmal atrial fibrillation.Methods： Sixty patients with paroxysmal atrial fibrillation who were admitted to the Department of Cardiovascular Medicine of our hospital from January 2020 to October 2022 were selected as control group （30 cases， conventional nursing intervention） and observation group （30 cases， comprehensive nursing intervention）.Results：The time of hospitalization， ASI anxiety score， BDI depression score and total incidence of adverse reactions in the observation group were lower than those in the control group （P<0.05）. The score of compliance， knowledge of paroxysmal atrial fibrillation， cognitive score of radiofrequency ablation technology， total satisfaction and SF-36 quality of life scores after 1 day， 7 days and 14 days of treatment in the observation group were higher than those in the control group （P<0.05）.Conclusion： Comprehensive nursing intervention is more valuable to popularize in patients with paroxysmal atrial fibrillation.

【Key Words】Comprehensive nursing intervention； Radiofrequency ablation of paroxysmal atrial fibrillation； Nursing satisfaction

陣发性房颤一般是由于心房缺血，导致心肌痉挛、心率失常引起的。通常容易引起心慌、气短、心前区疼痛等症状，可以在医师指导下服用抗心律失常药物普萘洛尔、美托洛尔和扩张冠状动脉腔药物硝酸甘油治疗[1]。若患者伴随高血压，还需要搭配罗布麻片、珍菊降压片等降压药治疗[2]。阵发性房颤通常好发于劳累过后、情绪激动时，建议平时规律作息、适当休息[3]。本院心血管内科于2020年1月—2022年10月收治的阵发性房颤射频消融患者中，随机选取60例作为样本，观察综合护理干预对阵发性房颤射频消融患者的影响。现将结果报告如下。

1 资料与方法

1.1 一般资料

选取本院心血管内科2020年1月—2022年 10月收治的阵发性房颤射频消融患者60例，随机分成观察组和对照组。观察组，男22例，女8例，年龄60～75岁，平均年龄（69.13±2.80）岁；对照组，男21例，女9例，年龄60～75岁，平均年龄（69.21±2.94）岁。阵发性房颤射频消融患者一般资料对比差异无统计学意义（P>0.05）。纳入标准：①经诊断为阵发性房颤且患者射频消融治疗指征的患者；②患者及家属知情同意。排除标准：①精神疾病者；②认知障碍者；③射频消融术禁忌症者。

1.2 方法