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老年左心耳封堵术患者围术期护理干预效果

Effect of perioperative nursing intervention in elderly patients undergoing left atrial appendage occlusion

    摘要
  • 摘要:
    目的 观察老年左心耳封堵术（LAAC）患者接受围术期护理干预的临床效果。
    方法 选取89例行LAAC的心房颤动（AF）患者为研究对象。采用抽签法将患者分为对照组44例和研究组45例，对照组给予围术期常规护理，研究组给予围术期精细化护理。比较2组抑郁自评量表（SDS）评分、焦虑自评量表（SAS）评分、生活质量综合评定问卷-74（GQOL-74）评分、并发症发生率和护理满意度。
    结果 护理后，2组SAS、SDS评分均较护理前降低，且研究组低于对照组，差异有统计学意义（P < 0.05）；护理后，2组GQOL-74评分均较护理前上升，且研究组高于对照组，差异有统计学意义（P < 0.05）；护理后，研究组并发症发生率为6.67%，低于对照组的25.00%，差异有统计学意义（P < 0.05）；护理后，2组活化部分凝血活酶时间（APTT）、凝血酶原时间（PT）、凝血酶时间（TT）均较护理前延长，且研究组长于对照组，纤维蛋白原（Fbg）指标水平较护理前降低，且研究组低于对照组，差异有统计学意义（P < 0.05）；护理后，研究组护理满意度为93.33%，高于对照组的75.00%，差异有统计学意义（P < 0.05）。
    结论 围术期护理可减轻行LAAC的AF患者的不良情绪，提高生活质量，降低并发症发生率，提高满意度。围术期护理的各项工作流程精确、合理，能够提高护理工作效率，保障护理质量，在一定程度上为LAAC患者后续护理提供新的理论依据。

     

    Abstract:
    Objective To observe the clinical effect of perioperative nursing intervention in elderly patients with left atrial appendage occlusion (LAAC).
    Methods A total of 89 patients with atrial fibrillation (AF) undergoing LAAC were selected as study subjects. According to the drawing method, patients were divided into control group(n=44) and research group (n=45). The control group was given perioperative routine nursing, and the research group was given perioperative fine nursing. The scores of Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS), Comprehensive Quality of Life Questionnaire-74 (GQOL-74), complication rate and nursing satisfaction were compared between the two groups.
    Results After nursing, the SAS and SDS scores of two groups were lower than before nursing, and the study group was lower than the control group (P < 0.05); after nursing, GQOL-74 scores of two groups were higher than before nursing, and the research group was higher than the control group (P < 0.05); after nursing, the complication rate of the research group was 6.67%, which was lower than 25.00% of the control group (P < 0.05). After nursing, activated partial thrombin time (APTT), prothrombin time (PT), thrombin time (TT) of two groups were longer than that before nursing, and the study group was longer than the control group, while the Fbg level was lower than before nursing, and the research group was lower than the control group (P < 0.05). After nursing, the nursing satisfaction of the research group was 93.33%, which was significantly higher than 75.00% of the control group (P < 0.05).
    Conclusion Perioperative nursing can alleviate the bad mood, improve the quality of life, reduce the incidence of complications and improve the satisfaction of AF patients receiving LAAC. The work process of perioperative nursing is accurate and reasonable, which can improve the efficiency of nursing work, ensure the quality of nursing, and provide a new theoretical basis for the follow-up nursing of LAAC patients to a certain extent.

     

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