摘要
目的探讨老年患者开胸术后房颤的发病机制，寻找和护理相关的因素，通过循证护理降低房颤的发生率及危险性。方法依据临床资料归纳总结房颤的发病因素，寻找护理的相关措施，然后对206例开胸术后并发房颤的45例老年患者采取预防性的护理措施，对不同原因引起的房颤采取相应的治疗和护理措施。结果45例房颤患者通过及时治疗和循证护理方法，均在3—7d内康复，无一例死亡。结论老年患者开胸术后并发房颤的原因和疼痛、手术方式、既往心脏疾患及围手术期血容量不足有关，通过术前对老年开胸患者的综合评估及围手术期个体化的循证护理降低了房颤的发生，提高了老年患者手术的治疗效果，也提高了护理质量和护士解决问题的能力。
Objective To explore the pathogenesis of elderly patients with atrial fibrillation after thoracotomy, and to seek nursing related factors through the evidence-based nursing to reduce the incidence of atrial fibrillation and risk. Methods Ac- cording to the clinical data, the factors of onset of atrial fibrillation were summarized, the related nursing measures were sought. In 45 cases of elderly patients with atrial fibrillation among 206 after thoracotomy, preventive nursing measures were taken, according to different causes of atrial fibrillation, the corresponding treatment and nursing measures were taken. Results The 45 cases of patients with atrial fibrillation by timely treatment and evidence-based nursing method, all were recovered in 3 -7 days, with no death. Conclusion Elderly patients with atrial fibrillation after thoracotomy were related with pain, operation mode, previous car- diac disease and surround operation period hypovolemia. Through the comprehensive evaluation of the elderly patients with thora- cotomy in preoperative period and individualized evidence-based nursing in perioperative period, the occurrence of atrial fibrilla- tion can be reduced, the operation effect in the treatment of elderly patients was improved,the quality of nursing and the nurses＇ ability to solve problems were also improved.
出处
《中华全科医学》
2013年第9期1473-1474,共2页
Chinese Journal of General Practice
关键词
高龄患者
开胸术
房颤
循证护理
Elderly patients
Thoracic surgery
Atrial fibrillation
Evidence based nursing
作者简介
通讯作者：王振华，电子信箱：rui65@126．com
