摘要
目的探讨心力衰竭伴有心律失常患者在接受胺碘酮药物治疗期间采用综合护理模式进行干预后获得的临床效果。方法将我院2016年4月至2019年2月收治的64例心力衰竭伴有心律失常患者数字奇偶法分组;护理组(32例):采用普通护理模式+综合护理模式配合完成胺碘酮治疗;对照组(32例):采用普通护理护理模式配合完成胺碘酮治疗;对组间心率水平、QTc水平、不良反应数据、护理总满意评分(护理专业性、护理态度、护理细节以及护理质量)数据展开对比。结果护理前护理组心力衰竭伴有心律失常患者心率水平(86.49±13.25)次/min、QTc水平(374.99±31.53)ms同对照组(84.13±14.35)次/min、(374.52±31.55)ms比较差异不明显(P>0.05);护理后护理组心率水平(64.13±13.19)次/min明显低于对照组(72.03±13.52)次/min,QTc水平(412.13±28.59)ms明显高于对照组(390.25±30.13)ms(P<0.05);两组心力衰竭伴有心律失常患者完成治疗及护理后,不良反应主要集中于低血压、静脉炎及反复性心律失常几个方面,最终发现护理组心力衰竭伴心率失常患者不良反应发生率(3.13%)明显低于对照组(37.50%)(P<0.05);护理组心力衰竭伴心律失常患者护理专业性评分(42.29±2.19)分、护理态度评分(41.39±2.22)分、护理细节评分(42.03±2.35)分及护理质量评分(43.33±1.95)分均明显高于对照组(P<0.05)。结论综合护理干预模式在胺碘酮治疗心力衰竭合并心律失常患者中的效果显著,可使得心力衰竭伴心律失常患者心率水平降低,QTc水平提升,并同时充分减少医护不良反应,使得护理专业性、护理态度、护理细节及护理质量评分显著提升,最终实现有效预后。
Objective To investigate the clinical effect of comprehensive nursing intervention in patients with heart failure complicated with arrhythmia during amiodarone treatment.Methods Sixty four cases of heart failure patients with arrhythmia admitted to our hospital from April 2016 to February 2019 were grouped by digital parity method.Nursing group(32 cases):general nursing mode+comprehensive nursing mode to complete amiodarone treatment;Control group(32 cases):general nursing care mode with complete amiodarone treatment;Heart rate level,QTc level,side effect data,and total nursing satisfaction score(nursing specialty,nursing attitude,nursing details,and nursing quality)were compared among the groups.Results Before nursing,there was no significant difference in heart rate(86.49±13.25)times/min and QTc(374.99±31.53)ms between the nursing group and the control group(84.13±14.35)times/min and(374.52±31.55)ms(P>0.05).After nursing,the heart rate of the nursing group(64.13±13.19)times/min was significantly lower than that of the control group(72.03±13.52)times/min,and the QTc level(412.13±28.59)ms was significantly higher than that of the control group(390.25±30.13)ms(P<0.05).After the treatment and nursing of patients with heart failure accompanied by arrhythmia in the two groups,the side effects were mainly concentrated in hypotension,phlebitis and recurrent arrhythmia.Finally,it was found that the side effects of patients with heart failure accompanied by arrhythmia in the nursing group(3.13%)were significantly lower than those in the control group(37.50%)(P<0.05).The scores of nursing specialty(42.29±2.19),nursing attitude(41.39±2.22),nursing detail(42.03±2.35)and nursing quality(43.33±1.95)in the nursing group were significantly higher than those in the control group(P<0.05).Conclusion The comprehensive nursing intervention mode has a significant effect in the treatment of patients with heart failure and arrhythmia with amiodarone,which can reduce the heart rate and increase the QTc level in patients with heart failure and arrhythmia.Attitudes,nursing details and nursing quality scores were significantly improved,resulting in an effective prognosis.
作者
姜黎
JIANG Li(Dalian Central Hospital,Dalian 116001,China)
出处
《中国医药指南》
2022年第10期133-135,共3页
Guide of China Medicine
