周菲菲

【摘要】 目的 研究重症心脏瓣膜病采用瓣膜置换术治疗术后有效的护理方法及效果。方法 60例重症心脏瓣膜病患者， 以随机数字表法分为对照组和实验组， 每组30例。所有患者均采用瓣膜置换术进行治疗， 其中对照组患者予以常规护理， 而实验组患者予以全面护理， 对两组患者的临床护理效果进行对比分析。结果 护理后， 对照组患者的非常满意、一般满意和不满意例数分别为11例、9例和10例， 实验组患者的非常满意、一般满意和不满意例数分别为25例、5例和0例， 实验组患者的护理满意度100.00%明显较高于对照组的66.67%， 比较差异具有统计学意义（P<0.05）。实验组患者中无一例发生并发症；而对照组中有8例发生并发症， 并发症发生率为26.67%。两组患者的并发症发生率比较差异具有统计学意义（χ2=9.2308， P=0.0024<0.05）。结论 重症心脏瓣膜病采用瓣膜置换术治疗术后予以全面护理干预具有确切的护理效果， 在临床护理中值得应用和推广。

【关键词】 重症心脏瓣膜病；瓣膜置换术；护理

DOI：10.14163/j.cnki.11-5547/r.2017.02.074

Postoperative nursing experience in severe valvular heart disease patients after valve replacement ZHOU Fei-fei. Department of Cardiovascular Surgery， Inner Mongolia Autonomous Region Peoples Hospital， Hohhot 010010， China

【Abstract】 Objective To research effective postoperative nursing method and effect in severe valvular heart disease patients after valve replacement. Methods A total of 60 patients with severe valvular heart disease were divided by random number table into control group and experimental group， with 30 cases in each group. All patients received valve replacement for treatment. The control group received conventional nursing， and the experimental group received comprehensive nursing. Clinical nursing effects were compared and analyzed in the two groups. Results After nursing， the control group had 11 cases with great satisfaction， 9 cases with general satisfaction and 10 cases with dissatisfaction. The experimental group had 25 cases with great satisfaction， 5 cases with general satisfaction and 0 case with dissatisfaction. The experimental group had obviously higher nursing satisfaction as 100.00% than 66.67% in the control group， and their difference had statistical significance （P<0.05）. There was no case with complications in the experimental group， while the control group had 8 cases with complications， with incidence of complications as 26.67%. The difference of incidence of complications had statistical significance between the two groups （χ2=9.2308， P=0.0024<0.05）. Conclusion Implement of postoperative comprehensive nursing in severe valvular heart disease patients after valve replacement shows precise nursing effect， and this method is worth application and promotion in clinical nursing.

【Key words】 Severe valvular heart disease； Valve replacement； Nursing

心臟瓣膜病在临床上作为一种常见的心脏疾病， 致病原因一般为风湿热证， 严重影响患者的身心健康及生命安全。在临床上重症心脏瓣膜病采用瓣膜置换术治疗效果较为理想， 然而， 因为手术有较大的创伤性， 且需要留置较多的管道， 病情随时会发生变化和发展， 也会有各种并发症发生， 影响手术预后效果， 因此， 在治疗的同时予以有效的护理干预至关重要[1]。本院在临床实践中发现予以全面护理干预具有理想的护理效果， 本研究选择60例患者进行分组分析， 对其护理效果进行进一步分析， 分析经过和结果报告如下。

1 资料与方法

1. 1 一般资料 本研究选择本院收治的60例重症心脏瓣膜病患者进行分析， 所有患者均采用瓣膜置换术进行治疗， 选取时段为2015年7月～2016年10月， 以随机数字表法分为对照组和实验组， 每组30例。……