殷宁

【摘要】目的 探讨预见性护理模式对频发心律失常伴心源性晕厥起搏器植入患者干预效果。方法 选择我院心内科收治的频发心律失常伴心源性晕厥起搏器植入患者48例，随机分为观察组和对照组各24例。对照组给予起搏器植入常规护理，观察组在常规护理基础上实施预见性护理干预。对比两组患者出院时生活质量评分、平均住院时间、舒适度、并发症和护理满意度。结果 两组患者生活质量评分、舒适度、护理满意度、平均住院时间和并发症发生率比较，观察组各项指标均明显优于对照组，差异均有统计学意义（P<0.05）。结论 预见性护理模式能明显提高频发心律失常伴心源性晕厥起搏器患者生活质量和舒适度，减少并发症的发生，缩短住院时间，有效保障患者安全，改善护患关系。

【关键词】心律失常；心源性晕厥；起搏器；预见性护理

【中图分类号】R473.5 【文献标识码】A 【文章编号】ISSN.2095-6681.2017.29..03

【Abstract】Objective To explore the effect of predictive nursing model on patients with frequent arrhythmia and cardiac pacemaker pacemaker implantation.Methods Forty-eight patients with frequent arrhythmias and cardiac arrhythmias were randomly divided into observation group and control group （n=24）.The control group was given pacemaker implantation routine care，the observation group in the routine care based on the implementation of predictive nursing intervention.The quality of life scores， mean length of stay， comfort， complications，and nursing satisfaction were compared between the two groups.Results Two groups of patients' quality of life score， comfort， satisfaction with care， the average length of hospital stay and complications， observation group were significantly better than the control group， the indicators are statistically significant differences （P<0.05）.Conclusion The predictive care model can significantly improve the quality of life and comfort of patients with arrhythmias and pacemakers， reduce the incidence of complications， shorten the length of hospital stay， effectively protect the safety of patients， improve nurse-patient relationship.

【Key words】Arrhythmia； Cardiogenic syncope；Pacemaker；Predictive care

心律失常是心臟起搏或传导障碍达到一定严重程度时，因心动过缓或心动过速导致的心肌无效收缩增加，从而使心搏出量降低，最终导致晕厥发作[1-2]，是心源性晕厥中最常见的发病原因。我院心内科对收治的频发心律失常伴心源性晕厥患者采用心脏起搏器植入术，通过植入人体内的电子治疗仪发放一定形式的电脉冲刺激心脏，使之激动和收缩，以预防心源性猝死和提升患者生活质量[3]。但该术为一种有创的治疗方法，植入后患者需要卧床休息制动影响生理需要的满足，患者承受一定的心理压力，术后出血、感染等并发症的发生率较高[4]。在深入开展优质护理工作中，我们对患者护理期间可能出现的问题采取预见性提出，拟定针对性的护理干预对策并组织实施，收到良好效果，现总结如下。……