汪琦 崔传义 彭淑华 曹宏玲

【摘要】 目的：研究双心护理干预在心导管射频消融术（radiofrequency catheter ablation，RFCA）治疗心律失常患者中的实施意义及对护理满意度的影响。方法：选取2018年10月-2019年9月本院接收的88例心律失常患者，根据随机数字表法将其分为观察组和对照组，各44例。对照组实施常规护理干预，观察组实施双心护理干预，将两组的干预效果进行比对。结果：观察组围术期知识知晓率、治疗总依从性、护理总满意率均高于对照组，差异均有统计学意义（P<0.05）。干预后，观察组SAS评分、SDS评分、左室收缩末期内径均低于对照组，左室射血分数、心脏指数均高于对照组，差异均有统计学意义（P<0.05）。结论：对进行RFCA治疗的心律失常患者实施双心护理干预可提升其围术期知识知晓率、治疗依从性，调整其心理状态，有利于促进心功能的改善和提升护理满意度。

【关键词】 心律失常 心导管射频消融术 双心护理 满意度

Implementing Significance of Dual Heart Nursing Intervention in Patients with Arrhythmia Treated by RFCA and Its Influence on Nursing Satisfaction/WANG Qi， CUI Chuanyi， PENG Shuhua， CAO Hongling. //Medical Innovation of China， 2021， 18（10）： 0-092

[Abstract] Objective： To study the significance of dual heart nursing intervention in patients with arrhythmia treated by radiofrequency catheter ablation （RFCA） and the influence on nursing satisfaction. Method： A total of 88 patients with arrhythmia admitted to our hospital from October 2018 to September 2019 were selected， they were divided into observation group and control group according to random number table method， 44 cases in each group. The control group was given routine nursing intervention， the observation group was given dual heart nursing intervention. The intervention effects of the two groups were compared. Result： The perioperative knowledge awareness rate， treatment compliance and nursing total satisfaction rate of the observation group were higher than those of the control group （P<0.05）. After intervention， the SAS， SDS score and the left ventricular end systolic diameter in the observation group， were lower than those in the control group， the left ventricular ejection fraction and heart index were higher than those of the control group （P<0.05）. Conclusion： The implementation of double heart nursing intervention in patients with arrhythmia treated by RFCA can improve the awareness rate of perioperative knowledge， treatment compliance， adjust their psychological state， promote the improvement of cardiac function and nursing satisfaction.

[Key words] Arrhythmia Radiofrequency catheter ablation Dual heart nursing Satisfaction

First-authors address： Xiaogan Central Hospital， Xiaogan 432000， China

doi：10.3969/j.issn.1674-4985.2021.10.021

心律失常是心血管疾病中比較常见的类型，内分泌失调、药物作用、心脏病等多种因素均可能导致心律失常的发生[1]。心导管射频消融术（radiofrequency catheter ablation，RFCA）应用在心律失常治疗中的效果已获得临床肯定，但由于患者缺乏对疾病、RFCA的了解，容易出现负面情绪，会影响病情和治疗依从性[2]，因此还应在治疗期间做好护理干预。双心医学是一门由心血管医学与精神心理医学交叉形成的综合性学科[3-5]，在对患者躯体症状和躯体疾病进行关注的同时，也比较重视患者的精神障碍和心理问题。本文就双心护理干预在该病治疗期间的效果进行分析，现报道如下。

1 资料与方法

1.1 一般资料 选取2018年10月-2019年9月在本院进行治疗的心律失常88例患者。纳入标准：（1）所有患者均经动态心电图明确诊断为心律失常;（2）无射频消融治疗禁忌证;（3）病情、生命体征控制良好，可独立完成问卷调查。排除标准：

（1）存在先天性心脏病等其他心脏病变、严重脑血管病变;（2）甲状腺功能亢进、恶性肿瘤;（3）既往存在焦虑、抑郁病史、药物依赖史;（4）存在认知障碍、精神障碍。……