白亚南　贾秀清

[关键词] 永久起搏器植入术;互动式健康教育;起搏器健康知识;生活质量

[中图分类号] R193          [文献标识码] B          [文章编号] 1673-9701（2021）17-0163-04

Analysis on the implementation effect of interactive health education for patients undergoing permanent pacemaker implantation

BAI Ya′nan   JIA Xiuqing

Department of Cardiovascular Internal Medicine， Beijing Jingmei Group General Hospital， Beijing   102300， China

[Abstract] Objective To observe the implementation effect of interactive health education for patients undergoing permanent pacemaker implantation. Methods A total of 68 patients undergoing permanent pacemaker implantation in our hospital from March 2018 to March 2020 were included as the study objects. All patients were divided into the intervention group （n=34） and the conventional group （n=34） according to the random double-blind method. The conventional group was treated with conventional health education， while the intervention group was treated with interactive health education based on the conventional group. After 3 months of intervention， the scores of pacemaker health knowledge， quality of life （QoL） and nursing satisfaction in patients of the two groups were observed. Results After intervention， the scores of pacemaker health knowledge and QoL in the conventional group and the intervention group were significantly higher than those before intervention in each group（P<0.05）. The scores of pacemaker health knowledge and QoL in the intervention group were significantly higher than those in the conventional group after intervention （P<0.05）. The total satisfaction rate of the intervention group was significantly higher than that of the conventional group（P<0.05）. Conclusion Interactive health education can significantly improve the awareness and QoL of patients undergoing permanent pacemaker implantation， and patients are highly satisfied with nursing work， which can effectively promote the smooth progress of nursing work.

[Key words] Permanent pacemaker implantation; Interactive health education; Pacemaker health knowledge; Quality of life

永久起搏器植入術为临床治疗传导功能障碍及不可逆性心脏起搏类疾病的主要手段[1]。心脏疾病患者若选择植入永久起搏器，便终生携带，但植入术后患者易出现起搏故障、意外事件等许多并发症，且因心脏疾病患者对永久起搏器相关知识了解甚少，故植入术后患者极易出现恐惧、焦虑等负面心理，增加术后负性效应及并发症发生率，延长其住院时间，增加住院费用，对患者身体健康、生活质量及经济均造成较大的负担，故科学、合理的健康教育是改善患者术后生活质量及恢复状况的主要途径。互动式健康教育指在护理人员为患者实施健康教育的前提下增加患者主动参与的积极性的健康教育模式，该护理模式注重护患间的互动性，护理人员参与患者整个健康教育过程，且重视教育后患者执行情况，整个教育过程是将一般知识教育转变为以患者为中心的互动式健康教育，该教育模式更具体且更具针对性，由此可显著提高患者护理的依从性及护理后生活质量[2]。故本研究对永久起搏器植入术患者实施互动式健康教育，旨在研究该教育模式在永久起搏器植入术中的实施效果，现报道如下。

1 资料与方法

1.1一般资料

纳入2018年3月至2020年3月在我院进行永久起搏器植入术患者共68例为研究对象，采……