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目的探究心房颤动患者射频消融术后实施综合性护理预防血栓形成效果。方法选取我院2015年1月至2017年1月收治的70例心房颤动患者作为研究对象,所有患者均进行射频消融术治疗,采取随机数字表法将其分为研究组与对照组,对照组患者(35例)术后常规护理,研究组患者(35例)术后实施综合性护理预防血栓形成,对比两组术后血栓等并发症发生率、患者住院时间、匹兹堡睡眠质量指数(PSQI)、汉密尔顿焦虑量表(HAMA)及抑郁量表(HAMD)评分、患者生活质量(SF-36)、护理满意度。结果研究组患者血栓等并发症率为2.86%,低于对照组17.14%(P<0.05);研究组患者干预后住院时间短于对照组,PSQI、HAMA、HAMD、SF-36各项数据评分均,显著优于对照组(P<0.05);研究组护理满意率高达97.14%,显著高于对照组77.14%(P<0.05)。结论心房颤动患者射频消融术后实施综合性护理预防血栓效果良好,术后并发症率较低,患者恢复快,睡眠及心理状态佳,生活质量改善,护理满意度高。
Objective To investigate the effect of comprehensive nursing to prevent thrombosis after radiofrequency ablation in patients with atrial fibrillation. Methods A total of 70 patients with atrial fibrillation admitted from January 2015 to January 2017 in our hospital were selected. All patients were treated with radiofrequency catheter ablation. The patients were divided into study group, control group, (N = 35) were followed up routinely. The patients in study group (n = 35) were given comprehensive nursing to prevent thrombosis. The complication rates of postoperative thrombus, hospital stay, Pittsburgh Sleep Quality Index (PSQI) , Hamilton Anxiety Scale (HAMA) and Depression Scale (HAMD) scores, patient quality of life (SF-36), and nursing satisfaction. Results The complication rate of thrombosis was 2.86% in study group, which was 17.14% lower than that in control group (P <0.05). The hospitalization time of study group was shorter than that of control group, PSQI, HAMA, HAMD and SF-36 (P <0.05). The nursing satisfaction rate of the study group was as high as 97.14%, significantly higher than that of the control group (77.14%, P <0.05). Conclusions Comprehensive radiotherapy for patients with atrial fibrillation after radiofrequency ablation to achieve a good effect of prevention and treatment of thrombosis, postoperative complication rate is low, patients recover quickly, good sleep and mental status, quality of life improvement, nursing satisfaction.