植入心脏起搏器患者延续性护理需求现状及影响因素分析
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摘要
目的探讨植入心脏起搏器患者延续性护理的需求情况及影响因素。方法采用便利抽样法,抽取2015年1月—2019年1月在山东省某三级甲等医院心内科行心脏起搏器植入术并通过扫描二维码进入到"心脏起搏器随访群"的325例患者为研究对象,使用自制"植入心脏起搏器患者延续性护理需求调查表"进行问卷调查,并对调查结果进行统计学分析。结果植入心脏起搏器患者延续性护理需求总均分是(4.40±0.39)分;92%的患者希望由多学科团队为其提供延续性护理服务;44.3%的患者希望每月提供1次延续性护理服务。多元逐步回归分析结果显示:年龄、文化程度、月收入、植入时间是影响患者延续性护理需求的因素。结论植入心脏起搏器患者的延续性护理需求强烈,年龄、文化程度、月收入、植入时间不同的患者,延续性护理需求不同,医院应针对不同的患者提供个性化的延续性护理服务。
Objective To investigate the needs and influence factors of extended nursing for patients with cardiac pacemakers.Methods With convenient sampling method, patients with pacemaker implantation were selected from January 2015 to January2019 in the cardiology department of a tertiary grade A hospital in Shandong Province, and entering into the "cardiac pacemaker follow-up group" by scanning the two-dimensional code. A total of 325 patients were enrolled in the study and they were investigated by using a self-designed questionnaire of extended nursing needs of patients with cardiac pacemakers. Results The total score of extended nursing need was 4.40±0.39. Of the total, 92% of the patients expected extended nursing from multidisciplinary teams and44.3% expected extended nursing once a month. Multivariate stepwise regression analysis showed that implantation time, age,education background and income were factors that affected the patient's extended nursing needs. Conclusion Patients with cardiac pacemakers have strong need for extended nursing. Patients with different implantation time, age, education background and income have different needs for extended nursing thus individualized extended nursing for different patients are expected.
Objective To investigate the needs and influence factors of extended nursing for patients with cardiac pacemakers.Methods With convenient sampling method, patients with pacemaker implantation were selected from January 2015 to January2019 in the cardiology department of a tertiary grade A hospital in Shandong Province, and entering into the "cardiac pacemaker follow-up group" by scanning the two-dimensional code. A total of 325 patients were enrolled in the study and they were investigated by using a self-designed questionnaire of extended nursing needs of patients with cardiac pacemakers. Results The total score of extended nursing need was 4.40±0.39. Of the total, 92% of the patients expected extended nursing from multidisciplinary teams and44.3% expected extended nursing once a month. Multivariate stepwise regression analysis showed that implantation time, age,education background and income were factors that affected the patient's extended nursing needs. Conclusion Patients with cardiac pacemakers have strong need for extended nursing. Patients with different implantation time, age, education background and income have different needs for extended nursing thus individualized extended nursing for different patients are expected.
引文
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[8]张丽艳,倪慧,俞国红,等.多学科团队合作对急性冠状动脉综合征PCI术后患者延续性护理的应用效果[J].心脑血管病防治,2018,18(5):436-438.DOI:10.3969/j.issn.1009-816x.2018.05.027.
[9]张秋丽,张京煜,张淑艳.149名永久起搏器植入术后24h内患者家属需求及影响因素分析[J].护理学报,2013,20(5A):44-47.DOI:10.3969/j.issn.1008-9969.2013.09.019.
[10]项菲,张薇,黎莉.永久心脏起搏器植入患者自我管理的影响因素分析及护理策略[J].广东医学,2018,39(8):1264-1267.DOI:10.13820/j.cnki.gdyx.2018.08.023.
[11]刘金玲,沈勤,陈国伶,徐捷.杭州市居家老年人家庭型医养护一体化服务需求及影响因素研究[J].中国护理管理,2018,18(11):1485-1491.DOI:10.3969/j.issn.1672-1756.2018.11.011.
[12]沈慧珠,林益芳.心脏起搏器植入对中年患者生活质量影响的调查分析与护理干预[J].心脑血管病防治,2010,10(1):79-80.DOI:10.3969/j.issn.1009-816X.2010.01.043.
[2]金鄂,王丽辉,王静,等.永久心脏起搏器植入患者规范化随访及其影响[J].护理学报,2017,24(13):76-78.DOI:10.16460/j.issn1008-9969.2017.13.076.
[3]李文文,郜玉珍,景月娟,等.起搏器植入者生活质量与自我效能的相关性[J].解放军护理杂志,2013,30(11):25-27.DOI:10.3969/j.issn.1008-9993.2013.11.008.
[4]戴叶花,李小英,贺棋,等.脑卒中患者与家属延续性护理需求的调查研究[J].护理学报,2014,21(2):26-28.DOI:10.16460/j.issn1008-9969.2014.02.011.
[5]沈志莹,郑凤,钟竹青,等.永久性心脏起搏器植入术后患者心理体验的质性研究[J].解放军护理杂志,2018,35(2):19-24.DOI:10.3969/j.issn.1008-9993.2018.02.004.
[6]马欣蕾,于水,马晶.基于“互联网+”的延续性护理在冠心病支架术后患者中的应用[J].中国护理管理,2018,18(9):1236-1240.DOI:10.3969/j.issn.1672-1756.2018.09.018.
[7]廖春霞,马红梅,张倩,等.老年慢性病病人延续性护理需求状况及影响因素分析[J].护理研究,2016,30(9A):3175-3177.DOI:10.3969/j.issn.1009-6493.2016.25.030.
[8]张丽艳,倪慧,俞国红,等.多学科团队合作对急性冠状动脉综合征PCI术后患者延续性护理的应用效果[J].心脑血管病防治,2018,18(5):436-438.DOI:10.3969/j.issn.1009-816x.2018.05.027.
[9]张秋丽,张京煜,张淑艳.149名永久起搏器植入术后24h内患者家属需求及影响因素分析[J].护理学报,2013,20(5A):44-47.DOI:10.3969/j.issn.1008-9969.2013.09.019.
[10]项菲,张薇,黎莉.永久心脏起搏器植入患者自我管理的影响因素分析及护理策略[J].广东医学,2018,39(8):1264-1267.DOI:10.13820/j.cnki.gdyx.2018.08.023.
[11]刘金玲,沈勤,陈国伶,徐捷.杭州市居家老年人家庭型医养护一体化服务需求及影响因素研究[J].中国护理管理,2018,18(11):1485-1491.DOI:10.3969/j.issn.1672-1756.2018.11.011.
[12]沈慧珠,林益芳.心脏起搏器植入对中年患者生活质量影响的调查分析与护理干预[J].心脑血管病防治,2010,10(1):79-80.DOI:10.3969/j.issn.1009-816X.2010.01.043.