家属参与的延续护理对永久起搏器植入术后居家患者早期康复的影响
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摘要
目的探讨家属参与的延续性护理对永久起搏器植入术后居家患者早期康复的影响。方法收集2016年7月～2017年6月武汉大学人民医院心内科行永久起搏器植入术并出院的患者62例,按照入院时间分为干预组和对照组,对照组住院期间给予常规护理,出院后常规电话随访管理,干预组住院期间在常规护理基础上给予家属同步健康教育,家属参与居家患者的延续护理,比较出院3个月后两组患者术侧肢体功能锻炼执行率、活动能力。结果干预组术侧肢体功能锻炼执行率、活动能力均高于对照组(P <0.01)。结论家属参与的延续护理有利于永久起搏器植入术后居家患者术侧肢体功能的恢复,减少并发症的发生。
Objective To probe into the influence of family′s participatory extended nursing on early rehabilitation of home-dwelling patients with permanent pacemaker implantation. Methods From July 2016 to June 2017, 62 patients who had permanent pacemaker implantation and discharged from the Department of Cardiology, Renmin Hospital of Wuhan University were collected. All of them were divided into intervention group and control group according to the time of admitting. Patients in the control group received the routine care and the telephone follow-up after discharged,the intervention group received the routine care and family members′ synchronization health education, family members participated in the patient′s extended nursing. After three months, the implementation rate of early exercise and activity ability of operative limb after permanent pacemaker implantation in two groups were compared. Results The implementation rate and activity ability of operative limb of the intervention group were higher than the control group(P < 0.01).Conclusion Family′s participatory extended nursing is beneficial to the recovery of function of home-dwelling permanent pacemaker implantation patients, it can reduce the risk of complication.
Objective To probe into the influence of family′s participatory extended nursing on early rehabilitation of home-dwelling patients with permanent pacemaker implantation. Methods From July 2016 to June 2017, 62 patients who had permanent pacemaker implantation and discharged from the Department of Cardiology, Renmin Hospital of Wuhan University were collected. All of them were divided into intervention group and control group according to the time of admitting. Patients in the control group received the routine care and the telephone follow-up after discharged,the intervention group received the routine care and family members′ synchronization health education, family members participated in the patient′s extended nursing. After three months, the implementation rate of early exercise and activity ability of operative limb after permanent pacemaker implantation in two groups were compared. Results The implementation rate and activity ability of operative limb of the intervention group were higher than the control group(P < 0.01).Conclusion Family′s participatory extended nursing is beneficial to the recovery of function of home-dwelling permanent pacemaker implantation patients, it can reduce the risk of complication.
引文
[1]李莉,李媛英.延续性护理干预对中老年糖尿病患者治疗依从性和临床治疗效果的影响[J].解放军护理杂志,2015,32(18):74-76.
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[3]李希玲,张毅,赵春花.延续性中医护理干预对心脏永久起搏器置入术患者负性情绪的影响[J].中国循证心血管医学杂志,2017,9(4):478-480.
[4]张吕曼,高春红.高龄老年患者起搏器植入术出院后肩关节主动活动时间与肩周炎发生率的相关性研究[J].护士进修杂志,2016,31(22):2019-2021.
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[9]张帆.综合干预对促进乳腺癌改良根治术后患肢功能康复的研究[J].中国医药指南,2013,11(19):548-550.
[10]李东文,杨晓媛,王红梅,等.髋膝关节置换术后病人家庭康复现状及影响因素研究[J].护理研究:中旬版,2009(23):2083-2085.
[11]覃桂荣.出院患者延续护理的现状及发展趋势[J].护理学杂志,2012,27(3):89-91.
[12]邹喜荣,尹凤鸣.应用协同家属护理管理模式改善老年肺结核患者健康状况的实践[J].中国护理管理,2014,14(7):762-765.
[13]张静静,戴新娟.同步健康教育对急性白血病化疗间歇期患者呼吸道感染的影响[J].护理学杂志,2014,29(15):81-84.
[14]龚艳,金春莲,章小庆,等.延续护理小组管理的实践与成效[J].中华护理杂志,2013,48(1):50-51.
[15]Bailey SM,Wilkoff BL.Complications of pacemakers and defibrillators in the elderly[J].Am J Geriatr Cardiol,2006,15(2):102-107.
[16]杨明容.康复操在心脏植入永久起搏器术后的应用[J].当代护士:中旬刊,2015(5):113-114.
[17]陈小燕,吴巧元,林海亚,等.肩关节被动运动对起搏器术后肩周炎的影响研究[J].护理与康复,2018,17(1):10-13.
[18]刘霞,张友良,唐媛,等.永久性心脏起搏器植入相关并发症及原因分析[J].中国临床研究,2018,31(6):800-802.
[19]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.
[20]田淑华.基于微信公众平台模式下的延续护理对高血压患者影响分析[J].当代医学,2018,24(23):178-180.
[21]Li W,Han L Q,Guo Y J,et al.Using WeChat official accounts to improve malaria health literacy among Chinese expatriates in Niger:an intervention study[J].Malar J,2016,15(1):567.
[2]孙林霞,王玉芳.延续性护理模式对脑卒中患者巴塞尔指数影响的效果观察[J].护士进修杂志,2016,31(3):242-245.
[3]李希玲,张毅,赵春花.延续性中医护理干预对心脏永久起搏器置入术患者负性情绪的影响[J].中国循证心血管医学杂志,2017,9(4):478-480.
[4]张吕曼,高春红.高龄老年患者起搏器植入术出院后肩关节主动活动时间与肩周炎发生率的相关性研究[J].护士进修杂志,2016,31(22):2019-2021.
[5]李继文,邵丹,蒋萍,等.永久起搏器植入术后早期功能锻炼的临床研究[J].中国心脏起搏与心电生理杂志,2012,26(1):44-47.
[6]肖烨,江莉,黄莉莉,等.老年起搏器植入术后复诊的延续护理干预[J].中外医学研究,2018,16(1):88-90.
[7]孙伟明.针灸配合按摩对乳腺癌改良根治术后患者肢体功能康复的影响[D].锦州:锦州医科大学,2016.
[8]周慧敏,代艺,徐伟,等.复合功能锻炼法促进乳癌术后患肢功能康复的研究[J].护理学杂志,2012,27(4):78-80.
[9]张帆.综合干预对促进乳腺癌改良根治术后患肢功能康复的研究[J].中国医药指南,2013,11(19):548-550.
[10]李东文,杨晓媛,王红梅,等.髋膝关节置换术后病人家庭康复现状及影响因素研究[J].护理研究:中旬版,2009(23):2083-2085.
[11]覃桂荣.出院患者延续护理的现状及发展趋势[J].护理学杂志,2012,27(3):89-91.
[12]邹喜荣,尹凤鸣.应用协同家属护理管理模式改善老年肺结核患者健康状况的实践[J].中国护理管理,2014,14(7):762-765.
[13]张静静,戴新娟.同步健康教育对急性白血病化疗间歇期患者呼吸道感染的影响[J].护理学杂志,2014,29(15):81-84.
[14]龚艳,金春莲,章小庆,等.延续护理小组管理的实践与成效[J].中华护理杂志,2013,48(1):50-51.
[15]Bailey SM,Wilkoff BL.Complications of pacemakers and defibrillators in the elderly[J].Am J Geriatr Cardiol,2006,15(2):102-107.
[16]杨明容.康复操在心脏植入永久起搏器术后的应用[J].当代护士:中旬刊,2015(5):113-114.
[17]陈小燕,吴巧元,林海亚,等.肩关节被动运动对起搏器术后肩周炎的影响研究[J].护理与康复,2018,17(1):10-13.
[18]刘霞,张友良,唐媛,等.永久性心脏起搏器植入相关并发症及原因分析[J].中国临床研究,2018,31(6):800-802.
[19]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.
[20]田淑华.基于微信公众平台模式下的延续护理对高血压患者影响分析[J].当代医学,2018,24(23):178-180.
[21]Li W,Han L Q,Guo Y J,et al.Using WeChat official accounts to improve malaria health literacy among Chinese expatriates in Niger:an intervention study[J].Malar J,2016,15(1):567.