Effect of extended nursing service in elderly patients with atrial fibrillation
延伸护理服务在老年房颤患者中的效果

摘要

目的 探讨延伸护理服务在老年房颤患者中的效果。方法 将我院 2019 年 1 月-2022 年 1 月 100 例老年房颤患者，双盲随机法分二组。对照组给予常规护理，实验组实施常规护理联合延伸护理服务。比 较两组出院半年后生活质量评分、半年内再次因房颤入院治疗的人数。结果 出院时两组生活质量评分比较， 对照组是 65.84±3.33 分，实验组是 65.64±3.34 分，P＞0.05，出院半年后两组均显著升高，而其中实验组 90.21±3.56 分显著高于对照组 80.12±3.33 分，P＜0.05。实验组半年内再次因房颤入院治疗的人数低于对照 组(P＜0.05)。实验组半年内再次因房颤入院治疗的人数有 1 例，占 2.5%，而对照组半年内再次因房颤入院 治疗的人数 8 例，占 16.0%。结论 老年房颤患者实施常规护理联合延伸护理服务效果确切，可有效改善患 者出院后的病情和生活质量，降低再入院率。

Abstract

Objective To explore the effect of extended nursing service in elderly patients with atrial fibrillation.
Methods 100 elderly patients with atrial fibrillation in our hospital from January 2019 to January 2022 were divided into two groups by double-blind randomization. The control group received routine nursing, while the experimental group received routine nursing combined with extended nursing services. The quality of life scores after six months of discharge and the number of patients who were re-admitted to hospital for atrial fibrillation within six months were compared between the two groups.
Results The quality of life scores of the two groups were compared at the time of discharge, the control group was 65.84±3.33 points, the experimental group was 65.64±3.34 points, P>0.05, after six months of discharge, both groups were significantly increased, and the experimental group was 90.21±3.56 points significantly It was higher than the control group by 80.12±3.33 points, P<0.05. The number of patients admitted to hospital for atrial fibrillation again within six months in the experimental group was lower than that in the control group (P<0.05). In the experimental group, 1 patient was admitted to hospital again for atrial fibrillation within six months, accounting for 2.5%, while the number of patients in the control group who was admitted to hospital again for atrial fibrillation within half a year was 8, accounting for 16.0%.
Conclusion   The implementation of routine nursing combined with extended nursing service in elderly patients with atrial fibrillation is effective, which can effectively improve the patient's condition and quality of life after discharge, and reduce the readmission rate.