摘要
目的 探讨瓣膜心脏手术护理中精细化管理的效果。方法 选取2023年1月~2023年12月行瓣膜心脏手术患者120例,随机分为观察组(精细化管理)和对照组(常规护理)各60例,对比效果。结果 观察组围术期指标、不良情绪评分低于对照组,组间对比(P<0.05);观察组并发症发生率1.67%低于对照组18.18%,组间对比(P<0.05);观察组生活质量高于对照组,组间对比(P<0.05);观察组护理满意度98.33%高于对照组83.33%,组间对比(P<0.05)。结论 精细化管理可提升瓣膜心脏手术护理效果,减少并发症。
关键词: 瓣膜心脏手术;并发症;精细化管理;生活质量;围术期指标
Abstract
Objective To explore the effect of meticulous management in nursing care of valvular heart surgery. Methods 120 patients undergoing valvular heart surgery from January 2023 to December 2023 were randomly divided into observation group (fine management) and control group (routine care), with 60 cases in each group, and the effects were compared. Results The perioperative indicators and adverse mood scores of the observation group were lower than those of the control group, and the comparison between groups was (P<0.05). The incidence of complications in the observation group was 1.67% lower than that in the control group (18.18%), and the comparison between groups was (P<0.05). The incidence of complications in the observation group was 1.67% lower than that in the control group (18.18%), and the comparison between groups was (P<0.05). The quality of life of the observation group was higher than that of the control group, and the comparison between groups was (P<0.05). The quality of life of the observation group was higher than that of the control group, and the comparison between groups was (P<0.05). The nursing satisfaction rate of the observation group was 98.33% higher than that of the control group (83.33%), and the comparison between groups was (P<0.05). Conclusion Fine management can improve the nursing effect of valvular heart surgery and reduce complications.
Key words: Valve heart surgery; Complications; Fine management; Quality of life; Perioperative index
参考文献 References
[1] 钟慧兰.精细化管理对心脏瓣膜手术患者手术成功率,护理质量及术后并发症的影响研究[J].中文科技期刊数据库(引文版)医药卫生,2023(5):0131-0134.
[2] 房雅婷,郭玉莲,刘淼,孙一诺.手术室精细化管理对腹腔镜左半结肠癌根治术中手术效率及护理满意度的影响[J].齐鲁护理杂志,2023,29(16):59-61.
[3] 李真真,孙雪勤,徐新莉.LACE风险模型下的护理干预策略对心脏瓣膜置换术后患者院外自我管理能力及再入院率的影响[J].广州医药,2023,54(8):58-6269.
[4] 陈晓敏,汪昌玉,杨洋.精细化血糖管理在糖尿病患者妇科手术围术期血糖控制中的效果研究[J].糖尿病新世界,2023,26(3):139-142.
[5] 刘欣培,任珍平,张一杰,王莎莎,赵巧燕.快速康复外科理念在心脏瓣膜病患者瓣膜置换术围手术期护理中的应用效果[J].黑龙江医学,2023,47(3):322-324.
[6] 王培玲,袁莹,张虹.先天性心脏病手术围术期规范化疼痛、呼吸道管理联合家庭协同式护理改善患儿术后疼痛及恐惧感效果分析[J].河南外科学杂志,2023,29(5):186-189.
[7] 叶芳,叶靓岚,黄少鹏.集束化护理干预对ICU心脏瓣膜置换术患者康复效果及并发症发生率的影响[J].心血管病防治知识:学术版,2023,13(4):57-5962.
[8] 冯雯娟,缪永萍,雷宇,陈文敏,那竹惠,张敏.急救护理对心脏瓣膜置换术后卡瓣患者二次手术后心功能、自我效能及生活质量的影响[J].中国急救复苏与灾害医学杂志,2023,18(3):378-381390.
[9] 冯红彩,程风丽,王向阳.基于安全预警管理的护理风险干预在心脏介入手术患者静脉通路管理中的应用[J].齐鲁护理杂志,2023,29(12):71-73.
[10] 陶倩.压疮预警联合整体护理在行体外循环下心脏瓣膜置换术的风湿性心脏病患者中的应用效果[J].中国社区医师,2023,39(24):110-112.