摘要
目的与医院的心电监测不同,24小时动态心电图(Holter)能够让患者随身携带,并在多种环境下都可以实施心电图监测。文章主要探究Holter的应用方法以及护理措施,探讨Holter的护理效果。方法对2019年3月至2019年6月我院收治166例患者进行研究,对所有患者实施同样地24小时动态心电图应用方法。将166例患者分为两组,分别实施不同的护理方法,其中观察组采取综合护理,对照组实施常规护理,每组有患者83例。对两组患者生活日志记录情况以及监测时间进行对比分析。结果观察组中有80例患者监测时间不低于24h,3例患者监测时间在24h以下,合格率为96.39%,拥有完整生活日志记录的有82例患者,不完整的有1例,合格率为98.80%;对照组中有67例患者监测时间不低于24h,16例患者监测时间在24h以下,合格率为80.72%,拥有完整生活日志记录的有71例患者,不完整的有12例,合格率为85.54%。与对照组相比,观察组患者生活日志记录完整合格率及监测时间合格率明显更高(P<0.05)。结论对于实施24小时动态心电图监测的患者,采用综合护理指导可以提高监测时间及日志记录完整率,有助于临床诊治,临床推广价值较高。
Objective different from ECG monitoring in hospitals,patients can carry Holter 24-hours,and monitor ECG in a variety of environments.The article explores application methods and nursing measures of Holter mainly,and discusses its nursing effect.Methods study 166 patients admitted to our hospital from March 2019 to June 2019,and carry on same 24-hour Holter to them.Divide 166 patients into two groups and carry on different nursing methods.Observation group was treated with comprehensive nursing and control group with regular nursing.Each group has 83 patients.Compare and analyze life log records and monitoring time between two groups.Results there were 80 patients with monitoring time not less than 24h in observation group,3 patients with monitoring time less than 24h,with pass rate of 96.39%.There were 82 patients with complete life log records,1 case was incomplete,with pass rate of 98.80%;in control group,there were 67 patients with monitoring time not less than 24h,16 patients with monitoring time less than 24h,with pass rate of 80.72%,71 patients with complete life log records,and 12 incomplete,with pass rate of 85.54%.Pass rate of complete life log records and pass rate of monitoring time in observation group were significantly higher than control group(P<0.05).Conclusion comprehensive nursing guidance can increase monitoring time and complete rate of log records of patients with 24-hour Holter monitoring,which is helpful for clinical diagnosis and treatment with high clinical promotion value.
作者
张艳红
ZHANG Yan-hong(Jilin City Central Hospital,Jilin Jilin 132011)
出处
《智慧健康》
2020年第24期17-18,21,共3页
Smart Healthcare
关键词
24小时
动态心电图
综合护理
24 hours
Dynamic electrocardiogram(Holter)
Comprehensive nursing
