摘要
目的:探讨基于证据临床应用的多学科协作对持续性心房颤动射频消融手术患者的影响。方法:选取2019年3月1日~2022年1月31日收治的78例持续性心房颤动患者,均行射频消融手术,利用随机数字表法分为对照组和研究组各39例;对照组采取常规护理干预,研究组采用基于证据临床应用的多学科协作护理干预。比较两组干预前后抑郁自评量表(SDS)、焦虑自评量表(SAS)及心房颤动患者生命质量量表(AF-QoL-18)评分,比较两组国际标准化比值(INR)、中文版服药依从性量表(MMAS-8)评分、营养状况[微型营养评价法(MNA)]及并发症发生率。结果:干预前,两组SDS、SAS、AF-QoL-18评分比较差异均无统计学意义(P>0.05);干预后,研究组SDS、SAS、INR评分均低于对照组(P<0.01),AF-QoL-18、MMAS-8评分均高于对照组(P<0.01),营养状况优于对照组(P<0.05);研究组并发症发生率低于对照组,但两组比较差异无统计学意义(P>0.05)。结论:对持续性心房颤动射频消融手术患者实施基于证据临床应用的多学科协作,可缓解不良情绪,提高用药依从性,降低并发症发生率,提升生命质量。
Objective: To explore the effect of evidence-based clinical multidisciplinary collaboration in patients with persistent atrial fibrillation undergoing radiofrequency ablation.Methods: A total of 78 patients with persistent atrial fibrillation admitted were enrolled during March 1,2019 to January 2022.All underwent radiofrequency ablation.According to the random number table method, they were divided into the control group and the study group, 39 cases in each group.The control group was given routine nursing, while the study group was given evidence-based clinical multidisciplinary collaboration.The scores of Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS)and Atrial Fibrillation Effect on Quality-of-Life(AF-QoL-18)before and after intervention, international normalized ratio(INR),score of Morisky Medication Adherence Scale(MMAS-8),nutritional status mini nutritional assessment(MNA)and incidence of complications were compared between the two groups before and after intervention.Results: Before intervention, there was no significant difference in scores of SDS,SAS and AF-QoL-18 between the two groups(P>0.05).After intervention, the SDS,SAS and INR in the study group were lower than those in the control group(P<0.01).The AF-QoL-18 and MMAS-8 were higher than those in the control group(P<0.01),and the nutritional status was better than that in the control group(P<0.05).The incidence of complications in the study group was lower than that in the control group(P>0.05),but the difference was not statistically significant(P>0.05).Conclusion: The evidence-based clinical multidisciplinary collaboration can improve psychological state and medication compliance, promote disease prognosis and improve quality of life in patients with persistent atrial fibrillation undergoing radiofrequency ablation.
作者
廖楚
丁美舟
樊秋燕
Liao Chu;Ding Meizhou;Fan Qiuyan(The Second Hospital Affiliated to Nanchang University,Nanchang Jiangxi 330006,China)
出处
《齐鲁护理杂志》
2023年第2期27-30,共4页
Journal of Qilu Nursing
关键词
证据临床应用
多学科协作
持续性心房颤动
射频消融术
Evidence clinical application
Multidisciplinary collaboration
Persistent atrial fibrillation
Radiofrequency ablation
