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        心力衰竭毕业论文 心力衰竭患者行三腔起搏器植入术治疗的护理

        版权:原创标记本站原创 星级:★★★★4.0主题:心力衰竭能活多久范文 级别:免费学术论文 范畴:硕士学位论文 论文范文编号:biyelunwendq0296342 期刊发表:刊物发表 全文字数:3000字 投稿作者:anxkzx 审稿编辑:闻名学术家 阅读次数:11413

        本文关于心力衰竭论文范文,可以做为相关论文参考文献,与写作提纲思路参考。

        心力衰竭患者行三腔起搏器植入术治疗的护理分析【摘要】目的: 分析心力衰竭患者行三腔起搏器植入术治疗的护理效果。策略: 研究对象选取2011年4月至2013年3月在本院行三腔起搏器植入术治疗的40例心力衰竭患者,围手术期接受系统护理干预,对比分析护理干预前后患者情绪状态、左室射血分数(LVEF)、6min步行试验结果的变化。结果: 经过系统护理干预后患者SAS评分、SDS评分明显下降,LVEF、6min步行试验结果明显提高,t检验分析发现差异有统计学作用(P<0.05)。结论: 心力衰竭患者行三腔起搏器植入术治疗围手术期实施系统护理干预,有助于帮助患者稳定情绪,提高手术效果。

        心力衰竭能活多久论文 心力衰竭能活多久

        肠梗阻导管置入术患者规范胃镜下治疗的护理要素

        护理干预在胸腔闭式引流术治疗肋骨骨折合并血气胸患者中应用

        ICU多脏器功能衰竭患者CRRT治疗的护理观察

        综合性护理干预在手术治疗四肢长管状骨骨折患者中的作用

        【关键词】心力衰竭;三腔起搏器植入术;护理效果

        1004-4949(2014)12-0520-01

        心力衰竭是各种心血管疾病进展至晚期的常见症状,采用药物治疗方案往往不能改善病情。植入三腔起搏器可促使左右心室同步化收缩,恢复室间隔的机械同步,有利于改善心功能,提高患者的生活质量。三腔起搏器植入术治疗期间的护理质量直接关系到手术效果和预后[1]。本文分析了心力衰竭患者行三腔起搏器植入术治疗的护理效果,现将研究结果分析报告如下。

        1资料和策略

        1.1一般资料

        研究对象选取2011年4月至2013年3月在本院行三腔起搏器植入术治疗的40例心力衰竭患者,其中男性24例,女性16例;年龄49岁~75岁,平均年龄(61.24±10.58)岁;体重51kg~80kg,平均体重(62.56±11.34)kg;心脏病病程3年~15年,平均病程(7.24±2.11)年;其中缺血性心肌病15例、扩张性心肌病12例、高血压心脏病13例;文化程度包括大专6例、高中14例、初中12例、小学8例。

        所有患者均符合纽约心脏病协会(NYHA)心功能Ⅲ~Ⅳ级标准,心电图检查结果提示完全性左束支传导阻滞,QRS间期≥120ms。超声心动图检查结果提示LVEF≤35%,室壁不协调。研究对象同时排除精神异常、智力障碍、严重听力和语言障碍者。

        1.2治疗和护理策略

        所有患者均自愿接受三腔起搏器植入术治疗,围手术期接受系统护理干预。术前实施心理行为干预,针对患者焦虑、抑郁、恐惧等不良情绪及时进行疏导。应用通俗易懂的语言讲解手术过程、预期效果、术中注意事项,使患者充分认识到手术的必要性,帮助患者缓解不良情绪,减轻思想包袱,保证充足的睡眠,以积极的心态接受手术。嘱患者术前禁食禁饮4h以上,遵医嘱给予药物纠正心力衰竭。术前1d帮助患者常规备皮,进行碘过敏试验、抗菌药物皮试等准备工作[2]。

        心力衰竭吃什么药好

        医患关系毕业论文摘要医患关系职论文参考文献医患关系学年论文医患关系职论文摘要医患关系党校论文医患关系技师论文

        进入手术室后与患者进行交谈,以缓解其恐惧、紧张情绪。协助患者去枕平卧位,给予持续低流量氧气吸入。连接心电监护仪,监测血氧饱和度,确保抢救药品、仪器、设备处于良好的备用状态。术中进行分离起搏囊袋、造影等重要操作时预先告知患者,询问有无不适感。手术过程中严密观察患者神志、面色、呼吸、血压、血氧饱和度、尿量等变化,如有异常及时处理[3]。

        术毕切口处放置沙袋压迫10h,加强巡视,观察切口和敷料情况。如出血量大,及时更换敷料,并报告医生给予止血处理。如局部皮肤红肿、疼痛、分泌物增加提示发生感染,及时采用敏感抗生素治疗。嘱患者保持切口清洁、干燥,勿抓搔切口,如出现痒感可用碘伏棉签轻轻擦拭。疼痛剧烈者遵医嘱给予镇痛药物。指导患者绝对卧床休息48h以上,取平卧位,严禁右侧卧位。术侧上肢制动24h以上,以防电极移位或脱位。术后7d内避开上肢大幅度活动,指导患者进行术侧上肢行握拳、活动手指等康复训练,以防发生关节僵硬、肌肉酸痛等。7d后指导患者逐渐增加活动范围[4]。

        术后指导患者正常进食,以高蛋白、高维生素、低盐、低脂、富含膳食纤维的食物为宜,以增强机体抵抗力,确保切口愈合所需的营养。保持大便通畅,协助患者床上大小便,注意?;せ颊咭絒5]。

        出院时指导患者严格遵医嘱服药,保证充足的睡眠和休息。日常生活中远离强磁电场,随身携带起搏器随访卡。术后3个月、6个月、12个月定期复诊,如有不适感随时就诊[6]。

        1.3评价指标

        采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评价患者情绪状态。SAS评分越高,表示焦虑程度越严重。SDS评分越高,表示抑郁程度越严重。

        1.4数据处理

        相关数据均录入SPSS17.0软件进行数据处理,统计学分析时计量资料以均数±标准差(X±s)表示,比较采用t检验。P<0.05代表差异结果有统计学意义。

        2结果

        经过系统护理干预后患者SAS评分、SDS评分明显下降,LVEF、6min步行试验结果明显提高,t检验分析发现差异有统计学作用(P<0.05)。

        3讨论

        心力衰竭药物治疗效果不佳、预后差、死亡率高。近年来随着医学技术的不断进步,三腔起搏器植入术在改善心力衰竭患者的心功能、降低死亡率方面发挥着越来越重要的作用,不仅能纠正心力衰竭,很难找一定程度上预防因心律失常导致的心源性猝死。

        心力衰竭患者行三腔起搏器植入术治疗的护理毕业论文格式模板相关参考属性
        有关论文范文主题研究: 心力衰竭类论文范文 大学生适用: 2500字高校毕业论文
        相关参考文献下载数量: 98 写作解决问题: 写作技巧
        毕业论文开题报告: 论文提纲、论文前言 职称论文适用: 期刊发表、高级职称
        所属大学生专业类别: 心力衰竭能活多久 论文题目推荐度: 优质心力衰竭选题

        手术治疗期间优质的临床护理干预是确保手术成功的关键。术前重视健康教育和心理疏导有助于帮助患者稳定情绪

        2

        参考范文:

        [1]心力衰竭患者行三腔起搏器植入术治疗的护理

        [2]未婚宫外孕患者腹腔镜手术治疗的护理

        优秀点评

        怎么写心力衰竭本科论文的参考文献?该文是关于心力衰竭吃什么药好论文范文,为你的论文写作提供相关论文资料参考,可用于患者和起搏器和心力衰竭论文开题和相关职称论文作为参考文献资料.

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