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临床护理进展

Journal of Advances in Clinical Nursing

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Journal of Advances in Clinical Nursing. 2026; 5: (10) ; 10.12208/j.jacn.20260540 .

The application effect of dual-heart care in patients undergoing permanent cardiac pacemaker implantation
双心护理在永久性心脏起搏器植入术患者中的应用效果

作者: 孙吉, 贾艳 *, 白玲, 哈琳

宁夏医科大学总医院 宁夏银川

*通讯作者: 贾艳,单位:宁夏医科大学总医院 宁夏银川; ;

引用本文: 孙吉, 贾艳, 白玲, 哈琳 双心护理在永久性心脏起搏器植入术患者中的应用效果[J]. 临床护理进展, 2026; 5: (10) : 113-115.
Published: 2026/10/7 9:00:42

摘要

目的 探讨对永久性心脏起搏器植入术患者实施双心护理的应用效果。方法 选取在我院接受永久性心脏起搏器植入术治疗患者74例,所有患者均在2024年1月-2024年12月接受治疗,随机取37例实施常规护理(对照组),另37例采用双心护理(观察组)。对比两组患者护理前、出院时6 min步行距离(6MWD)、左心室射血分数(LVEF)等心功能水平,采用简明健康状况调查表(SF-36)评分评估患者出院时的生活质量。结果 出院时,与对照组相比,观察组6MWD、LVEF水平明显提高,差异对比有统计学意义(P<0.05)。观察组各项SF-36维度评分均高与于对照组,差异有统计学意义(P<0.05)。结论 对于永久性心脏起搏器植入术而言,双心护理用于有效改善患者的心脏功能和术后生活质量,值得临床上进一步推广。

关键词: 永久性心脏起搏器植入术;双心护理;护理效果

Abstract

Objective To explore the application effect of dual heart care for patients undergoing permanent cardiac pacemaker implantation.
Methods A total of 74 patients who underwent permanent cardiac pacemaker implantation in our hospital were randomly selected. All patients received treatment from January 2024 to December 2024. 37 patients were randomly selected for routine care (control group), and the other 37 patients received dual-heart care (observation group). The cardiac function levels such as the 6-minute walking distance (6MWD) and left ventricular ejection fraction (LVEF) before nursing and at discharge were compared between the two groups of patients. The Short Form 36 Health Questionnaire (SF-36) score was used to evaluate the quality of life of the patients at discharge.
Results At discharge, compared with the control group, the levels of 6MWD and LVEF in the observation group were significantly increased, and the difference was statistically significant (P<0.05). The scores of each SF-36 dimension in the observation group were all higher than those in the control group, and the difference was statistically significant (P<0.05).
Conclusion   For permanent cardiac pacemaker implantation, dual-heart care has effectively improved the cardiac function and postoperative quality of life of patients, and is worthy of further clinical promotion.

Key words: Permanent cardiac pacemaker implantation; Double heart care; Nursing effect

参考文献 References

[1] 崔瑢,邢娴娴,李妹芳.双心护理对永久性心脏起搏器植入患者术后疾病管理及生活质量的影响[J].当代医学, 2021, 27(20):185-188.

[2] 陈琅,卢成中,杨轶.快速康复联合双心护理对永久性起搏器植入患者舒适度的影响[J].广州医科大学学报,2022,50 (6):103-105.

[3] 周晓娟,张理想,曹教育.GRAS量表汉化及其在永久性心脏起搏器植入术后患者中的信效度检验[J].心脑血管病防治, 2024, 24(10):62-64.

[4] 李娜.基于健康信念模式的健康教育对永久性心脏起搏器植入术患者自我效能感及心理状态的影响[J].国际病理科学与临床杂志, 2021, 41(6):1369-1375.

[5] 冯锦梅,许艳.个性化护理模式在永久性心脏起搏器植入术患者围手术期的应用效果[J].贵州医药, 2023, 47(8):1331-1332.

[6] 黄於娟,孙立平,蒋芳勇.左束支区域起搏与右心室低位间隔部起搏对永久性心脏起搏器植入术患者心功能影响的对比研究[J].实用心脑肺血管病杂志, 2021, 29(3):68-74.

[7] 郭金龙,刘新新,郭军辉.运动康复训练对永久性心脏起搏器植入术患者术后心功能的研究进展[J].首都食品与医药, 2024, 31(24):15-18.

[8] 生活质量的价值观察[J/OL].中文科技期刊数据库(全文版)医药卫生,2022,(10):58-60.

[9] 谢娟.延续护理在永久性心脏起搏器植入术患者中的应用[J].智慧健康, 2020, 6(28):104-105.