连续性护理干预对老年糖尿病合并心律失常患者置入心脏起搏器后的影响研究(1)
摘 要：目的 探究连续性护理干预对老年糖尿病合并心律失常患者行心脏起搏器置入术后的临床疗效，观察患者术后负性情绪及生活质量。方法 选择我院82例择期行心脏起搏器置入术的老年糖尿病合并心律失常患者，按照随机数字表法分组，各41例。对照组实施常规护理，观察组采取连续性护理干预，比较两组干预前后护理效果。结果 观察组干预后HAMD、HAMA评分均较对照组降低(P<0.05)；经随访，观察组干预后4 y SF-36评分较对照组提高(P<0.05)；观察组并发症发生率17.07%低于对照组36.59%(P<0.05)。结论 对行心脏起搏器置入术的老年糖尿病合并心律失常患者采用连续性护理干预效果显著，可明显缓解患者负性情绪，减少并发症发生情况，提升患者生活质量。
关键词：心脏起搏器置入术；糖尿病合并心律失常；连续性护理；负性情绪
中图分类号：R473.5 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.01.071
, 百拇医药
文章编号：1006-1959(2018)01-0177-02
Effects of Continuous Nursing Intervention on Cardiac Pacemaker in Elderly Patients with Diabetes Mellitus with Arrhythmia
LI Sha-sha
(Department of Endocrinology，Tianjin Chest Hospital，Tianjin 300051，China)
Abstract：Objective To explore the clinical curative effect of continuous nursing intervention on elderly patients with diabetes mellitus complicated with cardiac arrhythmia after pacemaker implantationthe postoperative negative mood and quality of life.Methods In our hospital 82 cases of patients undergoing pacemaker implantation in elderly diabetic patients with arrhythmia were grouped according to the random number table，each of 41 cases. The control group received routine nursing，the observation group adopted continuous nursing intervention，compared two groups before and after nursing intervention.Results The observation group after HAMD，HAMA scores were lower than the control group(P<0.05)；after the follow-up，the observation group after the intervention of 4 y SF-36 score higher than the control group(P<0.05)；the observation group complication rate was 17.07% lower than 36.59% in the control group(P<0.05).Conclusion Continuous nursing intervention for elderly patients with diabetes and arrhythmia with cardiac pacemaker implantation has a significant effect，which can significantly relieve the negative emotions of patients，reduce the incidence of complications，and improve the quality of life of patients.
, 百拇医药
Key words：Cardiac pacemaker implantation；Diabetic arrhythmia；Continuous nursing；Negative emotion
糖尿病(diabetes mellitus，DM)為临床多发内分泌系统疾病之一，可导致水电解质、碳水化合物、蛋白质等代谢紊乱，极大影响人类生命健康。心律失常为糖尿病的主要并发症之一，心脏起搏器置入术为治疗老年糖尿病合并心律失常的有效手段，可明显改善患者心脏功能，但因老年患者代谢能力、机体耐受力及免疫力降低，导致手术风险较大，术后容易产生囊袋感染、囊袋血肿等并发症，同时易出现抑郁、焦虑、不安等负性情绪，治疗依从性低，影响预后[1]。因此，护理干预对保障手术效果及改善预后尤为重要。本研究将连续性护理干预应用于择期行心脏起搏器置入术的老年糖尿病合并心律失常患者，收效满意，报道如下。
1 资料与方法
1.1 一般资料 选取2014年2月～2016年8月我院82例择期行心脏起搏器置入术的老年糖尿病合并心律失常患者，年龄均≥65岁，知情同意本研究，排除合并脑梗死、急性心肌梗死者。所有患者按照随机数字表法分组，各41例。观察组男27例，女14例，年龄66～82岁，平均年龄(70.91±4.25)岁；对照组男26例，女15例，年龄65～83岁，平均年龄(71.48±5.06)岁。两组基线资料差异无统计学意义(P>0.05)。, 百拇医药(李莎莎)
关键词：心脏起搏器置入术；糖尿病合并心律失常；连续性护理；负性情绪
中图分类号：R473.5 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.01.071
, 百拇医药
文章编号：1006-1959(2018)01-0177-02
Effects of Continuous Nursing Intervention on Cardiac Pacemaker in Elderly Patients with Diabetes Mellitus with Arrhythmia
LI Sha-sha
(Department of Endocrinology，Tianjin Chest Hospital，Tianjin 300051，China)
Abstract：Objective To explore the clinical curative effect of continuous nursing intervention on elderly patients with diabetes mellitus complicated with cardiac arrhythmia after pacemaker implantationthe postoperative negative mood and quality of life.Methods In our hospital 82 cases of patients undergoing pacemaker implantation in elderly diabetic patients with arrhythmia were grouped according to the random number table，each of 41 cases. The control group received routine nursing，the observation group adopted continuous nursing intervention，compared two groups before and after nursing intervention.Results The observation group after HAMD，HAMA scores were lower than the control group(P<0.05)；after the follow-up，the observation group after the intervention of 4 y SF-36 score higher than the control group(P<0.05)；the observation group complication rate was 17.07% lower than 36.59% in the control group(P<0.05).Conclusion Continuous nursing intervention for elderly patients with diabetes and arrhythmia with cardiac pacemaker implantation has a significant effect，which can significantly relieve the negative emotions of patients，reduce the incidence of complications，and improve the quality of life of patients.
, 百拇医药
Key words：Cardiac pacemaker implantation；Diabetic arrhythmia；Continuous nursing；Negative emotion
糖尿病(diabetes mellitus，DM)為临床多发内分泌系统疾病之一，可导致水电解质、碳水化合物、蛋白质等代谢紊乱，极大影响人类生命健康。心律失常为糖尿病的主要并发症之一，心脏起搏器置入术为治疗老年糖尿病合并心律失常的有效手段，可明显改善患者心脏功能，但因老年患者代谢能力、机体耐受力及免疫力降低，导致手术风险较大，术后容易产生囊袋感染、囊袋血肿等并发症，同时易出现抑郁、焦虑、不安等负性情绪，治疗依从性低，影响预后[1]。因此，护理干预对保障手术效果及改善预后尤为重要。本研究将连续性护理干预应用于择期行心脏起搏器置入术的老年糖尿病合并心律失常患者，收效满意，报道如下。
1 资料与方法
1.1 一般资料 选取2014年2月～2016年8月我院82例择期行心脏起搏器置入术的老年糖尿病合并心律失常患者，年龄均≥65岁，知情同意本研究，排除合并脑梗死、急性心肌梗死者。所有患者按照随机数字表法分组，各41例。观察组男27例，女14例，年龄66～82岁，平均年龄(70.91±4.25)岁；对照组男26例，女15例，年龄65～83岁，平均年龄(71.48±5.06)岁。两组基线资料差异无统计学意义(P>0.05)。, 百拇医药(李莎莎)