自制透明压迫袋在永久起搏器植入术后护理中的应用(1)
[摘要]目的 探討自制透明压迫袋在永久起搏器植入术术后压迫的效果观察。方法 选取我院2012年11月～2017年6月的120例需行永久起搏器植入术的患者，按抽签法分为观察组和对照组，每组各60例。观察组术后使用自制透明压迫袋压迫；对照组术后使用自制沙袋(盐袋)压迫，分别比较两组术后出现切口出血、囊袋血肿、电极脱位；舒适度(疼痛、排尿困难、睡眠形态紊乱)；压迫袋移位、滑脱。结果 两组的切口出血、囊袋血肿、电极脱位的发生率比较差异无统计学意义(P>0.05)。观察组在术后疼痛、排尿困难、睡眠形态紊乱、压迫袋移位、滑脱现象的发生率低于对照组，差异有统计学意义(P>0.05)。结论 永久起搏器植入术后使用自制透明压迫袋压迫，既保证了患者的安全，又增加了患者的舒适感，可减少护理人员的工作量，提高了患者和医护人员的满意度和护理质量，值得在临床推广使用。但在使用过程中要避免接触利器，以防透明压迫袋破裂。
[关键词]自制；透明压迫袋；永久起搏器；护理
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721(2018)9(c)-0204-03
Application of self-made transparent compression bag in nursing after permanent pacemaker implantation
WANG Yan-ping LI Li-jun LI Hui
Department of Cardiology， Xiangya Pingkuang Cooperation Hospital (Pingkuang Ceneral Hospital)， Jiangxi Province， Pingxiang 337000， China
[Abstract] Objective To investigate the effect of self-made transparent compression bag after permanent pacemaker implantation. Methods A total of 120 patients undergoing permanent pacemaker implantation from November 2012 to June 2017 in our hospital were divided into observation group and control group according to the lottery method， 60 cases in each group. Patients in the observation group were provided with self-made transparent compression bag for postoperative oppression， while in the control group， self-made sandbag or salt bag after the operation was applied. The incision bleeding， capsular hematoma， and electrode dislocation occurred after the operation， comfort degree such as pain， dysuria， and sleep disorder， and compression bag shift and slippage were compared in the two groups. Results There was no significant difference in the incidence of incision bleeding， capsular hematoma， and electrode dislocation between the two groups (P>0.05). The incidence of postoperative pain， dysuria， sleep disorder， compression bag shift and slippage was lower in the observation group than that in the control group， with a significant difference (P<0.05). Conclusion The application of self-made transparent compression bag after permanent pacemaker implantation can not only ensure the safety of the patient， but also increase the comfort of the patient. It can reduce the workload of nursing staff， increase patient′s satisfaction， and nursing quality by medical personnel， which is worthy of promotion in clinic. However， in the process of using， avoid contact with sharp things is necessary in order to prevent the transparent compression bag ruptured.
[Key words] Self-made； Transparent compression bag； Permanent pacemakers； Nursing, 百拇医药(王艳萍 李利军 李惠)
[关键词]自制；透明压迫袋；永久起搏器；护理
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721(2018)9(c)-0204-03
Application of self-made transparent compression bag in nursing after permanent pacemaker implantation
WANG Yan-ping LI Li-jun LI Hui
Department of Cardiology， Xiangya Pingkuang Cooperation Hospital (Pingkuang Ceneral Hospital)， Jiangxi Province， Pingxiang 337000， China
[Abstract] Objective To investigate the effect of self-made transparent compression bag after permanent pacemaker implantation. Methods A total of 120 patients undergoing permanent pacemaker implantation from November 2012 to June 2017 in our hospital were divided into observation group and control group according to the lottery method， 60 cases in each group. Patients in the observation group were provided with self-made transparent compression bag for postoperative oppression， while in the control group， self-made sandbag or salt bag after the operation was applied. The incision bleeding， capsular hematoma， and electrode dislocation occurred after the operation， comfort degree such as pain， dysuria， and sleep disorder， and compression bag shift and slippage were compared in the two groups. Results There was no significant difference in the incidence of incision bleeding， capsular hematoma， and electrode dislocation between the two groups (P>0.05). The incidence of postoperative pain， dysuria， sleep disorder， compression bag shift and slippage was lower in the observation group than that in the control group， with a significant difference (P<0.05). Conclusion The application of self-made transparent compression bag after permanent pacemaker implantation can not only ensure the safety of the patient， but also increase the comfort of the patient. It can reduce the workload of nursing staff， increase patient′s satisfaction， and nursing quality by medical personnel， which is worthy of promotion in clinic. However， in the process of using， avoid contact with sharp things is necessary in order to prevent the transparent compression bag ruptured.
[Key words] Self-made； Transparent compression bag； Permanent pacemakers； Nursing, 百拇医药(王艳萍 李利军 李惠)