Application Effect of Multi-Dimension Nursing Combined with GRACE Scoring System in Patients with Atrial Fibrillation after Green Precision Catheter Radiofrequency Ablation.

IF 0.7 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Heart Surgery Forum Pub Date : 2023-10-26 DOI:10.59958/hsf.5839
Wenjuan Duan, Baojun Ren
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Abstract

Objective: To explore the application effect of multi-dimensional nursing combined with the Global Registry of Acute Events (GRACE) scoring system in the nursing of patients with atrial fibrillation after radiofrequency ablation with green precision catheter radiofrequency ablation.

Methods: A total of 274 patients diagnosed with atrial fibrillation undergoing green precision catheter radiofrequency ablation were collected from the Department of Cardiology at our hospital in a retrospective study. After the inclusion, exclusion, diagnostic criteria and physical examination, all the subjects underwent green precision catheter radiofrequency ablation. According to various nursing methods that were adopted, they were divided into two groups with 7-14 days of nursing intervention by digital randomization: the study group (multi-dimensional nursing combined with GRACE scoring system evaluation, n = 136 cases) and the control group (postoperative routine nursing, n = 138 cases). The MOS item short from health survey (SF-36) score, Hamilton anxiety scale (HAMA) score, Hamilton depression scale (HAMD) score, complication rates and the nursing quality of the two groups were observed.

Results: After multi-dimensional nursing combined with the GRACE in-hospital scoring system for stratified nursing in the study group, SF-36 scores in both groups increased after conventional nursing in the control group, but there was a statistical difference between the study group and the control group (p < 0.05). HAMA score and HAMD score decreased, and there were statistical differences between the study group and the control group (p < 0.05). The comparison between the study group and the control group showed that "Cardiac tamponade", "Atrioventricular block", "Peripheral vascular injury" and the total incidence of complications were statistically different (p < 0.05). The basic satisfaction, number of satisfaction and total satisfaction rate of the study group were higher than those of the control group, and the difference was statistically significant (p < 0.05).

Conclusions: Multi-dimensional nursing combined with the GRACE scoring system in the nursing care of patients with atrial fibrillation after radiofrequency ablation with the green precision catheter, improves the quality of life, alleviates negative emotions, reduces the incidence of complications, and results in better quality of nursing care.

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多维护理结合GRACE评分系统在Green Precision导管射频消融后心房颤动患者中的应用效果。
目的:探讨多维护理结合急性事件全球登记(GRACE)评分系统在绿色精密导管射频消融术后房颤患者护理中的应用效果。方法:对我院心内科274例经绿色精密导管射频消融术诊断为心房颤动的患者进行回顾性研究。在纳入、排除、诊断标准和体检后,所有受试者均接受了绿色精密导管射频消融。根据所采用的各种护理方法,采用数字随机化将他们分为两组,为期7-14天的护理干预:研究组(多维护理结合GRACE评分系统评估,n=136例)和对照组(术后常规护理,n=138例)。观察两组患者的健康状况调查总分(SF-36)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HamMD)、并发症发生率及护理质量。结果:研究组采用多维护理结合GRACE住院评分系统进行分层护理后,两组SF-36评分均较对照组常规护理后有所上升,但研究组与对照组之间有统计学差异(p<0.05),HAMA评分和HAMD评分均有所下降,研究组与对照组比较,“心脏压塞”、“房室传导阻滞”、“外周血管损伤”及并发症总发生率有统计学差异(p<0.05),研究组的满意度和总满意度均高于对照组,差异有统计学意义(p<0.05),提高生活质量,缓解负面情绪,降低并发症的发生率,提高护理质量。
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来源期刊
Heart Surgery Forum
Heart Surgery Forum 医学-外科
CiteScore
1.20
自引率
16.70%
发文量
130
审稿时长
6-12 weeks
期刊介绍: The Heart Surgery Forum® is an international peer-reviewed, open access journal seeking original investigative and clinical work on any subject germane to the science or practice of modern cardiac care. The HSF publishes original scientific reports, collective reviews, case reports, editorials, and letters to the editor. New manuscripts are reviewed by reviewers for originality, content, relevancy and adherence to scientific principles in a double-blind process. The HSF features a streamlined submission and peer review process with an anticipated completion time of 30 to 60 days from the date of receipt of the original manuscript. Authors are encouraged to submit full color images and video that will be included in the web version of the journal at no charge.
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