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慢性心力衰竭患者双心室起搏器植入术后的护理

【摘要】　目的　总结慢性心力衰竭（chronic heart failure，CHF）患者双心室起搏器植入术后的护理要点，尤其是心理干预及患者教育的作用。　方法　对2009年3月-2010年5月收治的34例接受双心室起搏治疗的CHF患者进行观察和全面护理，主要是进行心理干预及患者教育，并在出院后进行长时间随访。　结果　患者在双心室起搏器植入术后的随访过程中，心力衰竭症状缓解，左心室射血分数、心输出量、左心室充盈时间增加。　结论　双心室起搏植入术后，辅以全面合理的护理措施，尤其是心理干预及患者教育可以进一步防止并发症的发生，有利于患者改善预后，提高生活质量。

Application of Empathy Concept in Communication with Family Members of Patients in Coronary Care Unit

目的　总结同理心在冠心病重症监护室（CCU）患者家属沟通中的应用及效果。 方法　选择2010年4月－5月入住CCU的患者100例，按入院先后顺序前50例设定为对照组，后50例设定为观察组；对照组采用传统常规方法与患者家属进行沟通，观察组应用同理心理念与患者家属沟通。观察两组患者家属在非探视时间到访次数、纠纷次数和CCU护理工作满意度情况。 结果　观察组患者家属较对照组在非探视时间到访次数、纠纷发生次数少，而满意度较对照组高，两组比较差异有统计学意义（P＜0.05）。 结论　应用同理心与CCU患者家属进行沟通，可增加医患间的理解和信任，减少非探视时间内家属到访次数，有利于维护医院正常的工作秩序，同时减少纠纷的发生，提高了护理服务满意度。

Nursing Care of Acute Left Heart Failure Patients with Non-invasive Positive Pressure Ventilation

目的　加强对急性左心功能衰竭患者的无创呼吸护理，确保救治安全和提高治疗效果。 方法　对2011年1月－9月收治的急性左心功能衰竭且应用无创呼吸机治疗的57例患者，采取相关应对措施进行系统性护理干预。 结果　5例患者因病情加重改行气管插管，52例经使用无创呼吸机治疗后，其病情稳定转出心脏病监护病房。治疗中2例配合较差，7例出现腹胀，2例发生鼻面部压迫性损伤。 结论　对症有效的护理干预措施对救治急性左心功能衰竭患者生命，提升无创呼吸的舒适感和医从性，降低相关并发症有积极作用。

感染性心内膜炎临床护理

【摘要】感染性心内膜炎（infective endoearditis，IE）是一种严重威胁人类健康及生命的疾病，可导致心力衰竭、栓塞及心律失常等并发症，有较高的死亡率。对IE患者进行全面细致的护理及指导，强化健康教育，可减少相关并发症的发生，缩短住院时间，降低死亡率，从而改善患者的预后。

The Clinical Effect of Glycerine Enema on Patients with Urinary Retention after Coronary Intervention

ObjectiveTo investigate the effect of Glycerine Enema on patients with urinary retention after coronary interventional procedures. MethodsBetween October 2011 and October 2012, 100 patients with urinary retention after coronary intervention were randomized into experimental group (enema group) and control group (conventional treatment group). The clinical effect of the two methods were compared between the two groups. ResultsThe effective rate in the experimental group was 88.0% while in the control group was 54.0%, and the difference between the two groups was statistically signifi cant (P<0.05). ConclusionThe effect of Glycerine Enema on patients with urinary retention after coronary intervention is obvious and signifi cant.

三维射频消融治疗心房颤动的围手术期护理

【摘要】　目的　总结心房颤动患者行三维射频消的融治疗的护理要点和经验。　方法　对2010年11月-2011年5月收治的62例行三维射频消融治疗心房颤动患者临床资料进行回顾性分析。　结果　62例手术均消融成功，术后发生并发症5例，其中心包压塞1例，迷走神经反射3例，下肢静脉血栓形成1例，经积极治疗和护理均好转出院。　结论　围手术期实施正确有效的护理措施是保证手术和治疗效果的重要因素。

经桡动脉穿刺行冠状动脉介入治疗围手术期护理

【摘要】　目的　总结经桡动脉穿刺行冠状动脉介入治疗的围手术期护理要点及并发症预防。　方法　对2011年1-6月间226例经桡动脉穿刺行冠状动脉介入治疗患者，术前做好心理护理及桡动脉准备，术后做好生命体征监测，密切观察术侧肢体循环，预防各种并发症的发生。　结果　226例患者经桡动脉穿刺行冠状动脉介入治疗术后未发生严重并发症，治疗和护理效果满意。　结论　围手术期实施有效的护理措施是保证治疗成功的重要因素之一。

心力衰竭患者心脏再同步治疗的围手术期护理

不予体位限制和沙袋压迫对全麻下行介入术后先心患儿的影响

目的:旨在探讨不予体位限制和穿刺处沙袋压迫对全麻下行介入术后的先心患儿的影响。方法:将2007 年1 月至 2008 年12 月的50 例全麻下行介入术清醒后送入CCU(冠心病监护病房)先心患儿随机分成2组(即实验组和对照组),两组均用弹力绷带加压包扎穿刺处的前提下,对照组按常规给患儿取平卧位,头偏向一侧,穿刺侧肢体制动,并沙袋压迫穿刺处8~12h,平卧12h或以上;实验组患儿穿刺侧肢体不予制动,穿刺处也不沙袋压迫,患儿可取任意体位(包括由父母抱在怀中休息),观察两组患儿舒适度、穿刺处出血并发症、患儿父母、医护人员等的影响。结果:实验组患儿的舒适度、对患儿父母、医护人员的影响明显优于对照组,而穿刺处出血并发症方面两组无显著差异。 结论:不予体位限制和穿刺处沙袋压迫对全麻下行介入术后先心患儿的影响是增加患儿的舒适度,减少患儿父母的焦虑,减轻医护人员的工作负荷,而穿刺处出血并发症不增加。

Investigation on the Quality of Life and Psychological Status among Patients after Cardiac Resynchronization Therapy

ObjectiveTo analyze the quality of life (QOL) and psychological status among patients having undergone cardiac resynchronization therapy (CRT). MethodsA total of 42 patients underwent CRT in our hospital during January 2011 to January 2014. All the patients were studied by MOS SF-36 scale and symptom checklist-90 (SCL-90) on overall QOL and psychological QOL, respectively. Another 42 healthy people in matched control group were also tested. ResultsThe QOL of patients after CRT was significantly lower than that of healthy subjects (P<0.05). The psychological status score, which was obtained by the examination of SCL-90, was significantly higher in patients after CRT than in the healthy population (P<0.05). The length of the disease course and leveling exercise tolerance are the influence factors for the QOL and psychological status in patients undergoing CRT. Gender does not make any difference between the two groups. ConclusionThe QOL of patients having undergone CRT is significantly lower than that of healthy people, and the psychological status score is higher. Medical staff need to pay attention to the mental illness (such as depression, anxiety and panic) of patients after CRT, especially in patients with long course of disease, and patients who fail to improve exercise tolerance or who are mateless. Psychological interventions can further improve the QOL of patients.