持续护理计划对可植入心脏转动器除器患者的自我效能的影响:随机对照试验
Shirin Afshar Ghahreman Khani1, Pegah Matourypour2, Majid Haghjoo1
1Cardiac Electrophysiology Research Center, Rajaie Cardiovascular Medical and Research Center, Tehran, Iran.
Iranian journal of nursing and midwifery research
|September 11, 2023
概括
一个持续的护理计划显著改善了植入式心脏转移器除器 (ICD) 的患者的自我效能. 这种护理干预提供了一个有效的模型,用于增强患者在ICD植入后的信心和幸福感.
科学领域:
- 心脏病学 心脏病学
- 护理 护理 护理
- 心理学 心理学 心理学
背景情况:
- 心室节律失常症具有显著的死亡风险.
- 植入式心脏转移器除器 (ICD) 对于管理这些心律失常至关重要.
- 患有ICD的患者经常面临身体,心理和社会挑战.
研究的目的:
- 调查持续护理计划对ICD患者自我疗效的影响.
- 评估针对ICD患者的结构化护理干预的有效性.
主要方法:
- 一项随机临床试验,涉及80名患有ICD的患者.
- 干预组接受了持续的护理,教育和随访.
- 对照组接受了例行护理;用SE-ICD和OE-ICD问卷来测量自我有效性.
主要成果:
- 干预前组之间的自我有效性没有显著差异 (p > 0.05).
- 干预组干预后的平均自我有效性得分显著增加 (t77 = 4.9,p < 0.001).
结论:
- 持续护理计划可以提高ICD患者的自我效能.
- 这种模式对于ICD患者的护理护理是有效的.
- 改善患者的结果和生活质量.
相关概念视频
Cardiomyopathy V: Interprofessional Care
14
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
14
Pulse rhythm
832
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
832
Cardiomyopathy II: Dilated Cardiomyopathy
11
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
11
Cardiopulmonary Resuscitation III: AED Use
38
Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
38
Heart Failure VI: Adjunct Therapies
16
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
16
Dysrhythmias VII: Nursing Management of Dysrhythmias
15
Nursing management of dysrhythmias involves the following:AssessmentSubjective Assessment:The initial step involves gathering patient-reported symptoms such as dizziness, palpitations, and chest discomfort. It is crucial to collect a detailed history, including previous heart conditions, current medication use, and lifestyle factors like caffeine and alcohol consumption.Objective Assessment:This involves observing clinical signs such as jugular venous distention, cool and pale skin, and...
15


