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患有永久性心脏起器植入的患者的并发症类型和相关因素:系统性审查
Firman Sugiharto1, A Danang Asmara1, Wulan Puspita Sari1
1Master Study Program, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia.
Journal of multidisciplinary healthcare
|January 17, 2025
概括
永久心脏起器 (PPM) 植入并发症很常见,受患者人口统计学,临床因素和程序因素的影响. 识别这些预测因素对于最小化风险和优化植入后患者护理至关重要.
科学领域:
- 心脏病学 心脏病学
- 医疗器械技术 医疗器械技术
- 临床研究 临床研究
背景情况:
- 永久起器 (PPM) 植入是心律失常和心力衰竭的关键干预措施.
- 虽然PPM提高了生活质量和生存率,但植入后并发症仍然是一个重大问题.
研究的目的:
- 系统地识别PPM植入后的并发症类型.
- 确定在接受PPM手术的患者中与这些并发症相关的预测因素.
主要方法:
- 按照"柯克兰手册"和PRISMA指南进行系统审查.
- 在PubMed,CINAHL,ScienceDirect,Scopus和谷歌学者中进行全面的文献搜索.
- 包括观察性研究和英语RCT,没有出版年限.
主要成果:
- 对15篇文章的分析揭示了五种类型的影响因素:人口统计,先前存在的临床情况,并发性疾病,程序和操作员经验.
- 常见的并发症包括发电机侵蚀,心脏起器感染,肺胸炎,位移,电池耗尽和死亡率.
- 各种因素显著影响PPM安置后并发症的发生率.
结论:
- 在PPM植入后的并发症是常见的,多因素的.
- 谨慎的患者选择和程序执行对于降低风险至关重要.
- 针对高风险患者的多学科护理和有针对性的监测对于优化治疗结果至关重要.
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