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目的探讨集束化护理在室间隔缺损封堵术围术期的应用效果。方法选取2013年1月—2014年11月在该院心内科接受室间隔缺损封堵术的患者共80例,按照住院顺序给予编号,使用随机数字表法,将患者随机分为观察组和对照组,其中观察组患者43例接受由护理组长带领下的集束化管理,对照组37例接受未有护理组长带领的常规护理。对比分析二组患者手术成功率、术后并发症、患者对护理服务满意度。结果观察组手术成功率略高于对照组,但差异无统计学意义(P>0.05);观察组术后并发症发生率明显低于对照组患者,差异有统计学意义(P<0.05);观察组患者平均下床活动时间、平均住院时间明显短于对照组患者,差异有统计学意义(P<0.05);观察组患者对服务态度、专业素质、护理技术等评分明显高于对照组患者,差异有统计学意义(P<0.05)。结论集束化护理能减少平均住院时间,降低术后并发症发生率,提高患者对护理服务的满意度。
Objective To investigate the effect of cluster nursing in perioperative period of occlusion of ventricular septal defect. Methods A total of 80 patients undergoing ventricular septal defect occlusion in the department of cardiology of our hospital from January 2013 to November 2014 were selected and numbered according to the order of hospitalization. Patients were randomly divided into observation group and control group In the observation group, 43 patients in the observation group received intensive management under the leadership of the care team leader, while 37 patients in the control group received routine care led by the unmet nursing team leader. The success rate of operation, postoperative complications and patients’ satisfaction with nursing service were compared between the two groups. Results The success rate of operation in observation group was slightly higher than that in control group, but the difference was not statistically significant (P> 0.05). The incidence of postoperative complications in observation group was significantly lower than that in control group (P <0.05). The mean time to ambulation in the observation group was significantly shorter than that in the control group (P <0.05). The scores of service attitude, professional quality and nursing skills in the observation group were significantly higher than those in the control group , The difference was statistically significant (P <0.05). Conclusion Cluster nursing can reduce the average length of stay, reduce the incidence of postoperative complications and improve patient satisfaction with nursing services.