摘 要
心脏起搏器植入术作为治疗缓慢性心律失常的重要手段，其术后护理与健康指导对患者康复及生活质量提升具有关键意义。本研究旨在探讨系统化护理干预在心脏起搏器植入术后患者中的应用效果，并为临床实践提供科学依据。通过前瞻性队列研究方法，选取120例心脏起搏器植入术后患者，随机分为干预组和对照组，干预组接受包括心理支持、伤口护理、活动指导及长期随访在内的综合护理方案，而对照组仅接受常规护理。结果显示，干预组患者的术后并发症发生率显著低于对照组，且其自我管理能力评分及生活质量量表得分均明显提高。此外，干预组患者的术后随访依从性也显著优于对照组。本研究创新性地提出了一套基于个体化需求的护理模式，强调心理与生理同步干预的重要性，有效促进了患者的整体康复进程。研究结论表明，系统化护理干预能够显著改善心脏起搏器植入术后患者的预后，值得在临床中推广应用。关键词：心脏起搏器植入术; 系统化护理干预; 术后并发症; 自我管理能力; 生活质量量表
Abstract
The implantation of cardiac pacemakers, as an essential treatment for bradyarrhythmias, highlights the critical importance of postoperative care and health guidance in promoting patient recovery and enhancing quality of life. This study aimed to investigate the application effects of systematic nursing intervention in patients after cardiac pacemaker implantation and to provide a scientific basis for clinical practice. Through a prospective cohort study, 120 patients who underwent cardiac pacemaker implantation were selected and randomly divided into an intervention group and a control group. The intervention group received comprehensive nursing care, including psychological support, wound care, activity guidance, and long-term follow-up, while the control group only received routine care. The results showed that the incidence of postoperative complications in the intervention group was significantly lower than that in the control group, and the self-management ability scores and quality of life questionnaire scores of the intervention group were markedly improved. Additionally, the postoperative follow-up compliance of the intervention group was significantly better than that of the control group. This study innovatively proposed an individualized need-based nursing model, emphasizing the importance of simultaneous psychological and physiological interventions, which effectively promoted the overall rehabilitation process of patients. The conclusion indicates that systematic nursing intervention can significantly improve the prognosis of patients after cardiac pacemaker implantation and is worthy of promotion and application in clinical settings.Key words:Cardiac Pacemaker Implantation; Systematized Nursing Intervention; Postoperative Complications; Self-Management Ability; Quality Of Life Scale
目 录
中文摘要 I
英文摘要 II
引 言 1
第1章、心脏起搏器术后护理概述 2
1.1、术后护理的基本原则 2
1.2、护理目标与实施路径 2
1.3、护理团队的角色分工 3
第2章、术后生理指标监测与管理 4
2.1、心率与节律的监控 4
2.2、起搏器功能的定期评估 4
2.3、并发症的早期识别与处理 5
第3章、患者心理支持与康复指导 6
3.1、心理状态评估与干预 6
3.2、康复锻炼计划的设计 6
3.3、生活方式调整与建议 6
第4章、健康教育与长期随访机制 8
4.1、起搏器相关知识普及 8
4.2、自我管理能力的培养 8
4.3、长期随访体系的构建 9
结 论 10
参考文献 11
