[1]魏 正.临床护理路径对TAVI术后患者心功能、自护能力及并发症影响的分析[J].医学信息,2026,39(01):158-161.[doi:10.3969/j.issn.1006-1959.2026.01.030]
　WEI Zheng.Impact Analysis of Clinical Nursing Pathway on Cardiac Function, Self-care Abilityand Complications of Patients After TAVI[J].Journal of Medical Information,2026,39(01):158-161.[doi:10.3969/j.issn.1006-1959.2026.01.030]
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临床护理路径对TAVI术后患者心功能、自护能力及并发症影响的分析()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
39卷
期数:
2026年01期
页码:
158-161
栏目:
照护实践信息
出版日期:
2026-01-01

文章信息/Info

Title:
Impact Analysis of Clinical Nursing Pathway on Cardiac Function, Self-care Abilityand Complications of Patients After TAVI
文章编号:
1006-1959（2026）01-0158-04
作者:
魏 正
天津市胸科医院心外二科，天津 300222
Author(s):
WEI Zheng
The Second Department of Cardiac Surgery, Tianjin Chest Hospital, Tianjin 300222, China
关键词:
临床护理路径; TAVI; 心功能; 自护能力
Keywords:
Clinical nursing pathway;  TAVI;  Cardiac function;  Self-care ability
分类号:
R473.6
DOI:
10.3969/j.issn.1006-1959.2026.01.030
文献标志码:
A
摘要:
目的 研究临床护理路径对TAVI术后患者心功能、自护能力及并发症的影响。方法 选取2022年11月-2023年9月在我院行TAVI术的80例患者为研究对象，采用随机数字表法分为对照组和观察组，各组40例。对照组采用常规护理，观察组应用临床护理路径干预，比较两组患者首次下地时间、住院时间、心功能指标、自护能力、并发症发生率。结果 观察组首次下地时间、住院时间均短于对照组（P＜0.05）；两组心率、LVEDD、NT-proBNP均低于干预前，LVEF均高于干预前，且观察组心率、LVEDD、NT-proBNP均低于对照组，LVEF高于对照组（P＜0.05）；两组自护技能、自护责任感、自我概念、疾病健康知识各维度评分均高于干预前，且观察组高于对照组（P＜0.05）；观察组并发症发生率为5.00%，低于对照组的12.50%（P＜0.05）。结论 临床护理路径可促进TAVI后患者心功能恢复，提高患者自护能力，预防并发症，缩短住院时间，利于患者的早期康复，值得临床应用。
Abstract:
Objective To study the effect of clinical nursing pathway on cardiac function, self-care ability and complications in patients after TAVI. Methods A total of 80 patients who underwent TAVI in our hospital from November 2022 to September 2023 were selected as the research objects. By using the random number table method, they were assigned to control group and observation group with 40 patients in each group. The control group received routine nursing, and the observation group received clinical nursing pathway intervention. The time to first ambulation, hospitalization time, cardiac function indexes, self-care ability and complication rate were compared between the two groups. Results The time to first ambulation and hospitalization time in the observation group were shorter than those in the control group (P<0.05). The heart rate, LVEDD and NT-proBNP of the two groups were lower than those before intervention, the LVEF was higher than that before intervention, while the heart rate, LVEDD and NT-proBNP of the observation group were lower than those of the control group, the LVEF was higher than that of the control group (P<0.05). Compared with before intervention, the scores of self-care skills, self-care responsibility, self-concept and disease health knowledge in the two groups were higher, and those in the observation group were higher than those in the control group (P<0.05). The incidence of complications in the observation group was 5.00%, which was lower than 12.50% in the control group (P<0.05). Conclusion The clinical nursing pathway can promote the recovery of cardiac function in patients after TAVI, improve their self-care ability, prevent complications, shorten the hospitalization time, and facilitate the early rehabilitation of patients, which is worthy of clinical application.

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更新日期/Last Update: 1900-01-01