Effect of perioperative nursing intervention in elderly patients undergoing left atrial appendage occlusion

WANG Shan; WANG Jingxiong; LIU Yun; CHANG Lina; WANG Yubin

doi:10.7619/jcmp.20222363

Journal of Clinical Medicine in Practice > 2022 > 26(24): 116-120. > DOI: 10.7619/jcmp.20222363

WANG Shan, WANG Jingxiong, LIU Yun, CHANG Lina, WANG Yubin. Effect of perioperative nursing intervention in elderly patients undergoing left atrial appendage occlusion[J]. Journal of Clinical Medicine in Practice, 2022, 26(24): 116-120. DOI: 10.7619/jcmp.20222363

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Effect of perioperative nursing intervention in elderly patients undergoing left atrial appendage occlusion

Department of Cardiology, Xuanwu Hospital of Capital Medical University, Beijing, 100053

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Received Date: August 01, 2022
Available Online: January 06, 2023

Graphical Abstract

Abstract

Abstract

Objective
To observe the clinical effect of perioperative nursing intervention in elderly patients with left atrial appendage occlusion (LAAC).
Methods
A total of 89 patients with atrial fibrillation (AF) undergoing LAAC were selected as study subjects. According to the drawing method, patients were divided into control group(n=44) and research group (n=45). The control group was given perioperative routine nursing, and the research group was given perioperative fine nursing. The scores of Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS), Comprehensive Quality of Life Questionnaire-74 (GQOL-74), complication rate and nursing satisfaction were compared between the two groups.
Results
After nursing, the SAS and SDS scores of two groups were lower than before nursing, and the study group was lower than the control group (P < 0.05); after nursing, GQOL-74 scores of two groups were higher than before nursing, and the research group was higher than the control group (P < 0.05); after nursing, the complication rate of the research group was 6.67%, which was lower than 25.00% of the control group (P < 0.05). After nursing, activated partial thrombin time (APTT), prothrombin time (PT), thrombin time (TT) of two groups were longer than that before nursing, and the study group was longer than the control group, while the Fbg level was lower than before nursing, and the research group was lower than the control group (P < 0.05). After nursing, the nursing satisfaction of the research group was 93.33%, which was significantly higher than 75.00% of the control group (P < 0.05).
Conclusion
Perioperative nursing can alleviate the bad mood, improve the quality of life, reduce the incidence of complications and improve the satisfaction of AF patients receiving LAAC. The work process of perioperative nursing is accurate and reasonable, which can improve the efficiency of nursing work, ensure the quality of nursing, and provide a new theoretical basis for the follow-up nursing of LAAC patients to a certain extent.

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References (21)

References

[1]	WIJESURENDRA R S, CASADEI B. Mechanisms of atrial fibrillation[J]. Heart, 2019, 105(24): 1860-1867. doi: 10.1136/heartjnl-2018-314267
[2]	SHARMA S P, CHENG J, TURAGAM M K, et al. Feasibility of left atrial appendage occlusion in left atrial appendage Thrombus: a systematic review[J]. JACC Clin Electrophysiol, 2020, 6(4): 414-424. doi: 10.1016/j.jacep.2019.11.017
[3]	OSMANCIK P, HERMAN D, NEUZIL P, et al. Left atrial appendage closure versus direct oral anticoagulants in high-risk patients with atrial fibrillation[J]. J Am Coll Cardiol, 2020, 75(25): 3122-3135. doi: 10.1016/j.jacc.2020.04.067
[4]	AL-ABCHA A, SALEH Y, ELSAYED M, et al. Left atrial appendage closure versus oral anticoagulation in non-valvular atrial fibrillation: a systematic review and meta-analysis[J]. Cardiovasc Revasc Med, 2022, 36: 18-24. doi: 10.1016/j.carrev.2021.04.019
[5]	罗文龙, 裴汉军, 张新会. 经皮左心耳封堵术预防非瓣膜性心房颤动患者发生缺血性脑卒中的研究进展[J]. 中华实用诊断与治疗杂志, 2020, 34(5): 535-537. doi: 10.13507/j.issn.1674-3474.2020.05.030
[6]	冯晓燕, 李晓彤. 心房颤动患者冷冻消融联合射频消融及左心耳封堵术的护理配合[J]. 护理学杂志, 2021, 36(16): 50-52. doi: 10.3870/j.issn.1001-4152.2021.16.050
[7]	唐红. 经皮左心耳封堵术预防非瓣膜性房颤动患者血栓栓塞的围术期护理[J]. 现代消化及介入诊疗, 2019, 24(S2): 1779-1779.
[8]	JANUARY C T, WANN L S, CALKINS H, et al. 2019 AHA/ACC/HRS focused update of the 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: a report of the American college of cardiology/American heart association task force on clinical practice guidelines and the heart rhythm society in collaboration with the society of thoracic surgeons[J]. Circulation, 2019, 140(2): e125-e151.
[9]	PISTERS R, LANE D A, NIEUWLAAT R, et al. A novel user-friendly score (HAS-BLED) to assess 1-year risk of major bleeding in patients with atrial fibrillation: the Euro Heart Survey[J]. Chest, 2010, 138(5): 1093-1100. doi: 10.1378/chest.10-0134
[10]	段泉泉, 胜利. 焦虑及抑郁自评量表的临床效度[J]. 中国心理卫生杂志, 2012, 26(9): 676-679. doi: 10.3969/j.issn.1000-6729.2012.09.007
[11]	陶明, 高静芳. 修订焦虑自评量表(SAS-CR)的信度及效度[J]. 中国神经精神疾病杂志, 1994, 20(5): 301-303. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSJJ405.022.htm
[12]	李凌江, 杨德森. 生活质量综合问卷(GQOLI-74)[J]. 中国心理卫生杂志, 1999, 13(增刊): 98-100.
[13]	COLLADO F M S, LAMA VON BUCHWALD C M, ANDERSON C K, et al. Left atrial appendage occlusion for stroke prevention in nonvalvular atrial fibrillation[J]. J Am Heart Assoc, 2021, 10(21): e022274. doi: 10.1161/JAHA.121.022274
[14]	李延广, 王玉堂. 非瓣膜性心房颤动脑卒中风险评估进展[J]. 中华心律失常学杂志, 2020, 24(4): 372-375. doi: 10.3760/cma.j.cn.113859-20200525-00122
[15]	马宇飞, 于焱, 洛佳坤, 等. 老年心房颤动患者抗凝防治现状及口服抗凝药疗效和安全性单中心分析[J]. 中华老年心脑血管病杂志, 2022, 24(4): 380-384. https://www.cnki.com.cn/Article/CJFDTOTAL-LNXG202204012.htm
[16]	黄琼, 刘荣, 陈立鸿, 等. 非瓣膜性心房颤动左心耳封堵术后利伐沙班抗凝的临床疗效[J]. 心肺血管病杂志, 2021, 40(6): 533-537. https://www.cnki.com.cn/Article/CJFDTOTAL-XFXZ202106004.htm
[17]	DING W Y, MANDROLA J, GUPTA D. Left atrial appendage occlusion: past, present and future[J]. Thromb Haemost, 2020, 120(11): 1484-1491.
[18]	CHEN S, CHUN K R J, BORDIGNON S, et al. Left atrial appendage occlusion using LAmbre amulet and watchman in atrial fibrillation[J]. J Cardiol, 2019, 73(4): 299-306.
[19]	YUE D, JIANG Y, YANG Z, et al. Comparison of the effects of left atrial appendage closure and oral anticoagulants in preventing stroke in patients with non-valvular atrial fibrillation: a protocol for systematic review and meta-analysis[J]. Medicine: Baltimore, 2021, 100(37): e27251.
[20]	DINGYANG L, WEIBING S. Application of a perioperative nursing strategy in the surgical treatment of elderly patients: a narrative review[J]. 护理前沿: 英文, 2022(1): 1-9.
[21]	孙韧, 谭和莲, 高艳平, 等. 不同麻醉方法对老年腹部手术围术期血液高凝状态的影响[J]. 中国药业, 2019, 28(2): 78-81. https://www.cnki.com.cn/Article/CJFDTOTAL-YYGZ201902026.htm

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