ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (3): 319-321.doi: 10.3761/j.issn.2096-7446.2026.03.011

• 重症护理研究 • 上一篇    下一篇

行主动脉瓣置换术患儿从医院到家庭过渡期的护理

杨贻1(), 蒋伟红1, 金泓丞2, 唐晓敏1, 诸纪华2,*()   

  1. 1 浙江大学医学院附属儿童医院心脏外科 杭州市 310052
    2 浙江大学医学院附属儿童医院护理部 杭州市 310052
  • 收稿日期:2025-04-24 出版日期:2026-03-10 发布日期:2026-03-02
  • 通讯作者: 诸纪华 E-mail:1058838449@qq.com;jihuazhu@zju.edu.cn
  • 作者简介:杨贻：女，本科，主管护师，E-mail：1058838449@qq.com
  • 基金资助:
    浙江省教育厅一般科研项目(Y202353695)

Nursing care for children undergoing aortic valve replacement during the hospital-home transition period

YANG Yi1(), JIANG Weihong1, JIN Hongcheng2, TANG Xiaomin1, ZHU Jihua2,*()   

  1. 1 Department of Cardiac Surgery， Children’s Hospital of Zhejiang University School of Medicine， Hangzhou 310052， China
    2 Nursing Department， Children’s Hospital of Zhejiang University School of Medicine， Hangzhou 310052， China
  • Received:2025-04-24 Online:2026-03-10 Published:2026-03-02
  • Contact: ZHU Jihua E-mail:1058838449@qq.com;jihuazhu@zju.edu.cn
  • Supported by:
    General Research Project of Zhejiang Provincial Department of Education(Y202353695)

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摘要：

总结2例行主动脉瓣置换术患儿从医院到家庭过渡期的护理体会。针对患儿病情危重、术后护理期长等问题，采取组建多学科团队、落实精准抗凝管理、实施渐进式康复训练、应用儿童医疗辅导游戏治疗、开展多元远程随访等护理措施。经过从医院到家庭过渡期的精心护理，2例患儿均安全过渡到居家护理，出院随访3个月，无居家护理并发症发生。

关键词: 主动脉瓣关闭不全, 机械瓣置换术, 儿童, 儿科护理学

Abstract:

To summarize the nursing experience of 2 children undergoing aortic valve replacement during transition period from hospital to family. In view of the critical condition of the children and the long postoperative nursing period，nursing measures such as establishing a multidisciplinary team，implementing precise anticoagulation management，implementing progressive rehabilitation training，applying Child Life game therapy，and carrying out multiple remote follow-up were adopted. After careful nursing from the hospital to the family transition period，the two children were safely transferred to home care. The patients were followed up for 3 months after discharge，and no complications of home care occurred.

Key words: Aortic Valve Insufficiency, Mechanical Valve Replacement, Child, Pediatric Nursing