总结6例左心室辅助装置植入患者围手术期家庭参与式护理经验。护理要点：组建专案小组,选择合适的家庭照护责任人参与术前状态优化和心理支持、术后危重期鼓励家属参与ICU谵妄预防;出院准备期以家庭照护培训为重点,分阶段完成机械辅助装置管理、抗凝管理、症状管理、感染防控、日常生活管理五大模块的培训内容。6例患者皆顺利完成手术,家庭照护责任人全程参与围手术期护理,出院前掌握目标知识和技能,出院后家庭照护效果满意,居家期间随访无仪器设备故障及其他并发症,无非计划二次入院。
To summarize the perioperative care experience of 6 patients with left ventricular assist device implantation based on family integrated care. The main points of care were implemented. We formed a project team to select appropriate family caregivers to participate in preoperative state optimization and psychological support,and encourage family members to participate in ICU delirium prevention. During the discharge planning period,the focus was on the training of family caregivers,and the training content of five modules were completed in phases,including the management of mechanical assistive devices,anticoagulation management,symptom management,infection prevention and control and the management of daily life. All patients successfully completed the surgery,and family caregivers were fully involved in perioperative care and mastered the target knowledge and skills before discharge,and were satisfied with family care after discharge,with no instrument and equipment failures and other complications during the follow-up at home,and no unplanned secondary admissions.
[1] 黎万汇,岳雯静,王子涵,等. 左心室辅助装置植入患者生活体验质性研究的Meta整合[J]. 中华护理杂志,2023,58(10):1261-1268.
Li WH,Yue WJ,Wang ZH,et al.A systematic Meta-synthesis of qualitative research on life experience of patients with left ventricular assist device implantation[J]. Chin J Nurs,2023,58(10):1261-1268.
[2] 胡盛寿,王现强,周星彤. 心室辅助装置治疗心力衰竭:现状和下一步思考[J]. 中国循环杂志,2023,38(8):791-793.
Hu SS,Wang XQ,Zhou XT.Ventricular assist devices for the treatment of heart failure:current state and future prospects[J]. Chin Circ J,2023,38(8):791-793.
[3] 王琳,翁峰霞,卫建华,等. 3例左心室辅助装置植入患者术后危重期的护理[J]. 中华护理杂志,2023,58(19):2401-2405.
Wang L,Weng FX,Wei JH,et al.Nursing care of 3 patients with critical complications after left ventricular assist device implantation[J]. Chin J Nurs,2023,58(19):2401-2405.
[4] 滕敏. 基于家庭参与式护理理论家属参与体外循环心脏术后患者谵妄护理方案的构建[D]. 济南:山东大学,2022.
Teng M.Construction of nursing scheme for delirium after cardiac surgery with family members participating in cardiopulmonary bypass based on family participation nursing theory[D]. Jinan:Shandong University,2022.
[5] Saeed D,Feldman D,Banayosy AE,et al.The 2023 international society for heart and lung transplantation guidelines for mechanical circulatory support:a 10-year update[J]. J Heart Lung Transplant,2023,42(7):e1-e222.
[6] Levelink M,Levke Brütt A.Factors influencing health-related quality of life of patients with a left ventricular assist device:a systematic review and thematic synthesis[J]. Eur J Cardiovasc Nurs,2021,20(8):803-815.
[7] 中国心室辅助装置专家共识委员会. 中国左心室辅助装置候选者术前评估与管理专家共识(2023年)[J]. 中国循环杂志,2023,38(8):799-813.
Chinese Expert Consensus Committee on Ventricular Assist Devices. 2023 Expert consensus on pre-procedure evaluation and management of eligible patients for left ventricular assist device[J]. Chin Circ J,2023,38(8):799-813.
[8] 冯洁惠,朱陈黄. 左心室辅助装置植入患者心理护理的研究进展[J]. 中华急危重症护理杂志,2023,4(9):860-864.
Feng JH,Zhu CH,Research progress in psychological nursing of patients with left ventricular assist device implantation[J]. Chin J Emerg Crit Care Nurs,2023,4(9):860-864.
