eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution：China Association for Science and Technology
Sponsor：Chinese Nursing Association
中华急危重症护理杂志

Chinese Journal of Emergency and Critical Care Nursing >

2023 , Vol. 4 >Issue 1: 22 - 28

DOI: https://doi.org/10.3761/j.issn.2096-7446.2023.01.003

Special Planning—Cardiovascular Disease Nursing

Application of cardiac enhanced rehabilitation management protocol in patients undergoing radiofrequency catheter ablation for atrial fibrillation

  • ZHU Haixiang ,
  • WANG Yunhe ,
  • HAN Xiaoxue ,
  • CHEN Qingqing ,
  • YANG Fan ,
  • WANG Jing
Expand

Received date: 2022-08-11

  Online published: 2023-01-13

Fold

Abstract

Objective To explore the effects of an enhanced rehabilitation program on patients undergoing radiofrequency catheter ablation for atrial fibrillation. Methods 561 patients undergoing radiofrequency catheter ablation for atrial fibrillation from January 2020 to December 2021 were included. Patients from January to December 2021 were included as the intervention group,and those from January to December 2020 patients as the control group. The intervention group was managed by enhanced rehabilitation program management,the control group was managed by conventional methods. And the differences of postoperative mobilization time,length of hospital stay,hospitalization cost,postoperative complications,Atrial Fibrillation Effect on Quality-of-Life,improvement of cardiac function and recurrence rate of atrial fibrillation between the two groups were compared. Results The patients in intervention group mobilized 4.9 h earlier,were discharged 5.6 h shorter,and costed 0.7 million less（P<0.001）. The score of postoperative quality of life in intervention group was higher（P<0.05）,the LVEF improvement was significantly better than control group,and recurrence rate was less than control group at 3 months after operation（P<0.05）. Conclusion The cardiac enhanced rehabilitation program helps to promote the early rehabilitation of patients with radiofrequency catheter ablation for artrial fibrillation,shorten the hospital stay,facilitate the improvement of quality of life and cardiac function,and reduce recurrence ate.

Key words： Atrial Fibrillation; Radiofrequency Catheter Ablation; Enhanced Recovery After Surgery; Day Surgery; Perioperative Nursing

Cite this article

ZHU Haixiang , WANG Yunhe , HAN Xiaoxue , CHEN Qingqing , YANG Fan , WANG Jing . Application of cardiac enhanced rehabilitation management protocol in patients undergoing radiofrequency catheter ablation for atrial fibrillation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023 , 4(1) : 22 -28 . DOI: 10.3761/j.issn.2096-7446.2023.01.003

References

[1] Sagris M,Vardas EP,Theofilis P,et al.Atrial fibrillation:pathogenesis,predisposing factors,and genetics[J]. Int J Mol Sci,2021,23(1):6.
[2] 黄从新,马长生,杨延宗,等. 心房颤动:目前的认识和治疗建议(二)[J]. 中华心律失常学杂志,2006,10(3):167-197.
Huang CX,Ma CS,Yang YZ,et al.Current knowledge and management recommendations of atrial fibrillation(Ⅱ)[J]. Chin J Cardiac Arrhythm,2006,10(3):167-197.
[3] di Biase L,Diaz JC,Zhang XD,et al. Pulsed field catheter ablation in atrial fibrillation[J]. Trends Cardiovasc Med,2022,32(6):378-387.
[4] Patil KD,Calkins H.More data to motivate hospital volume standards for catheter ablation of atrial fibrillation[J]. J Cardiovasc Electrophysiol,2020,31(8):1920-1922.
[5] 潘晓英,王晓燕,唐莉莉,等. 房颤导管消融术联合左心耳封堵一站式治疗护理对预防迷走神经反射的影响[J]. 国际护理学杂志,2022(14):2569-2572.
Pan XY,Wang XY,Tang LL,et al.Effect of one-stop treatment and nursing of atrial fibrillation catheter ablation combined with left atrial auricle occlusion on the prevention of vagal reflex[J]. Int J Nurs,2022(14):2569-2572.
[6] 栾芳. 清醒镇静与全身麻醉对房颤导管射频消融手术影响的比较[D]. 大连:大连医科大学,2018.
Luan F.A comparison between sedation and general anesthesia in radiofrequency ablation of atrial fibrillation[D]. Dalian:Dalian Medical University,2018.
[7] Creta A,Ventrella N,Providência R,et al.Same-day discharge following catheter ablation of atrial fibrillation:a safe and cost-effective approach[J]. J Cardiovasc Electrophysiol,2020,31(12):3097-3103.
[8] 徐虹霞,潘红英,王宏伟,等. 加速康复外科实施过程中导航护士角色的设立及实践[J]. 中华护理杂志,2017,52(5):530-534.
Xu HX,Pan HY,Wang HW,et al.The establishment and practice of the role of nurse navigator in multidisciplinary team for enhanced recovery after surgery[J]. Chin J Nurs,2017,52(5):530-534.
[9] Engelman DT,Ben Ali W,Williams JB,et al.Guidelines for perioperative care in cardiac surgery:enhanced recovery after surgery society recommendations[J]. JAMA Surg,2019,154(8):755-766.
[10] 荀林娟,施雁,宋瑞梅,等. 快速康复外科护理对高龄腹腔镜胆囊切除术患者手术应激及术后恢复的影响[J]. 中华护理杂志,2018,53(11):1343-1346.
Xun LJ,Shi Y,Song RM,et al.The effects of fast track surgery and nursing on surgical stress response and postoperative recovery for elderly patients with laparoscopic cholecystectomy[J]. Chin J Nurs,2018,53(11):1343-1346.
[11] Jiang RH,Liu XP,Zhang JD,et al.Rationale and study design for evaluating the efficacy and safety of intracardiac echocardiography-guided minimal-fluoroscopy ablation in patients with paroxysmal atrial fibrillation:a non-inferior,multi-center,prospective randomized controlled trial(PAF-ICE trial)[J]. Cardiol Discov,2021,1(4):228-232.
[12] 梁华珍,陈贤,陆慧芳. 综合保温措施对老年腹部手术患者术中应激反应的影响[J]. 广西医学,2015,37(7):1023-1024,1027.
Liang HZ,Chen X,Lu HF.Effect of comprehensive heat preservation measures on stress response in senile patients undergoing abdominal surgery[J]. Guangxi Med J,2015,37(7):1023-1024,1027.
[13] 赵震,孙雪荣,乔宇,等. 心房颤动高功率短时程消融策略的研究进展[J]. 心血管病学进展,2021,42(10):878-883.
Zhao Z,Sun XR,Qiao Y,et al.High-power short-duration ablation strategy for atrial fibrillation[J]. Adv Cardiovasc Dis,2021,42(10):878-883.
[14] 王思潼,万青,李丽. 经股动脉介入诊疗术后应用血管缝合器安全性的系统评价及Meta分析[J]. 上海护理,2020,20(5):13-20.
Wang ST,Wan Q,Li L.Systematic review and meta-analysis on the safety of vascular stapler application after diagnosis and treatment via transfemoral artery intervention[J]. Shanghai Nurs,2020,20(5):13-20.
[15] Robaye B,Lakiss N,Dumont F,et al.Atrial fibrillation and cardiac rehabilitation:an overview[J]. Acta Cardiol,2020,75(2):116-120.
[16] Huang TC,Lo LW,Yamada S,et al.Gastroesophageal reflux disease and atrial fibrillation:insight from autonomic cardiogastric neural interaction[J]. J Cardiovasc Electrophysiol,2019,30(11):2262-2270.
[17] 祝海香,薛小慧,吴缘. 心房颤动导管消融术后心房食管瘘的观察与护理[J]. 护理与康复,2019,18(3):59-61.
Zhu HX,Xue XH,Wu Y.Observation and nursing of atrial esophageal fistula after catheter ablation of atrial fibrillation[J]. J Nurs Rehabil,2019,18(3):59-61.
[18] 中国康复医学会心血管病预防与康复专业委员会. 心房颤动患者心脏康复中国专家共识[J]. 中华内科杂志,2021,60(2):106-116.
Professional Committee of Cardiovascular Prevention and Rehabilitation of Chinese Rehabilitation Medical Association.Chinese expert consensus on cardiac rehabilitation in patients with atrial fibrillation[J]. Chin J Intern Med,2021,60(2):106-116.
[19] 张欢,钟理,陈兴华,等. 房颤特异性生活质量量表的汉化和信效度评价[J]. 现代预防医学,2020,47(3):471-473,478.
Zhang H,Zhong L,Chen XH,et al.The chinesization of atrial fibrillation effect on quality-of-life questionnaire and its reliability and validity[J]. Mod Prev Med,2020,47(3):471-473,478.
[20] Pelliccia A,Sharma S,Gati S,et al.2020 ESC Guidelines on sports cardiology and exercise in patients with cardiovascular disease[J]. Eur Heart J,2021,42(1):17-96.
[21] 陈杨,郭邦雨,陈媛,等. 预康复在心血管外科的研究现状及展望[J]. 中国心血管病研究,2022,20(5):390-394.
Chen Y,Guo BY,Chen Y,et al.Research status and prospect of prehabilitation in cardiovascular surgery[J]. Chin J Cardiovasc Res,2022,20(5):390-394.
[22] 李霞,孙怀庆,唐金凤,等. 间歇清洁导尿对缓解骨科术后尿潴留的效果观察[J]. 上海护理,2017,17(3):68-70.
Li X,Sun HQ,Tang JF,et al.Effect of intermittent clean catheterization on relieving urinary retention after orthopedic surgery[J]. Shanghai Nurs,2017,17(3):68-70.
Options
Outlines

/

〈 〉