Effects of optimum time of ambulation on comfort and safety of atrial fibrillation patients after radiofrequency ablation
10.3760/cma.j.cn211501-20211028-02978
- VernacularTitle:心房颤动射频消融术后最佳下床活动时机对患者安全性和舒适度的影响
- Author:
Yi ZHUANG
1
;
Aoshuang ZHU
;
Yiming MAO
;
Liyu CHAI
;
Jingyi WANG
;
Shujie WANG
;
Jingjing XIE
;
Benling LI
;
Yun ZOU
;
Mei ZHENG
;
Yuan JI
;
Liangfeng ZHANG
;
Ling SUN
;
Jia GUO
;
Jie LUO
;
Yajing XU
Author Information
1. 南京医科大学附属常州市第二人民医院阳湖院区心血管内科，常州 213000
- Keywords:
Atrial fibrillation;
Radiofrequency ablation;
Early ambulation;
Complications;
Comfort
- From:
Chinese Journal of Practical Nursing
2022;38(32):2481-2486
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the optimum time of ambulation of atrial fibrillation patients after radiofrequency ablation, to provide basis for patients' early postoperative rehabilitation.Methods:By convenient sampling method, a total of 120 patients with atrial fibrillation after radiofrequency ablation were collected at Yanghu Branch and City Branch of Changzhou Second People's Hospital from January 2020 to May 2021. They were divided into the early group, middle group and late group according to the random number table method, each group were 40 cases. All patients received routine postoperative intervention, the time of ambulation were 4, 6 and 12 h after operation in the early group, middle group and late group, respectively. The complication rate within 24 h after operation was compared among the three groups, and the comfort level of the three groups at 24, 48 and 72 h after operation was evaluated with Comfort Status Scale (GCQ).Results:Finally, 111 patients were included, including 37 in the early group, 38 in the middle group and 36 in the late group. There was no significant difference in the incidence of bleeding or hematoma, urinary retention, lumbago within 24 h after operation among the three groups ( P>0.05). The incidence of postural hypotension within 24 h after operation in the early group was 2.7% (1/37), which was lower than 21.1% (7/38) and 25.0% (9/36) in the middle and late groups, with a statistically significant difference ( χ2=4.86, 7.67, both P<0.05). At 48 and 72 h after operation, the scores of physiological dimension, psychological dimension and the total score of GCQ in the early group were (20.68 ± 3.07), (22.54 ± 3.35), (81.68 ± 6.11) and (22.54 ± 3.73), (24.38 ± 2.49), (84.92 ± 6.37), higher than those in the middle group (19.16 ± 2.19), (21.32 ± 2.27), (78.24 ± 5.58), (20.93 ± 2.85), (22.32 ± 2.04), (81.66 ± 6.56), and those in the late group (18.44 ± 1.50) (21.31 ± 1.99), (78.06 ± 4.32), (20.89 ± 2.25), (21.58 ± 1.86), (80.28 ± 6.44), the differences were statistically significant ( t values were 2.19-4.15, all P<0.05). Conclusions:Ambulation at 4 h after operation does not increase peripheral vascular complications, but can reduce the incidence of postural hypotension and improve the comfort of patients with atrial fibrillation after radiofrequency ablation.
