Application of improved shoulder restraint belt in patients with temporary pacemaker
改良肩部约束带在临时起搏器患者中的应用

摘要

目的 探讨改良肩部约束带在临时起搏器患者中的应用价值。方法 采用随机抽样法将80例临时起搏器植入术后患者按入院时间先后顺序分为实验组和对照组，实验组采用改良型肩部约束带，对照组采用传统肩部约束带，比较两组电极移位发生率、患者配合度、患者舒适度、护理满意度、护士应用后评价优良率的影响。结果 试验组电极脱落发生率0%（0/40）明显低于对照组电极脱落发生率10.00%（4/40），有统计学意义（P＜0.05）。结论 使用改良肩部约束带在促进临时起搏器患者的成效突出，能有效预防临时起搏器电极脱落的发生率，同时还可改善患者配合度、舒适度及其满意度，让护士应用后的评价优良率更高，值得临床大力推广实施。

Abstract

Objective To explore the application value of improved shoulder restraint belt in patients with temporary pacemaker.
Methods 80 patients with temporary pacemaker implantation were randomly divided into experimental group and control group according to the order of admission time. The experimental group used the improved shoulder restraint belt, while the control group used the traditional shoulder restraint belt. The effects of electrode displacement, patient cooperation, patients' comfort, nursing satisfaction and excellent rate of nurses' evaluation after application were compared between the two groups.
Results The incidence of electrode shedding in the experimental group was 0%(0/40), which was significantly lower than that in the control group (10.00%(4/40), with statistical significance (P < 0.05).
Conclusion   The use of improved shoulder restraint belt has achieved remarkable results in promoting patients with temporary pacemakers, which can effectively prevent the incidence of electrode falling off of temporary pacemakers, and also improve patients' cooperation, comfort and satisfaction, so that the evaluation rate of nurses after application is higher, which is worthy of clinical promotion and implementation.