Paper Infomation
Application of Holistic Nursing Model in Patients with Atrial Fibrillation and Stroke Treated with Left Atrial Appendage Closure
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Author: Lingling Wu
Abstract: Objective: To explore the application effect of evidence-based perioperative holistic nursing model in LAAC treatment of patients with atrial fibrillation and stroke. Methods: A total of 60 patients with atrial fibrillation and stroke treated with LAAC in our hospital from January 2022 to December 2024 were selected and divided into two groups by random number table method. Thirty patients in the routine group were given routine perioperative nursing intervention, and 30 patients in the study group were given evidence-based perioperative holistic nursing on the basis of the routine group. The changes of psychological resilience, hope level and quality of life before and after intervention were observed, and the incidence of complications was compared between the two groups. Results: Compared before the intervention, the Connor-Davidson Resilience Scale (CD-RISC) and Herth Hope Index (HHI) scores of the two groups all increased after the intervention, and the scores in the study group were higher than those in the routine group (P<0.05). After intervention, the scores of stroke specific quality of life Scale (SS-QOL-12) of the two groups were higher than those before intervention, and the scores of the study group were higher than those of the conventional group (P<0.05). The total incidence of postoperative complications in the study group was lower than that in the conventional group (P<0.05). Conclusions: In the nursing process of LAAC treatment for patients with atrial fibrillation and stroke, the application of evidence-based perioperative holistic nursing model can improve psychological resilience, increase the level of hope, help to improve the quality of life, and prevent the occurrence of postoperative complications.
Keywords: Holistic Nursing; Left Atrial Appendage Closure (LAAC); Atrial Fibrillation; Stroke; Quality of Life
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