中华护理杂志 ›› 2024, Vol. 59 ›› Issue (23): 2908-2910.DOI: 10.3761/j.issn.0254-1769.2024.23.014

• 疑难重症护理 • 上一篇    下一篇

1例3型长QT间期综合征患者随访9年的护理

赵霞(), 李跃丽, 张钰聪, 夏经钢   

  1. 100053 北京市 首都医科大学宣武医院心脏内科
  • 收稿日期:2024-03-31 出版日期:2024-12-10 发布日期:2024-12-12
  • 作者简介:赵霞:女,本科,主管护师,护士长,E-mail:13671388456@163.com

A 9-year nursing follow-up of a patient with type 3 long QT syndrome

ZHAO Xia(), LI Yueli, ZHANG Yucong, XIA Jinggang   

  • Received:2024-03-31 Online:2024-12-10 Published:2024-12-12

摘要:

总结1例3型长QT间期综合征患者住院期间的护理及进行9年护理随访管理的经验。患者住院期间,做好症状鉴别与紧急处理。出院后随访的护理要点:做好用药宣教,避免使用诱发心电图QT间期延长的药物;实施预见性护理,提升患者自我管理技能;家属和医护人员共同制订家庭急救预案;家庭成员的健康管理。经过系统化的筛查、疾病知识宣教与跟踪随访,患者在出院后长期口服美托洛尔,未再发生心脏相关不良事件,心功能得到改善,随访期间恢复良好,能够按照要求进行自我监测,回归正常生活。

关键词: 长QT间期综合征, 心律失常, 随访, 护理

Abstract:

This paper reports the inpatient care and nine-year follow-up management experience of a patient with Type 3 Long QT Syndrome. During hospitalization,efforts were focused on accurate symptom identification and emergency intervention. Key points in post-discharge follow-up care include medication education to prevent the use of drugs that prolong the QT interval on ECG,the application of anticipatory care to enhance the patient’s self-management skills,and the joint development of a family emergency plan by relatives and healthcare providers. Additionally,the comprehensive family genetic health management was implemented. Through systematic screening,disease education,and continuous follow-up,the patient was maintained on long-term oral metoprolol post-discharge,with no further cardiac adverse events. The cardiac function of the patient improved,and during follow-up,the patient exhibited good recovery,being able to perform self-monitoring as required,and returned to normal life.

Key words: Long QT Syndrome, Arrhythmias, Follow-Up, Nursing Care