Application value of standardized intervention in the diagnosis of patent foramen ovale by transesophageal echocardiography combined with right cardiac contrast echocardiography
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摘要:
目的 探讨经食管超声心动图（transesophageal echocardiography，TEE）联合右心声学造影诊断卵圆孔未闭（patent foramanovale，PFO）规范化护理干预的构建及应用。 方法 纳入2020年11月至2022年8月空军军医大学第二附属医院进行TEE联合右心声学造影检查怀疑PFO患者180例为研究对象，护理人员全程参与，给予规范化护理，包括人员宣教，物品准备，指导Valsalva动作，检查相关的同步配合措施，检查后的观察、记录工作，进而保障检查的顺利完成。 结果 180例患者中无1例因为恐惧、紧张而放弃TEE联合右心声学造影；179例患者均顺利配合完成静息及Valsalva动作两种状态下TEE联合右心声学造影；1例患者由于脑梗死后遗症无法完成Valsalva动作，而只进行了平静呼吸状态下右心声学造影检查；2例患者检查结束后主诉头晕、心慌，未进行特殊处理而自行缓解。 结论 TEE联合右心声学造影检查的整个过程中，科学、有效和规范化的护理干预，是更好地开展相关检查的关键保证。 Abstract:AIM To explore the construction and application of standardized nursing intervention in the diagnosis of patent foramen ovale (PFO) by transesophageal echocardiography (TEE) combined with right cardiac contrast echocardiography. METHODS From November 2020 to August 2022, 180 patients suspected of PFO underwent TEE combined with right heart sonography in the Second Affiliated Hospital of the Air Force Military Medical University were included in the study. The nursing staff participated in the whole process and provided standardized nursing, including personnel education, material preparation, guidance of Valsalva's actions, synchronous cooperation measures related to examination, observation and recording after examination, so as to ensure the smooth completion of the examination. RESULTS None of the 180 patients gave up TEE combined with right heart sonography because of fear and tension. 179 patients successfully completed TEE combined with right heart sonography under two states of calm breathing and Valsalva action. One patient was unable to complete the Valsalva action due to the sequelae of cerebral infarction, and only underwent right heart contrast echocardiography under calm breathing state. Two patients complained of dizziness and palpitation after the examination, which were relieved without special treatment. CONCLUSION During the whole process of TEE combined with right heart contrast echocardiography, scientific, effective and standardized nursing intervention is the key guarantee to better carry out relevant examinations. -
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