電氣燒灼術治療心房纖維性顫動病人之護理

Nursing Care for Patient with Atrial Fibrillation Receiving Radiofrequency Ablation

心房纖維顫動為最常見的心律不整，臨床上會造成心搏過速及不整、心臟衰竭、與全身性血栓。許多研究顯示心房纖維顫動罹患率隨年齡逐漸增高，死亡率也隨著增加。近年來心房纖維顫動之治療有重大進展，因病情及年齡而異有許多不同的治療方式，其主要可分為藥物及非藥物兩種。近幾年更發展出應用電氣燒灼術於治療心房纖維顫動，本文將介紹電氣燒灼術前後照護及出院指導，希望護理人員對接受電氣燒灼術之心房纖維顫動患者護理有更深一層的認識，並將之應用於臨床護理工作，以提昇此類病患之照護品質。

Clinically, the most common type of arrhythmia is atrial fibrillation resulting in tachycardia,arrhythmia, congestive heart failure and systemic embolization. Besides, many studies have revealedthat the incidence rate and mortality rate of atrial fibrillation increased by ages. In terms ofimprovement of technology, the treatment of atrial fibrillation varies with different disease coursesand age. The treatment is devided into pharmaceutical and non- pharmaceutical treatments. Theradiofrequency ablation has recently applied to atrial fibrillation. In the following context, we introducethe pre-ablation and post-ablation nursing cares as well as the instruction after discharge.Wehope this care experience can provide more information for nursing applications and it can improvethe care quality for patients treated with radiofrequency ablation.