不同術後臥位對永久性心臟節律器植入術之成果比較

Comparison of Different Bed Rest Positions on Post-Operation Outcomes Following Permanent Pacemaker Implantation

裝置永久性心臟節律器術後病人在術後臥床時間及限制肢體照護上，目前尚無一致標準。本研究目的旨在探討平躺與跟坐臥位對永久性心臟節律器植入術後病人之舒適程度、傷口疼痛及傷口合併症之差異。採橫斷面研究設計，以舒適程度量表、疼痛數字等級量表及病歷，針對永久性心臟節律器植入術後共108位個案進行資料收集。結果顯示術後採坐臥6小時的病人整體舒適程度（p＜0.001）及傷口疼痛指數（p＜0.05）顯著優於平躺24小時的病人；兩組在傷口合併症的發生率無顯著差異。本研究結果顯示採坐臥6小時方式較能兼顧病人舒適需求及降低疼痛感受，且不會影響傷口合併症的發生機率，本研究結果可提供永久性心臟節律器植入術後病人的照護參考。

No consistent standard indicates how long and in what position a patient should remain strictly in bed following permanent pacemaker implantation. The purpose of this study was to compare supine to semirecumbent bed rest positions for comfort level, wound pain, and wound complications among patients who underwent permanent pacemaker implantation. This cross-sectional study consisted of 108 participants. We used a numerical rating scale and medical records to collect research data. The results revealed that patients in a sitting position in bed for 6 hours perceived less discomfort (p < .001) and pain (p < .05) than patients in a supine position for 24 hours. No significant difference in the incidence of wound complications between the two groups was observed. Instead of a supine position for 24 hours, we suggest a semirecumbent position for 6 hours in bed after permanent pacemaker implantation because the participating patients perceived less discomfort and pain with no effect on the incidence of wound complications. The results of this study can serve as a care reference for health care providers after permanent pacemaker implantation.