Nursing of the dilated cardiomyopathy complicated with malignant arrhythmia patients treated with cardiac resynchronization pacing defibrillator

Objective:To investigate the nursing method and effects in the dilated cardiomyopathy complicated with malignant arrhythmia patients treated with cardiac resynchronization pacing defibrillator.Methods:Ninety patients with the dilated cardiomyopathy complicated with malignant arrhythmia treated with cardiac resynchronization pacing defibrillator were randomly divided into the control group(treatment with routine care) and observation group(treatment with nursing intervention)(45 cases each group).The quality of life in two groups was evaluated by WHO quality of life scale(WHOQOL-BREF) before and after treatment.The changes of clinical indicators,treatment effect,heart function classification,postoperative adverse events and satisfaction were compared between two groups.Results:The LÜEF,6 min walking distance,WHOQOL-BREF score(including physical field,psychological field,social field and environment field) in two groups after treatment were significantly higher than those in before treatment(P<0.01),but the QRS wave width and LÜEDD after treatment were significantly lower than those in before treatment(P<0.01).The LÜEF and 6 min walking distance in observation group were significantly larger than those in control group(P<0.01),the QRS wave width and LÜEDD in observation group were significantly less than those in control group(P<0.01).The WHOQOL-BREF score(including physical field,psychological field,social field and environment field),total effective rate and nursing satisfaction in observation group were significantly higher than those in control group(P<0.05 to P<0.01).Heart function classification in observation group was significantly better than that in control group(P<0.01).The difference of the incidence of postoperative adverse events between two groups was not statistically significant(P>0.05).Conclusions:When the patients with dilated cardiomyopathy complicated with malignant arrhythmia are treated with cardiac resynchronization pacing defibrillator,the effective nursing intervention can significantly improve heart function and quality of life.