The heart abrupt death(sudden cardiac death, SCD) fastens because of heart reason with the result that of suddenly die ［ one ］ , often die inside 1 h after the acute disease appear, the SCD of above 91% is a heart Lyu to disorder with the result that.Can have or have no heart attack performance before take place, the kind hardening of the coronary artery gruel heart attack(brief name coronary) is a main reason, the western nation has 80% ［s 2 ］s around, the sufferer of local coronary appears gradually young turn, SCD also immediately at increment.There is covariance data express, die abruptly to take up 15% ～s of the total death toll 32%, the SCD has 60% ～s of abrupt death 70% around.My section saved to once cure 36 sufferers of SCDs from 2002-2005 years, the variety which aims at SCD inducted a factor, the occurrence of SCD affairs for betterly prevent°froming, do a nursing strategy for correspond, we carried on a review analysis, Be report as follows now.
One clinical data
In 36 SCDs, male 28, female 8, the men and women compare to 3.5 ∶s 1;The age 33-year-old ～ is 82 years old and the average ge is 49.2 years old.The coronary is 24(66.7%), myocardial disease 5(13.9%), other disease 7(19.4%).Induct a factor in, the spirit factor is 4(11.1%) and the dining isn’t appropriate 9(25.0%), the physical strength weariness from overwork is 13(36.1%), and the other factorses are 10(27.8%).
2 inducements are analytical
2.1 spirit factor the spirit stimulate or strain, the motion is excited or depressive, life style change or once bear heavy etc. all can induct SCD.There is report estimate, 40% SCDs under the influence of spirit factor but Cu hair.The above-mentioned factor can influence nerve, afferent axis, make sympathetic nerves excited, the catechol An density in the blood go up, the myocardial is excited sex exaltation but induct cardiovascular affairs, even appear SCD.
2.2 dinings aren’t appropriate the food structure be not reasonable, edible excessive saturated fatty acids, increased to include etc. of coronary various diseases take place of dangerous factor.Make a meal of can pass a stomach and intestines way behind of the glint cause coronary artery constringency, raise the tension ［ of pneumogastric nerves 3 ］s, induct various slow-moving sex heart Lyus to disorder and even the heart stop to fight.
2.3 physical strength tired and violent activities, the excessiveness weariness from overwork, all can make the heart burden aggravate, the heart rate obviously speeds and cause a myocardial etc. the lack of important and dirty machine blood anoxia, particularly the sufferer of coronary who has already know, alter trigger room Zhan etc. the heart Lyu disorder but SCD happen.Adult 11% hearts with 17% ～s suddenly stop occurrence in the strenuous exercises a short moment or the process.
2.4 other factors smoke cigarette over a long period of time, the glue of easy increment blood platelets attaches sex, rise high blood pressure, lower room Zhan Yu a value, induct coronary artery spasm, lower the hold of hemoglobin oxygen ability, can raise cardiovascular etc. the disease easily suffer from a factor and the severity can trigger SCD.The SCD incidence rate in every year of smoker(20/d) isn’t a smoker of 2.3800%.The constipation has and can induct SCD, constipation can with the result that the stomach rise, the stomach presses to increase Gao, glint influence heart rate and the blood of the coronary artery measure;Making an effort to have a bowel movement or holding back breath excessiveness can make the atrium press to go up with the result that comfortable Ying excessiveness of Zhang Qi2 Chong but induct mental exertion to crock up.Blood pressure, heart rate and heart burden are normal while making an effort to have a bowel movement of 500%.Kill an impatient period sufferer to the impatient myocardial Geng, because the myocardial appears to lack blood, hurts, bad dead, room wall lump formation, most easy heart break.Leading to early descend a bed activity can induct heart blowout, impatient pulmonary edema, Gao Wei2 Xin Lyu to disorder etc. with the result that SCD.
3 prevention nursing strategy
3.1 adjust mental state to strengthen the health section Pu publicity education, bring trouble actively construct a quiet clean and neat, the air circulate of comfortable environment, adjust the sufferer’s mental state hard, remove a sufferer of the strain fear a mindset.According to sufferer different character characteristic, actively give mental nursing instruction, actively and again and again communicate with sufferer to communicate, analyze and control a sufferer of mental motion variety, carry on conciliation to reach agreement to release from the mental state, avoid a sufferer mentally of incitement, remove a sufferer mentally of burden.The mental state patiently and delicately and together worked well a sufferer together with its family members appease, the spirit adjust etc. work.Start to build up with sufferer to goodly protect to suffer from a relation, work well the sufferer’s mental nursing, the church sufferer controls on his/her own, meet matter dispassion, keep a healthily good mindset and once avoided pleased lead sad, with benignity warm language persuasion, encouragement sufferer, earnest patience of hear the sufferer’s opinion, make the sufferer protect to entertain optimistic upward, face the realities of mindset, actively aggressive of match treatment.
3.2 emphasize reasonable food instruction the sufferer develops a good food habit, reasonable meal, the regulation which makes an effort to attain on time a metered and little food many meals takes a meal a habit, choose low salt, low fat, rich contain a high fiber, high egg white, high nourishment, and simple elegance and easy digest, have no stimulating food, avoid eat and drink too much at one meal, appropriate control appetite, keep an in keeping with weight, in order to prevent influence heart function, aggravate heart burden.
3.3 restriction physical strength the activity be designing to carry on a physical strength activity, should notice to follow the sequence and advance gradually, do what the strength allows.Science but have the appropriate activity of step can strengthen the sufferer’s heart lung function, raise the sufferer’s physical strength and bear dint and resistibility, be advantageous to the instauration of heart function, to build up physical endowment, prevention common cold, can also increase a sufferer to win the paroxysm self-confident heart, but must hold good dimensions, should carry on just the right amount of activity under the medical personnel’s instruction, slice can’t blindness activity, otherwise the SCD incidence rate will obviously enlarge.If appear chest stuffy, tired, dizzy, heart palpitates etc. symptom, should immediately terminate all activities, have a necessary check.
3.4 other actively advice a sufferer to quit smoking to abstain from alcohol, throw away everything to badly make it a rule.Keep facile defecation, eat fresh vegetable, fruit and thick fiber food more, develop in fixed time a habit of have a bowel movement, avoid make an effort to have a bowel movement, add amount of drinking, make the bowel way keep opposite humidity, prevent°from moving bowels hard knot and occurrence to be constipated.Have a constipation habit or lie a bed over long but occurrence of constipation, should be correct in time of handle constipation, appropriate use a slow Xie smooth bowel when it’s necessary in order to prevent or relief constipation, be constipated severity, should infuse bowel or directly take out a muck piece from the ass, relieve the sufferer’s pain and sufferings, also need to pay attention to easily suffer from a factor and easily suffer from season, work well to keep warm in winter, avoid catch a cold and breath way infection.Strengthenning a condition monitor, valuing omen symptom, having omen the unwell symptom must early discover, early seek medical advice and early cure, work well a periodical reexamination and understand heart in time etc. the function condition of the important and dirty machine, valid of prevention or decrease SCD occurrence
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