术后强化护理干预在急性心肌梗死行经皮冠状动脉介入术患者中的应用效果
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摘要
目的探讨术后强化护理干预对急性心肌梗死行经皮冠状动脉介入术(PCI)患者并发症和生活质量的影响。方法选取2015年12月~2017年12月我院行PCI治疗的58例急性心肌梗死患者作为研究对象,采用随机双盲法将其分为研究组和参照组,每组29例。参照组患者术后进行常规护理干预,研究组患者则接受强化护理干预。比较两组患者干预前后的生活质量和并发症总发生率。结果干预前,两组患者的生活质量评分比较,差异无统计学意义(P>0.05);干预后两组患者的各项生活评分均有所提高,而研究组患者的生活质量评分及总分均显著高于参照组,差异均有统计学意义(P<0.05)。研究组患者的并发症总发生率显著低于参照组,差异有统计学意义(P<0.05)。结论对于急性心肌梗死行PCI患者,术后给予针对性的强化干预,能有效减少术后相关并发症,提高患者生存质量,具有临床推广应用价值。
Objective To investigate the influence of intensive nursing intervention after operation on the complications and quality of life of patients with acute myocardial infarction undergoing percutaneous coronary intervention(PCI).Methods Fifty-eight patients with acute myocardial infarction(AMI) treated by PCI in our hospital from December 2015 to December 2017 were selected as the research object and divided into the research group and the reference group with 29 cases in each group by random double blind method. Patients in the reference group was received routine nursing intervention after surgery, while patients in the study group was received intensive nursing intervention. The quality of life and the total incidence of complications before and after the intervention were compared between the two groups.Results Before the intervention, there was no significant difference in the quality of life scores between the two groups(P>0.05). After the intervention, all the life scores of the patients in the two groups were improved, while the quality of life scores and total scores of the patients in the study group were significantly higher than those in the reference group,and the differences were statistically significant(P<0.05). The total incidence of complications in the study group was significantly lower than that in the reference group, with significant difference(P<0.05). Conclusion Intensive intervention for patients with acute myocardial infarction after PCI can effectively reduce postoperative complications and improve the quality of life of patients. It has the value of clinical popularization and application.
Objective To investigate the influence of intensive nursing intervention after operation on the complications and quality of life of patients with acute myocardial infarction undergoing percutaneous coronary intervention(PCI).Methods Fifty-eight patients with acute myocardial infarction(AMI) treated by PCI in our hospital from December 2015 to December 2017 were selected as the research object and divided into the research group and the reference group with 29 cases in each group by random double blind method. Patients in the reference group was received routine nursing intervention after surgery, while patients in the study group was received intensive nursing intervention. The quality of life and the total incidence of complications before and after the intervention were compared between the two groups.Results Before the intervention, there was no significant difference in the quality of life scores between the two groups(P>0.05). After the intervention, all the life scores of the patients in the two groups were improved, while the quality of life scores and total scores of the patients in the study group were significantly higher than those in the reference group,and the differences were statistically significant(P<0.05). The total incidence of complications in the study group was significantly lower than that in the reference group, with significant difference(P<0.05). Conclusion Intensive intervention for patients with acute myocardial infarction after PCI can effectively reduce postoperative complications and improve the quality of life of patients. It has the value of clinical popularization and application.
引文
[1]张文亮.基于护理程序的整体护理对急性心肌梗死患者行PCI术后生活质量的影响[J].内蒙古医学杂志,2017,49(9):1149-1151.
[2]贾静,覃玉丽,蒋慧.延续性护理对急性心肌梗死患者PCI术后心理状态及生活质量的影响[J].中国医学创新,2017,14(11):67-71.
[3]徐翠荣,李国宏,陈泳,等.临床路径在急性心肌梗死介入治疗整体护理中的应用[J].介入放射学杂志,2012,21(12):1046-1048.
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[5]赵爱纯,孙玉娟,王红梅.急性心肌梗死患者行PCI术后护理对并发症的影响[J].现代中西医结合杂志,2013,22(26):2951-2953.
[6]吕娜,周焕芳,王春霞,等.临床护理路径对急性心肌梗死患者行急诊PCI术效果的影响[J].国际护理学杂志,2014,33(10):2770-2772.
[7]裴小雪,马冬冬,包兰英.综合护理对急性心肌梗死患者行PCI术后的影响[J].齐鲁护理杂志,2018,24(1):72-73.
[8]赵青青,赵素玉,毛素芳,等.全程护理干预在急性心肌梗死患者行急诊PCI术治疗的效果分析[J].中国现代医生,2017,55(22):137-140.
[9]谢芳,虞涛,王保凤,等.不同护理方式在急诊PCI患者术中应用多巴胺导致静脉回流障碍的效果比较[J].新疆医学,2013,43(8):146-147.
[10]顾海银.PCI术后常见并发症原因分析及护理对策[J].现代中西医结合杂志,2012,21(6):670-671.
[11]徐欢.循证护理对急性心肌梗死患者行PCI术后心理及生存质量的影响[J].中国当代医药,2014,21(12):124-126.
[12]邵英,过庆华.护理干预对急性心肌梗死患者PCI术后心理状态及服药依从性的影响[J].医疗装备,2017,30(20):180-181.
[13]麦苗,王红霞,孙广晓,等.分级护理对经皮冠状动脉介入治疗患者治疗认知度及生存质量的影响[J].重庆医学,2016,45(14):1918-1919.
[14]李保莉,徐秀君,陈莲芳,等.护理干预在经皮冠状动脉介入治疗术后并发症中的效果观察[J].中华全科医学,2012,10(11):1819-1820.
[15]侯芳华,江素玲,李洪华,等.系统护理对急性心肌梗死患者PCI术后生活质量的影响研究[J].河北医学,2010,16(11):1384-1386.
[2]贾静,覃玉丽,蒋慧.延续性护理对急性心肌梗死患者PCI术后心理状态及生活质量的影响[J].中国医学创新,2017,14(11):67-71.
[3]徐翠荣,李国宏,陈泳,等.临床路径在急性心肌梗死介入治疗整体护理中的应用[J].介入放射学杂志,2012,21(12):1046-1048.
[4]高莉.急性心肌梗死介入治疗术中严重并发症的急救护理[J].国际护理学杂志,2012,31(9):1643-1645.
[5]赵爱纯,孙玉娟,王红梅.急性心肌梗死患者行PCI术后护理对并发症的影响[J].现代中西医结合杂志,2013,22(26):2951-2953.
[6]吕娜,周焕芳,王春霞,等.临床护理路径对急性心肌梗死患者行急诊PCI术效果的影响[J].国际护理学杂志,2014,33(10):2770-2772.
[7]裴小雪,马冬冬,包兰英.综合护理对急性心肌梗死患者行PCI术后的影响[J].齐鲁护理杂志,2018,24(1):72-73.
[8]赵青青,赵素玉,毛素芳,等.全程护理干预在急性心肌梗死患者行急诊PCI术治疗的效果分析[J].中国现代医生,2017,55(22):137-140.
[9]谢芳,虞涛,王保凤,等.不同护理方式在急诊PCI患者术中应用多巴胺导致静脉回流障碍的效果比较[J].新疆医学,2013,43(8):146-147.
[10]顾海银.PCI术后常见并发症原因分析及护理对策[J].现代中西医结合杂志,2012,21(6):670-671.
[11]徐欢.循证护理对急性心肌梗死患者行PCI术后心理及生存质量的影响[J].中国当代医药,2014,21(12):124-126.
[12]邵英,过庆华.护理干预对急性心肌梗死患者PCI术后心理状态及服药依从性的影响[J].医疗装备,2017,30(20):180-181.
[13]麦苗,王红霞,孙广晓,等.分级护理对经皮冠状动脉介入治疗患者治疗认知度及生存质量的影响[J].重庆医学,2016,45(14):1918-1919.
[14]李保莉,徐秀君,陈莲芳,等.护理干预在经皮冠状动脉介入治疗术后并发症中的效果观察[J].中华全科医学,2012,10(11):1819-1820.
[15]侯芳华,江素玲,李洪华,等.系统护理对急性心肌梗死患者PCI术后生活质量的影响研究[J].河北医学,2010,16(11):1384-1386.