急性心肌梗死患者行冠状动脉介入术后有创血压的监测与护理
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摘要
目的探讨急性心肌梗死患者行冠状动脉介入术后使用有创血压监测的系统护理方法及其效果。方法选取2016年6月—2017年6月在该院CCU收治的急性心肌梗死行冠状动脉介入术后,80例接受有创血压监测的患者作为对象进行观察研究,并以随机的方式平均地进行对照组和研究组的划分。对照组(40例)在治疗时采取了常规的方式进行护理;研究组(40例)给予针对性的系统护理干预。观察比较两组治疗效果并记录不良反应发生率,患者住院时间及对护理工作的满意度。结果研究组不良反应发生率(感染、出血、血栓等)7.50%、住院时间(8.69±3.45)d均低于对照组25.00%、(11.56±5.34)d,差异有统计学意义(χ~2=4.500,P=0.034;t=5.261,P<0.001)。研究组护理工作的满意度95.00%均优于对照组80.00%,差异有统计学意义(χ~2=4.114;P=0.042)。结论对急性心肌梗死患者行冠状动脉介入术后使用有创血压监测,开展针对性的护理干预,能够降低各种不良反应的发生率,改善患者的病情和心理状态,提高疗效,缩短住院时间,同时提高患者对护理工作的满意度,值得临床推广应用。
Objective To investigate the system nursing method and its effect of invasive blood pressure monitoring after coronary intervention in patients with acute myocardial infarction. Methods From June 2016 to June 2017, after coronary intervention in patients with acute myocardial infarction admitted to CCU in the hospital, 80 patients who underwent invasive blood pressure monitoring were observed and studied in a random manner. Division of control and study groups. The control group(40 patients) underwent routine care during treatment; the study group(40 patients) received targeted systemic nursing intervention. Observe and compare the effects of the two groups and record the incidence of adverse reactions, hospitalization time and satisfaction with nursing work. Results The incidence of adverse reactions(infection, hemorrhage, thrombosis, etc.) in the study group was 7.50%, and the length of hospital stay(8.69±3.45) d was lower than that of the control group 25.00%,(11.56±5.34) d,the different was statistically significant(χ~2=4.500,P=0.034; t=5.261, P<0.001). The satisfaction rate of the nursing work of the study group was 95.00% higher than that of the control group80.00%,the different was statistically significant(χ~2=4.114; P=0.042). Conclusion Invasive blood pressure monitoring after coronary intervention in patients with acute myocardial infarction, targeted nursing intervention can reduce the incidence of various adverse reactions, improve the patient's condition and psychological state, improve efficacy and shorten hospitalization time. At the same time, it is worthy of clinical application to improve the patient's satisfaction with nursing work.
Objective To investigate the system nursing method and its effect of invasive blood pressure monitoring after coronary intervention in patients with acute myocardial infarction. Methods From June 2016 to June 2017, after coronary intervention in patients with acute myocardial infarction admitted to CCU in the hospital, 80 patients who underwent invasive blood pressure monitoring were observed and studied in a random manner. Division of control and study groups. The control group(40 patients) underwent routine care during treatment; the study group(40 patients) received targeted systemic nursing intervention. Observe and compare the effects of the two groups and record the incidence of adverse reactions, hospitalization time and satisfaction with nursing work. Results The incidence of adverse reactions(infection, hemorrhage, thrombosis, etc.) in the study group was 7.50%, and the length of hospital stay(8.69±3.45) d was lower than that of the control group 25.00%,(11.56±5.34) d,the different was statistically significant(χ~2=4.500,P=0.034; t=5.261, P<0.001). The satisfaction rate of the nursing work of the study group was 95.00% higher than that of the control group80.00%,the different was statistically significant(χ~2=4.114; P=0.042). Conclusion Invasive blood pressure monitoring after coronary intervention in patients with acute myocardial infarction, targeted nursing intervention can reduce the incidence of various adverse reactions, improve the patient's condition and psychological state, improve efficacy and shorten hospitalization time. At the same time, it is worthy of clinical application to improve the patient's satisfaction with nursing work.
引文
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[3]曾永柱,张丽萍,张红岩.冠状动脉介入治疗患者行持续有创血压监测的护理体会[J].当代护士,2018,25(2中旬刊):12-13.
[4]王卉.心脏介入术中持续有创血压监测的临床应用和护理观察[J].中国现代药物应用,2014,8(16):193-194.
[5]杜丽涛,付晓红,张靖雯.PCI术后有创血压监测的应用[J].中国循证心血管医学杂志,2017,9(3):382-384.
[6]祝玲娟,钟雯,吕世琴,等.持续有创血压监测在心脏介入术中的应用及护理观察[J].当代医学,2016,22(29):119-120.
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[8]王钟慧.有创血压监测在心脏介入术中的应用与护理[J].基层医学论坛,2014,18(24):3194-3195.