延续性护理在急诊经皮冠状动脉介入术后应用

Application of Continuous Nursing in Emergency after Percutaneous Coronary Intervention

目的探析延续性护理在急诊经皮冠状动脉介入术后康复中的应用效果。方法纳入2020年4月~10月期间在海丰县彭湃纪念医院急诊行经皮冠状动脉介入治疗术的患者80例,随机分为观察组和对照组各40例,脱落3例,最终观察组完成38例,对照组完成39例。对照组经皮冠状动脉介入术后采用常规护理,观察组采用延续性护理,观察两组术后一年内相关指标。结果观察组出院后1个月、3个月、6个月和1年时的生活质量评分均高于对照组对应时间节点的生活质量评分(P<0.05);观察组患者出院后一年内心绞痛平均次数为(5.43±1.31)次,低于对照组的(9.98±1.68)次(P<0.05);观察组患者出院后一年内每次心绞痛平均持续时间为(6.93±1.87)min,低于对照组的(8.48±2.69)min(P<0.05);观察组患者一年内因冠心病或心衰再次住院情况只有1例(2.63%),低于对照组患者的8例(20.51%)(P<0.05)。结论经皮冠状动脉介入术后采用延续性护理,可以提高患者生活质量,减少心绞痛发生次数和每次持续时间,降低患者因冠心病或心衰再次住院率,有利于术后康复。

Objective To explore the effect of continuous nursing in emergency percutaneous coronary intervention postoperative rehabilitation.Methods A total of 80 patients who underwent emergency percutaneous coronary intervention in Pengpai Memorial Hospital,Haifeng County from April to October 2020 were included in the study.They were randomly divided into the observation group and the control group,with 40 cases in each group and 3 cases in detachment.Finally,38 casesin the observation group and 39 cases in the control group were completed.Routine nursing was used in the control group after percutaneous coronary intervention,and continuous nursing was used in the observation group.Relevant indexes were observed in the two groups withinone year after surgery.Results The quality of life score of the observation group at 1 month,3 months,6 months and 1 year after discharge washigher than that of the control group at corresponding time points(P<0.05).The average frequency of angina pectoris in the observation group was(5.43±1.31)times within one year after discharge,whichwas lower than that in the control group(9.98±1.68)times(P<0.05).The average duration of angina pectoris in observation group was(6.93±1.87)min,which was lower than that in control group(8.48±2.69)min(P<0.05).In the observation group,there was only 1 case(2.63%)of rehospitalization due to coronary heart disease or heart failure,which was lower than that in the control group 8 cases(20.51%)(P<0.05).Conclusion Continuous care after percutaneous coronary intervention can improve the quality of life of patients,reduce the frequency and duration of angina pectoris,reduce the rehospitalization rate of patients due to coronary heart disease or heart failure,and is conducive to postoperative rehabilitation.