TRIZ理论下关键环节干预在经皮冠状动脉介入治疗患者围手术期的应用效果

Application effect of key link intervention guided by TRIZ theory in patients with coronary heart disease in perioperative period of percutaneous coronary intervention

目的探讨发明问题解决理论(TRIZ)下关键环节干预在经皮冠状动脉介入治疗(PCI)患者围手术期的应用效果。方法选取2021年3月至2023年7月于首都医科大学附属北京天坛医院收治的冠状动脉粥样硬化性心脏病(冠心病)患者66例作为对照组,予以常规围术期干预;另选取2023年8月至2024年3月我院收治的冠心病患者66例作为观察组,予以TRIZ理论下关键环节干预。两组患者均干预至出院,比较两组患者围术期护理质量、术后并发症、自我管理行为、护理满意度等指标。结果观察组护理措施落实、病情评估、健康教育符合标准率均高于对照组(P<0.05);干预后,与对照组相比,观察组自我管理行为各维度评分更高,术后伤口肿胀、麻木发生率更低,且护理满意度高(P<0.05)。结论TRIZ理论下关键环节干预可有效提高护理人员的业务能力,提高整体护理质量,更提升患者自我管理行为,进一步降低术后并发症风险。

Objective To discuss the application effect of key link intervention guided by theory of Teoriya Resheniya Izobreatatelskikh Zadatch(TRIZ)in patients with coronary heart disease(CHD)during perioperative period of percutaneous coronary intervention(PCI).Methods CHD patients(n=66)were chosen into control group given routine perioperative intervention from Mar.2021 to July 2023,and other CHD patients(n=66)were chosen into observation group given key link intervention guided by TRIZ theory from Aug.2023 to Mar.2024 from Beijing Tiantan Hospital affiliated to Capital Medical University.All patients were intervened till discharge.The indexes of perioperative nursing quality,postoperative complications,self-management behaviors and degree of satisfaction to nursing service were compared between 2 groups.Results The compliance rates of nursing measures implementation,disease assessment and health education were higher in observation group than those in control group(P<0.05).The scores of self-management behaviors at all dimensions were higher,incidence of postoperative wound swelling and numbness were lower,and degree of satisfaction to nursing service was higher in observation group than those in control group(P<0.05).Conclusion The key link intervention guided by TRIZ theory can effectively improve professional ability of nursing staffs,promote overall nursing quality and patients'self-management behaviors,and further reduce the risk of postoperative complications.