AMI患者PCI术后的优质护理临床路径

Effect of high quality nursing based on clinical pathway on rehabilitation in patients with acute myocardial infarction after PCI

目的探讨基于临床路径的优质护理对急性心肌梗死患者行冠状动脉介入(PCI)术后康复的影响。方法回顾性分析2018年2月-2019年6月期间于我院接受PCI术的85例急性心肌梗死患者临床资料,视其临床护理方案的不同给予分组,分别为对照组(常规护理,42例)与观察组(基于临床路径的优质护理,43例)。观察两组围术期临床指标,同时对比两组干预前及干预7d后左心室射血分数,并记录两组术后并发症发生情况。结果与对照组相比,观察组术前准备时间、卧床时间、住院天数均更短,医疗费用更少,差异有统计学意义(p<0.05);干预后,两组入选者左心室射血分数均高于干预前,且与对照组相比,观察组更高,差异有统计学意义(p<0.05);与对照组并发症发生率(23.81%)比较,观察组(6.98%)更低,差异有统计学意义(p<0.05)。结论基于临床路径的优质护理可改善行PCI术治疗的急性心肌梗死患者左心室射血分数,缩短术前准备时间及术后恢复时间,减少医疗费用,且并发症更少。

Objective To investigate the effect of high quality nursing based on clinical pathway on rehabilitation in patients with acute myocardial infarction after percutaneous coronary intervention(PCI).Methods The clinical data of 85 patients with acute myocardial infarction who underwent PCI in the hospital from February2018 to June 2019 were retrospectively analyzed.They were divided into control group(routine nursing,42 cases)and observation group(high quality nursing based on clinical pathway,43 cases)according to clinical nursing regimens.The perioperative indexes of two groups were observed,the left ventricular ejection fraction of two groups before intervention and after intervention for 7 d were compared,and the postoperative complications of two groups were recorded.Results Compared with control group,the preoperative preparation time,bed rest time and hospital stays in observation group were shorter,and the medical expense in observation group was less(p<0.05);After intervention,the left ventricular ejection fraction of two groups was higher than that before intervention,and observation group was higher than control group(p<0.05);The incidence of complications in observation group(6.98%)was lower than that in control group(23.81%)(p<0.05).Conclusions High quality nursing based on clinical pathway in patients with acute myocardial infarction after PCI can improve left ventricular ejection fraction,shorten preoperative preparation time and postoperative recovery time,reduce medical expense,and have less complications.