冠心病猝死的相关因素及护理对策

Correlative factors and nursing countermeasures of sudden coronary death

目的 探讨冠心病猝死的相关因素及护理对策,为冠心病猝死的预防提供支持. 方法 本研究选取2011年5月至2015年4月我院进行诊治的冠心病猝死患者25例作为观察组,并选取冠心病患者但未猝死的患者25例作为对照组,收集并统计两组患者的一般病历资料,经单因素方差分析后,行Logistic回归分析,分析冠心病猝死的危险因素,并进行护理干预. 结果 单因素分析中,有意义的因素分别为持续性高血压、持续性心律失常、左室射血分数低、高脑钠肽、肥胖、便秘、情绪激动、过度劳累,Logistic回归分析结果显示,冠心病猝死危险因素为持续性高血压、左室射血分数低、便秘、情绪激动、过度劳累、持续性心律失常. 采取的护理干预措施,包括心理指导、生活方式指导、饮食指导、用药指导、先兆症状指导、急救知识指导等. 结论 冠心病猝死危险因素为持续性高血压、左室射血分数低、便秘、情绪激动、过度劳累、持续性心律失常,应对上述因素进行积极的预防干预,以降低冠心病猝死的发病率.

Objective To explore the correlative factors and nursing countermeasures of sudden coronary death, so as to provide support for the prevention of sudden death from coronary heart disease. Methods A total of 25 cases of sudden coronary death patients who were diagnosed and treated in our hospital from May 2011 to April 2015 were selected, while 25 patients who were not sudden death were selected as control group, general medical data and statistics of the two groups of patients were collected and analyzed. The single factor variance analysis followed by the lo-gistic regression analysis was conducted to analyze the risk factors of coronary heart disease sudden death, and nursing intervention was carried out. Results The significant factors of the single factor variance analysis were respectively sus-tained hypertension, arrhythmia, low scores of left ventricular ejection fraction, high brain natriuretic peptide, obesi-ty, constipation, emotionalism and overwork. Logistic regression analysis showed that, for the duration of hypertension, low scores of left ventricular ejection fraction, constipation, emotional, overwork and arrhythmia were the risk factors of sudden death of coronary heart disease. In order to avoid sudden death of coronary heart disease, the nursing intervention measures involved psychological guidance, life guidance, diet guidance, medicine guidance, premonitory symptoms guidance and first aid knowledge guidance. Conclusions The risk factors of sudden death of coronary heart disease were sustained hypertension, low scores of left ventricular ejection fraction, constipation, emotional, overwork and arrhyth-mia. The positive prevention and intervention were benefit to reducing the incidence rate of sudden death of coronary heart disease.