冠心病合并脑梗死患者介入治疗后的护理分析

Nursing analysis of patients with coronary heart disease complicated with cerebral infarction after interventional therapy

目的对冠心病合并脑梗死患者的介入治疗后的护理进行研究。方法选取我院2014年2月~2015年2月接诊的86例冠心病合并脑梗死患者作为研究对象,采用抽签法随机分为观察组(n=43)和对照组(n=43),观察组患者采用系统性介入手术治疗后护理法,对照组患者则采用常规护理方法。观察两组患者术后的出血量、尿潴留、低血压等并发症的发生情况,并对患者的护理感受进行调查。结果两组患者术后并发症发生情况比较,观察组患者的并发症总发生率20.9%明显低于对照组患者的46.5%,差异有统计学意义(x^2=6.2952,P<0.05);在对护理满意度的调查中,观察组患者的总满意度93.0%明显高于对照组患者的72.1%,差异有统计学意义(x^2=6.5408,P<0.05)。结论对冠心病合并脑梗死患者采用介入手术治疗后护理法来进行护理,明显比常规的护理方法效果更好,减少了患者并发症的发生,也提高了患者对护理的满意度,具有较高的临床意义,值得推广。

Objective To research the nursing measures of patients with coronary heart disease complicated with cerebral infarction after interventional treatment. Methods 86 cases of coronary heart disease patients complicated with cerebral infarction, who were in our hospital from February 2014 to February 2015, were selected as the research object, and randomly divided into observation group（n=43） and control group（n=43） by lottery method. The patients in the observation group were given system interventional nursing method after surgical treatment, and patients in the control group were given the routine nursing care. The incidence of postoperative bleeding, urinary retention, hypotension and other complications of the two groups were observed, and the patient＇s nursing experience was investigated. Results The incidence of complications in the observation group was 20.9%, significantly lower than that of the control group（46.5%）, with statistical significance（x^2=6.2952,P 〈0.05）. In the survey of nursing satisfaction, 93.02% of the total satisfaction of observation group patients was obviously higher than that of control group 72.1% of the patients, Clear difference between group, with statistical significance（x^2=6.5408,P 〈0.05）. In the survey of nursing satisfaction, the total satisfaction of observation group 93.0% was significantly higher than that of the control group, the difference was statistically significant（x^2=6.5408,P 〈0.05）. Conclusion For patients with coronary heart disease（CHD） after interventional surgery, system nursing method is apparently better than routine nursing methods. System nursing can educe complications, and improve the patient satisfaction of nursing. It has high clinical significance, is worth promoting.