护理干预对预防急性心肌梗塞患者溶栓后并发症的作用

Role of nursing intervention in preventing complications after thrombolysis in patients with acute myocardial infarction

目的研究护理干预对预防急性心肌梗塞患者溶栓后并发症的作用。方法选取我院收治行溶栓的急性心肌梗塞患者110例,采取数字随机法分成观察组和对照组,对照组采取常规护理,观察组在此基础上,采取护理干预,比较两组溶栓后并发症的情况及护理满意度。结果观察组患者头晕、腰背痛、腹胀、焦虑、腿软、心悸、尿潴留、便秘、栓塞、肺部感染、体位性低血压发生率均低于对照组,差异均有统计学意义(P<0.05)。观察组总满意度92.73%,对照组总满意度78.18%,观察组患者护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论护理干预可明显降低心肌梗死患者溶栓治疗后并发症发生率,并且提高患者满意度,较常规护理更加优秀。

Objective To investigate the role of nursing intervention in preventing complications after thrombolysis in patients with acute myocardial infarction. Methods A total of 110 patients with acute myocardial infarction who were admitted to our hospital and underwent thrombolysis were enrolled and randomly divided into observation group and control group using a random number table. The patients in the control group were given conventional nursing, and those in the observation group were given nursing intervention in addition to the conventional nursing. The incidence of complications after thrombolysis and degree of satisfaction with nursing were compared between the two groups. Results Compared with the control group, the observation group had significantly lower incidence rates of dizziness, low back pain, abdominal distension, anxiety, weakness in legs, palpitation, urinary retention, constipation, embolism, pulmonary infection, and postural hypotension （P〈0.05）. The observation group had a significantly higher degree of satisfaction than the control group （92.73% vs 78.18%, P〈0.05）. Conclusion Nursing intervention can significantly reduce the incidence of complications after thrombolysis in patients with myocardial infarction and increase degree of satisfaction. Therefore, it is superior to conventional nursing.