介入室护士全程参与急性冠脉综合征PCI围手术期的护理要点分析

Perioperative Nursing Points of Nurses Participating in Acute Coronary Syndrome With PCI in Interventional Room

目的对急性冠脉综合征患者进行桡动脉穿刺PCI术护理要点的探讨。方法任选本院在2006年2月—2017年2月进行PCI术的相关患者3 000例作为研究对象,将其分为观察组与对照组,每组各1 500例。观察组进行手术前的工作由介入室的护士准备;对照组进行手术前的工作由心内科病区的护理专员准备,两组进行手术时皆有介入室的护士进行协助。结果对照组有302例患者担心手术的成功率太低,有29名患者在进行手术过程中要求停止手术。观察组患者进行手术情绪较为稳定,积极配合手术,P<0.05。观察组患者PCI治疗后配合率高于对照组,P<0.05。结论介入室护理人员能与医生配合进行手术,完成手术前的准备工作,能有效提高患者的积极配合性。

Objective To investigate the nursing points on patients with acute coronary syndrome by radial artery puncture PCI surgery, Methods 3 000 cases of patients who underwent PCI surgery in our hospital from February 2006 to February 2017, were divided into observation group and control group with 1 500 cases in each group, the surgery preparing work of observation group were conducted by nurses in the intervention room, while the control group were conducted by nurses in the department of cardiology,after that, patients in both groups were helped by the nurses in intervention room during surgery. Results 302 cases of patients in the control group were concerned about the low success rate of the operation, and 29 patients required to stop the operation during surgery. Patients in the observation group were more stable during the operation, and actively cooperated with the operation, P〈0.05. The coordinate rate of patients in the observation group was higher than those in the control group, P〈0.05. Conclusion The nursing staff in the intervention room can cooperate with the doctors to complete the operation before the operation, and improve the coordinate rate of patients.