认知行为干预在心脏介入术后护理中的应用价值研究

Study on the Application Value of Cognitive Behavior Intervention on Nursing after Cardiac Intervention

目的探讨认知行为干预对于改善心脏介入术后患者的护理效果。方法选取2014年6月—2015年5月在瑞安市人民医院行心脏介入术患者200例,采用随机数字表法将其分为对照组和护理组,各100例。对照组采用常规护理,护理组在常规护理基础上增加认知行为干预护理。记录两组导管拔除时间、压迫器去除时间、CCU住院天数、并发症发生率及死亡率。并记录患者满意度。结果护理组导管拔除时间、压迫器去除时间、CCU住院天数均少于对照组(P<0.05)。护理组并发症发生率低于对照组(P<0.05)。两组死亡率比较,差异无统计学意义(P=0.364)。两组护理满意度比较,差异有统计学意义(P<0.05)。结论认知行为干预能够减少心脏介入术后患者导管拔除和压迫器去除所用时间,同时减少CCU住院天数,降低并发症发生率,护理满意度得以提升,值得临床推广。

Objective To explore the effect of cognitive behavior intervention on nursing after cardiac intervention.Methods 200 patients with cardiac intervention in the People's Hospital of Ruian from June 2014 to May 2015 were divided into control group and nursing group,each of 100 cases. Control group was given routine nursing,nursing group was given cognitive behavior intervention and routine nursing. The extubation time, raspatory removal time and coronary heart disease in ICU( CCU) hospitalization time,complications,mortality,satisfaction were recorded. Results The extubation time,raspatory removal time,CCU hospitalization time in control group were less than those in nursing group( P < 0. 05). The complications rate in nursing group was lower than that in control group( P < 0. 05). There was no statistical significance in mortality rate( P= 0. 364). There was statistical significance in nursing satisfaction( P < 0. 05). Conclusion Cognitive behavioral intervention can reduce extubation time, raspatory removal time, CCU hospitalization time, complication rate and increase nursing satisfaction in patients with cardiac intervention. It is worthy of clinical promotion.