基于临床路径的优质护理对冠心病患者行冠状动脉支架置入术后康复及并发症发生率的影响

Effect of quality nursing based on clinical pathways on the incidence of rehabilitation and complication after coronary artery stenting in patients with coronary heart disease

目的探讨基于临床路径的优质护理对冠心病患者行冠状动脉支架置入术后康复及并发症发生率的影响。方法选取2014年4月~2016年6月广元市中心医院心血管内科62例冠心病患者,采用随机数字表法分为对照组与研究组,各31例。对照组采用常规护理干预,研究组在常规护理基础上实施基于临床路径的优质护理。统计对比两组并发症发生率、护理满意度、入院时及护理后左心室射血分数(LVEF)、抑郁评分(SDS)及焦虑评分(SAS)变化情况。结果护理后两组LVEF较护理前增高,且研究组较对照组高,差异有统计学意义(P<0.05)。护理后两组SDS及SAS评分较护理前降低,且研究组较对照组低,差异有统计学意义(P<0.05)。研究组桡动脉痉挛率、血肿率、迷走神经反射率、心律失常率较对照组低,差异有统计学意义(P<0.05)。两组护理总满意度比较,研究组较对照组高,差异有统计学意义(P<0.05)。结论冠心病患者行冠状动脉支架置入术中采用基于临床路径的优质护理效果显著,可有效促使患者术后心功能恢复,缓解其负性情绪,降低并发症发生率,提高护理满意度,值得推广。

Objective To explore the effect of quality nursing based on clinical pathways on the incidence of rehabilitation and complication after coronary artery stenting in patients with Coronary heart disease. Methods From April 2014 to June 2016, 62 patients with coronary heart disease in the department of cardiology of Guangyuan Central Hospital were randomly divided into control group and study group, 31 cases in each group. The control group was treated by routine nursing, and the study group carded out quality nursing based on clinical path on the basis of routine nursing. The incidence of complications, nursing satisfaction, left ventricular ejection fraction （LVEF）, depression score （SDS） and anxiety score （SAS） at the time of admission and after care were compared. Results After treatment, the LVEF of the two groups increased significantly than before care, and the study group was higher than the control group, the difference was statistically significant （P 〈 0.05）. After treatment, the SDS and SAS scores of the two groups were lower than those before treatment, and the study group was lower than the control group, the difference was statistically significant （P 〈 0.05）. The rate of radial spasm, the hematoma, the vagal reflex and the arrhythmia in the study group was lower than that in the control group, the difference was statistically significant （P〈 0.05）. The overall satisfaction of the study group was higher than that of the control group, the difference was statistically significant （P 〈 0.05）. Conclusion Coronary heart disease patients underwent coronary stent implantation based on the clinical path of the quality of care is significant, it can effectively Promote the recovery of cardiac function after surgery to relieve its negative emotions, reduce the incidence of complications and improve nursing satisfaction, it is worth promoting