经肱动脉行冠状动脉介入治疗术后患者舒适的护理

Comfort Care of Patients after Percutaneous Coronary Intervention Through Brachial Artery

目的探讨舒适护理模式应用于经肱动脉冠状动脉介入术后患者的效果。方法选取2014-2016年经肱动脉冠状动脉介入术的50例病人,分为对照组和实验组各25例,对照组术前常规护理,术后拔出鞘管,压迫穿刺处止血,然后用绷带环形加压包扎穿刺点,肘关节制动8小时,8小时后拆除绷带。实验组术前除外对照组的术前护理外,护士指导患者反复练习保持上肢伸直肘部不能弯曲状况下如何变换各种体位及上肢如何放置最佳位置等,术后同样方法加压包扎穿刺点后,将患者穿刺侧上肢以肘关节为中心置入制动支具内,根据患者臂围调节支具的松紧度,8小时后拆除支具和绷带。结果两组的舒适度有明显的统计学差异(P<0.05)。结论舒适护理模式应用于经肱动脉冠状动脉介入术后患者,提高了患者的舒适度,增强了患者的遵医行为,减少了术后并发症发生。

Objective To explore the effect of comfort care model in patients with brachial artery coronary intervention. Methods A total of 50 cases of 2014-2016 patients by brachial artery coronary intervention, divided into control group and experimental group with 25 cases in each group, the control group received routine preoperative nursing, postoperative sheath tube, puncture and compression hemostasis, bandage ring compression bandage puncture point, elbow braking for 8 hours, 8 hours after the demolition bandage. The experimental group except the control group before surgery, preoperative nursing, nurse patients with repeated practice can not bend and straighten elbows keep the upper conditions how to transform a variety of positions and how to place the optimal position of the upper limb after the operation, the same method of pressurized bandaging the puncture point after the puncture on the side limb from the elbow brace in braking center placement according to the patient＇s arm, adjust the tightness of the brace, 8 hours after the removal of brace and bandage. Results The comfort of the two groups was statistically significant（P〈0.05）. Conclusion The application of comfort care model in patients with brachial artery coronary intervention improves the comfort of patients, enhances the compliance of patients, and reduces the incidence of postoperative complications.