综合护理干预在高危冠心病患者冠状动脉介入治疗中的应用

Application of Comprehensive Nursing Intervention in Coronary Artery Intervention Treatment of High Risk Coronary Heart Disease Patients

目的探讨综合护理干预在高危冠心病患者冠状动脉介入(PCI)治疗中的应用效果。方法方便选取2017年1月—2018年3月在该院接受PCI术治疗的冠心病患者102例为研究对象,按照入院时间进行编号分组,分为对照组和观察组,每组各51例患者。两组患者在治疗上均相同,且都给予常规护理,观察组在此基础上实施综合护理干预。比较两组患者术后的并发症发生情况和心理状况。结果两组患者在术后并发症方面,腰背酸痛、排尿困难、失眠、低血压、烦躁这几项的发生率观察组明显低于对照组,两组患者在心理状况方面,干预后观察组SAS评分(38.8±4.8)分,对照组SAS评分(46.9±5.2)分,(t=8.18,P=0.000 1<0.05);干预后观察组SDS评分(39.9±5.9)分,对照组SDS评分(48.6±6.2)分,(t=7.25,P=0.000 14<0.05)。结论对高危冠心病行冠状动脉介入治疗的患者实施综合护理干预措施,可以有效降低患者术后并发症的发生率,改善患者的负性情绪,值得临床护理推广借鉴。

Objective To investigate the effect of comprehensive nursing intervention on coronary intervention（PCI） in high-risk coronary heart disease patients. Methods A total of 102 patients with coronary heart disease who underwent PCI in the hospital from January 2017 to March 2018 were convenient selected as study subjects. The patients were divided into control and observation groups according to the time of admission. Each group had 51 patients. Both groups of patients were treated the same and both were given routine care. The observation group performed comprehensive nursing interventions on this basis. The postoperative complications and psychological status of the two groups of patients were compared. Results In the postoperative complications, the incidence of low back pain, dysuria, insomnia, hypotension, and irritability was significantly lower in the observation group than in the control group. The psychological status of the two groups was observed after the intervention. The SAS score of the group was（38.8 ±4.8）points, the SAS score of the control group was（46.9 ±5.2）points,（t=8.18, P=0.000 1〈0.05）; the SDS score of the observation group after the intervention was（39.9±5.9）points, and the score of the control group was（48.6±6.2）points.（t=7.25, P=0.000 140.05）. Conclusion Comprehensive nursing interventions for patients with high-risk coronary artery disease undergoing percutaneous coronary intervention can effectively reduce the incidence of postoperative complications and improve patients＇ negative emotions. It is worthy of clinical nursing promotion.