急性心肌梗死患者主动脉内球囊反搏辅助下经皮冠状动脉介入治疗的护理效果分析

Nursing effect analysis of percutaneous coronary intervention assisted by intra-aortic balloon counterpulsation in patients with acute myocardial infarction

目的探讨整体护理用于急性心肌梗死(Acute Myocardial Infarction,AMI)患者主动脉内球囊反搏(Intra-Aortic Ballon Counterpulsation,IABP)辅助下经皮冠状动脉介入治疗(Percutaneous Coronary Intervention,PCI)的护理效果。方法研究对象选取该院2015年1月~2017年11月行IABP辅助下PCI的AMI患者50例,并将其随机分为对照组和观察组,各25例。对照组患者行常规护理干预,观察组患者行整体护理干预。比较两组患者的护理效果和护理前后的生活质量指标评分。结果观察组的护理总有效率(92.00%)显高于对照组(64.00%),差异有统计学意义(P<0.05);观察组的下肢缺血、出血、球囊破裂、主动脉夹层、动脉撕裂穿孔并发症发生率显著低于对照组,差异均有统计学意义(均P<0.05);自理能力、身体状态、心理健康、社会功能各生活质量指标评分均显著高于对照组,差异有统计学意义(均P<0.05)。结论整体护理可提高IABP辅助PCI治疗的AMI患者的护理总有效率和生活质量,值得临床推广。

Objective To explore the nursing effect of the holistic nursing for Acute Myocardial Infarction(AMI) in patients with Intra-Aortic Ballon Counterpulsation(IABP) aided by Percutaneous Coronary Interention (PCI). Methods A total of 50 AMI patients who underwent IABP-assisted PCI in the hospital from January 2015 to November 2017 were selected as the research subjects.They were randomly divided into the control group and the observation group, with 25 patients in each group.Patients in the control group received routine nursing intervention, while those in the observation group received holistic nursing intervention.The nursing effect and the quality of life index score before and after nursing were compared between the two groups. Results The total efficiency of nursing in observation group(92.00%)was significantly higher than that in the control group(64.00%), and the difference was statistically significant(P<0.05). The incidence of lower extremity ischemia, hemorrhage, balloon rupture, aortic dissection and arterial tear perforation in the observation group were significantly lower than those in the control group, and the differences were statistically significant(P<0.05). The scores of self-care ability, physical condition, mental health and social function were significantly higher than those in the control group, and the differences were statistically significant(P<0.05). Conclusions Holistic nursing can improve the total effective rate of nursing and quality of life of patients with IABP-assisted AMI for PCI, which deserves clinical promotion.