预见性护理降低心血管疾病介入治疗患者反射性低血压发生风险的研究

Research on predictive nursing in reducing the risk of reflex hypotension in patients with cardiovascular disease undergoing interventional therapy

目的观察预见性护理降低心血管疾病介入治疗患者反射性低血压风险的效果。方法选取我院收治接受介入治疗的心血管疾病患者80例为研究对象,按照随机数字表法分为研究组(n=40,给予预见性护理干预)和常规组(n=40,给予常规护理干预),比较两组患者围术期反射性低血压发生率、心率和血压恢复正常时间及护理满意度。结果研究组5.00%的术后24h反射性低血压发生率和12.50%的反射性低血压总发生率显著低于对照组的20.00%、40.00%(P<0.05);研究组患者心率恢复正常时间为(15.65±2.70)min,血压恢复正常时间为(32.78±4.90)min,均低于对照组的(21.26±3.54)min和(47.59±5.22)min,差异有统计学意义(P<0.05);研究组90.00%的护理满意度显著高于对照组的72.50%,差异有统计学意义(P<0.05)。结论预见性护理能够有效降低心血管疾病介入治疗患者发生反射性低血压的风险,利于疾病预后,护理满意度高。

Objective To observe the curative effect of predictive nursing in reducing the risk of reflex hypotension in patients with cardiovascular diseaseundergoing interventional therapy. Methods 80 patients with cardiovascular disease who underwent interventional therapy in our hospital were selected as research objects.According to the random number table method,they were divided into the study group (n=40,predictive nursing intervention) and the routine group (n=40,routine nursing).The incidence of perioperative reflex hypotension,heart rate,recovery timeof blood pressure and nursing satisfaction were compared between the two groups. Results The incidence of reflex hypotension at 24h after surgery and the total incidence of reflex hypotension in the study groupwere 5.00% and 12.50% respectively,significantly lower than those in the control group (20.00%,40.00%,P < 0.05).The recovery time of heart rate and blood pressure of the study group were (15.65±2.70)min and (32.78±4.90) min respectively,lower than those of the control group (21.26±3.54)min and (47.59±5.22)min.The difference was significant (P < 0.05). Nursing satisfactionof the study group was 90.00 %,significantly higher than 72.50% of the control group (P < 0.05). Conclusion Predictive nursing can effectively reduce the risk of reflex hypotension in patients with cardiovascular disease undergoing interventional therapy,which is conducive to disease prognosis and has high nursing satisfaction.