探讨个体护理计划在心脏搭桥手术围手术期患者中的应用效果

Exploring the Application Effect of Individual Care Plan in Perioperative Patients Undergoing Bypass Surgery

目的探讨心脏搭桥手术围手术期个体护理计划的应用效果。方法选择于2018年7月-2019年2月期间在该院接受心脏搭桥手术治疗的86例患者为该次研究对象,以随机双盲法为分组方式分为对照组和实验组,每组43例,对照组患者围术期接受常规护理干预方案,实验组患者围术期在对照组基础上,另接受个体护理计划干预方案。结果实验组舒张压为(79.80±11.48)mmHg,收缩压为(129.10±13.62)mmHg,心率为(78.69±9.10)次/min;对照组舒张压为(89.93±11.94)mmHg,收缩压为(148.93±11.88)mmHg,心率为(91.74±8.61)次/min;对应数据组间差异有统计学意义(t=4.010、7.195、6.831,P<0.05);实验组患者在疾病认知度、心绞痛稳定情况、护理满意度以及躯体受限程度等方面的生活质量评分均高于对照组患者,心绞痛发作评分低于对照组,即对应数据组间差异有统计学意义(t=21.296、6.184、11.126、5.289、3.392,P<0.05)。结论心脏搭桥手术患者围术期接受个体护理计划干预方案,不仅可以改善患者的心理状态,稳定血压、心率,还有利于患者获取更好的生活质量,值得临床推广使用。

Objective To investigate the application effect of perioperative individual care plan for bypass surgery.Methods Eighty-six patients who underwent cardiac bypass surgery in our hospital from July 2018 to February 2019 were enrolled in this study.They were randomly divided into control group and experimental group,with 43 cases each;patients in the control group received a routine nursing intervention program during the perioperative period.The patients in the experimental group received an individual care plan intervention program on the basis of the control group.Results The diastolic blood pressure of the experimental group was(79.80±11.48)mmHg,the systolic blood pressure was(129.10±13.62)mmHg,and the heart rate was(78.69±9.10)times/min.The diastolic blood pressure of the control group was(89.93±11.94)mmHg,and the systolic blood pressure was(148.93±11.88)mmHg,heart rate was(91.74±8.61)times/min;the statistical significance of the c:orresponding data group was established(t=4.010,7.195,6.831,P<0.05);the patients in the experimental group had disease recognition and angina pectoris.The quality of life scores in terms of stability,nursing satisfaction,and physical limitations were higher than those in the control group.The angina pectoris score was lower than that of the control group,that is,the statistical significance of the corresponding data group was established(t=21.296,6.184,11.126,5.289,3.392,P<0.05).Conclusion Perioperative patients undergoing an individual care plan intervention program in patients undergoing bypass surgery can not only improve the patient’s psychological state,stabilize blood pressure and heart rate,but also help patients to obtain a better quality of life,which is worth promotion and application.