临床路径护理干预对PCI术后患者心功能恢复及预后的影响

Effect of Clinical Pathway Nursing Intervention on Cardiac Function Recovery and Prognosis in Patients after PCI

目的探讨临床路径护理干预对PCI术后患者术后心功能恢复及预后的影响。方法选取2017年3月~2018年3月我院收治的冠心病行PCI治疗的患者84例,采用随机数字表法分研究组和对照组,各42例。对照组实施常规围术期护理,研究组在对照组基础上实施临床护理路径干预,并随访1年。比较两组心功能指标(LVESD、LVEDD、LVEF)水平及心血管不良事件发生率。结果研究组护理后LVESD、LVEDD水平低于对照组,LVEF高于对照组,差异有统计学意义(P<0.05);研究组术后心血管不良事件总发生率为7.14%,低于对照组的23.81%,差异有统计学意义(P<0.05)。结论临床路径护理在冠心病PCI治疗患者中应用效果较好,利于促进患者术后心功能恢复,降低心血管不良事件发生风险,改善患者预后。

Objective To investigate the effect of clinical pathway nursing intervention on postoperative cardiac function recovery and prognosis in patients after PCI.Methods From March 2017 to March 2018,84 patients with coronary heart disease treated with PCI were randomly divided into study group and control group,42 cases in each group.The control group was treated with routine perioperative nursing,and the study group was treated with clinical nursing pathway on the basis of the control group,and followed up for 1 year.The levels of cardiac function index(LVESD,LVEDD,LVEF)and the incidence of cardiovascular adverse events were compared between the two groups.Results The LVESD and LVEDD levels in the study group were lower than those in the control group,and the LVEF was higher than the control group,the difference was statistically significant(P<0.05).The total incidence of postoperative cardiovascular adverse events in the study group was 7.14%,which was lower than that of 23.81%in the control group,the difference was statistically significant(P<0.05).Conclusion Clinical pathway nursing is effective in patients with coronary heart disease undergoing PCI,which is beneficial to promote postoperative cardiac function recovery,reduce the risk of cardiovascular adverse events,and improve the prognosis of patients.