预见性护理干预在冠心病患者护理中的应用效果

Application effect of predictive nursing intervention in the nursing of patients with coronary heart disease

目的探讨预见性护理干预在冠心病(CHD)患者护理中的应用效果。方法选取2017年8月~2018年8月我院收治的60例CHD患者,按照随机数字表法将其分成对照组和研究组,每组各30例。对照组采用内科常规护理干预,而研究组则在常规护理的基础上实施预见性护理干预。评估两组的心绞痛发作情况和并发症发生情况;随访6个月,比较两组的心肌梗死、胆固醇正常、血压正常、血糖正常以及心绞痛恶化等情况。结果研究组心绞痛发作次数少于对照组,发作持续时间短于对照组(P<0.05)。研究组的并发症总发生率低于对照组(P<0.05)。研究组心肌梗死率及心绞痛恶化率均低于对照组,同时患者的胆固醇正常率、血压正常率、血糖正常率均明显高于对照组,差异均有统计学意义(P<0.05)。结论预见性护理程序应用于CHD患者护理中,有利于有控制病情恶化,减少心绞痛发作,同时也可降低并发症发生率,在临床有积极的推广意义。

Objective To explore the effect of predictive nursing intervention in the nursing of patients with coronary heart disease(CHD).Methods From August 2017 to August 2018,all 60 patients with CHD treated in our hospital were selected and divided into control group and study group according to random number table method,30 cases in each group.Routine nursing intervention was used in the control group,while predictive nursing intervention was carried out in the study group on the basis of routine nursing.The incidence of angina pectoris and complications were evaluated before and after treatment;after 6 months of follow-up,the myocardial infarction,normal cholesterol,normal blood pressure,normal blood glucose and the worsening of angina pectoris were compared between the two groups.Results The frequency of angina pectoris in the study group was less than that in the control group,and its duration was shorter than that in the control group(P<0.05).The total incidence of complications in the study group was lower than that in the control group(P<0.05).The myocardial infarction rate and the rate of angina pectoris deterioration in the study group were lower than those in the control group,and the cholesterol normal rate,the normal blood pressure rate and the normal blood glucose rate were significantly higher in the study group than those in the control group(P<0.05).Conclusion The application of predictive nursing program in the nursing of patients with CHD is beneficial to control the deterioration of the condition and reduce the incidence of angina pectoris,and it can also reduce the incidence of complications,which has positive popularization significance in clinical practice.