集束化护理对心肌梗死患者介入治疗穿刺点并发症的影响

Effect of cluster nursing on complications in puncture points in patients with myocardial infarction undergoing interventional therapy

目的 探讨集束化护理对心肌梗死患者介入治疗穿刺点并发症的影响.方法 选取2018年1-6月收治的60例心肌梗死行经皮冠状动脉介入治疗(PCI)患者作为对照组,采用常规护理,选取2018年7-12月收治的60例心肌梗死PCI患者作为观察组,采用集束化护理预防穿刺点并发症.比较2组患者穿刺点并发症的发生情况.结果 观察组术后的止血时间、平卧时间短于对照组,穿刺点并发症的总发生率低于对照组,差异均有统计学意义(P<0.05);观察组术后6、12、24 h的Kolcaba舒适量表评分高于对照组,差异有统计学意义(P<0.05).结论 集束化护理能够预防心肌梗死患者PCI术后穿刺点并发症的发生,提升患者术后舒适度.

Objective To explore the effect of cluster nursing on complications in puncture points in patients with myocardial infarction undergoing interventional therapy.Methods A total of 60 myocardial infarction patients with percutaneous coronary intervention(PCI)admitted to our department from January to June 2018 were selected as control group,given routine nursing.Another 60 myocardial infarction patients with PCI admitted to our department from July to December 2018 were selected as observation group,given cluster nursing to prevent complications in puncture points.Incidence of complications in puncture points were compared between the two groups.Results The hemostasis time and lying time in supine position of the observation group were shorter than that of the control group,and the total incidence of complications in puncture points was lower than that of the control group(P<0.05).The Kolcaba Comfort Scale scores of the observation group at 6,12 and 24 hours after operation were higher than that of the control group(P<0.05).Conclusion Cluster nursing can prevent complications of puncture points after PCI in myocardial infarction patients and improve the postoperative comfort of patients after PCI.