前瞻性护理预防AMI患者治疗期间便秘、心血管事件发生率的效果观察

Effect of Prospective Nursing on Prevention of Constipation and Cardiovascular Events During Treatment in Patients with Acute Myocardial Infarction

目的观察前瞻性护理预防急性心肌梗死(AMI)患者治疗期间便秘、心血管事件发生率的效果。方法收集2014年6月-2016年6月我院心内科100例急性心肌梗死患者,随机分为两组各50例,对照组采用常规护理干预,观察组给予前瞻性护理干预,对比两组患者治疗期间排便改善情况,心力衰竭、心绞痛、心律失常等并发症的发生率以及死亡率。结果观察组便秘发生率为10.0%明显低于对照组(32.0%)(P<0.05);观察组治疗期间发生心力衰竭1例(2.0%)、心绞痛2例(4.0%)、心律失常2例(4.0%)、猝死1例(2.0%),对照组治疗期间发生心力衰竭7例(14.0%)、心绞痛9例(18.0%)、心律失常5例(10.0%)、猝死7例(14.0%),观察组治疗期间的死亡率为2.0%明显低于对照组(14.0%),差异具有统计学意义(P<0.05)。结论前瞻性护理预防AMI患者治疗期间便秘、心血管事件发生率的效果良好,值得临床推广。

Objective To observe the effect of prospective nursing on prevention of constipation and cardiovascular events during treatment in patients with acute myocardial infarction.Methods From Jun.2014 to Jun.2016,100 cases of acute myocardial infarction patients in our department were randomly divided into control group(50 cases)and observation group(50 cases).The control group was given routine nursing intervention,while the observation group was given prospective nursing intervention.The defecation improvement in the two groups during treatment was compared,the incidence rates of heart failure,angina,arrhythmia and other complications,and mortality rates in the two groups were also compared.Results The incidence rate of constipation in the observation group was 10%which was significantly lower than that in the control group 32.0%(P<0.05),during treatment,there were 1 case of heart failure(2%),2 cases of angina(4%),2 cases of arrhythmia(4%)and 1 case of sudden death(2%)in the observation group,and the control group was occurred 7 cases of heart failure(14%),9 cases of angina(18%),5 cases of arrhythmia(10%)and 7 cases of sudden death(14%),the mortality rate in the observation group during treatment was 2%which was significantly lower than that in the control group(14%),the difference was statistically significant(P<0.05).Conclusion Prospective nursing has good effect on prevention of constipation and cardiovascular events during treatment in patients with AMI,thus,it is worthy of clinical promotion.