个性化护理干预对急性心肌梗死并发心源性休克患者中的应用效果

Effect of Personalized Nursing Intervention on Patients with Acute Myocardial Infarction Complicated with Cardiogenic Shock

目的探析急性心肌梗死并发心源性休克患者护理中个性化护理干预的应用价值。方法便利选取2018年6月—2019年6月于该院接受治疗的60例急性心肌梗死并发心源性休克患者,用数字随机表法将60例患者平均分为两组。对照组(30例)患者给予常规护理,而观察组的30例患者接受个性化护理干预,对比两组的并发症发生率、住院时间、遵医行为评分、护理满意度评分以及负面情绪严重程度。结果与对照组相比,观察组的并发症发生率更低(3.33%vs 20.00%,χ^2=4.043,P=0.044),住院时间更短[(10.28±1.63)d vs(15.37±1.78)d(t=9.431,P=0.000)],差异有统计学意义(P<0.05);观察组患者的遵医行为评分[(94.62±2.25)分vs(81.45±2.74)分(t=16.612,P=0.000)]、护理满意度评分[(90.66±2.37)分vs(80.52±2.23)分(t=13.935,P=0.000)]均显著高于对照组,差异有统计学意义(P<0.05);两组患者护理后的焦虑情绪和抑郁情绪评分均小于护理前,且观察组患者护理后的负面情绪严重程度轻于对照组,差异有统计学意义(P<0.05)。结论对急性心肌梗死并发心源性休克患者实施个性化护理干预一方面能够改善患者的不良情绪和不良行为,提高患者满意度,另一方面可减少并发症的发生,缩短患者治疗后的住院时间,有较高的应用价值,总体优势显著。

Objective To explore the application value of personalized nursing intervention in the nursing of patients with acute myocardial infarction complicated with cardiogenic shock.Methods A total of 60 patients with acute myocardial infarction complicated with cardiogenic shock who were treated in the hospital from June 2018 to June 2019 were conveniently selected,and the 60 patients were divided into two groups by the random number table.Patients in the control group(30 cases)were given routine care,while 30 patients in the observation group received personalized nursing interventions,comparing the incidence of complications,hospital stay,medical compliance score,nursing satisfaction score,and severity of negative emotions between the two groups.Results Compared with the control group,the complication rate of the observation group was lower(3.33%vs 20.00%,χ^2=4.043,P=0.044),and the hospital stay was shorter[(10.28±1.63)d vs(15.37±1.78)d(t=9.431,P=0.000)],the difference was statistically significant(P<0.05);the observation behavior score of patients in the observation group[(94.62±2.25)points vs(81.45±2.74)points(t=16.612,P=0.000)],nursing satisfaction score[(90.66±2.37)points vs(80.52±2.23)points(t=13.935,P=0.000)]were significantly higher than the control group,there was statistically significant difference(P<0.05);after care,the anxiety and depression scores of the two groups of patients were less than before the care,and the negative emotions of the observation group after care were less severe than the control group,and there were statistically significant differences between the groups(P<0.05).Conclusion Personalized nursing intervention for patients with acute myocardial infarction complicated with cardiogenic shock can improve the patient's bad mood and behavior,improve patient satisfaction,on the other hand,it can reduce the occurrence of complications and shorten the hospital stay after treatment,which has high application value and obvious overall advantages,which can be further promoted and applied in clinical practice.