无缝隙护理在重症冠心病合并肾功能不全患者中的应用效果

Application effect of seamless nursing in patients with severe coronary heart disease complicated with renal insufficiency

目的探讨无缝隙护理在重症冠心病合并肾功能不全患者中的应用效果。方法将2017年3月至2019年4月本院收治的58例重症冠心病伴肾功能不全患者按随机数字表法分为常规组(n=29,传统护理)和干预组(n=29,无缝隙护理)。观察两组的干预效果。结果干预后,两组患者的HAMD及HAMA评分均较干预前降低,且干预组低于常规组(P<0.05)。干预后,两组BUN、Scr、UA水平均较干预前降低,Ccr均较干预前升高,且干预组优于常规组(P<0.05)。干预组的疾病控制总有效率为93.10%,高于常规组的79.31%(P<0.05)。干预组严重心律失常、心绞痛、心力衰竭的发生率均低于常规组,护理满意度高于常规组(P<0.05)。结论无缝隙护理可有效改善重症冠心病合并肾功能不全患者的心理状态和肾功能,减少并发症的发生,提高护理满意度。

Objective To explore the application effect of seamless nursing in patients with severe coronary heart disease complicated with renal insufficiency.Methods Fifty-eight cases of severe coronary heart disease complicated with renal insufficiency treated in our hospital from March 2017 to April 2019 were divided into conventional group(n=29,traditional nursing)and intervention group(n=29,seamless nursing)according to random number table method.The intervention effects of the two groups were observed.Results After intervention,the HAMD and HAMA scores of the two groups were lower than those before intervention,and those of the intervention group were lower than the conventional group(P<0.05).After intervention,the levels of BUN,Scr and UA in the two groups were lower than those before intervention,and the CCR was higher than that before intervention,and those of the intervention group were better than the conventional group(P<0.05).The total effective rate of disease control in the intervention group was 93.10%,which was higher than 79.31%in the conventional group(P<0.05).The incidences of serious arrhythmia,angina pectoris and heart failure in the intervention group were lower than those in the conventional group,while the nursing satisfaction was higher than that in the conventional group(P<0.05).Conclusion Seamless nursing can effectively improve the psychological state and renal function of patients with severe coronary heart disease complicated with renal insufficiency,reduce the occurrence of complications and improve nursing satisfaction.