摘要
目的分析精细化管理在急性心肌梗死(AMI)行急诊介入手术患者护理中的应用疗效,为临床护理工作的开展提供借鉴.方法选择天津市宁河区医院2019年1月至11月收治的84例行介入手术治疗的AMI急诊患者,其中精细化管理组42例,常规管理组42例.精细化管理组和常规管理组分别给予精细化管理和常规管理,观察两组患者的临床疗效、护理质量评分、护理缺陷发生率、患者满意度、健康知识知晓率、并发症发生率和生活质量评分.结果精细化管理组总有效率、护理质量评分、患者满意度、健康知识知晓率均显著高于常规管理组〔总有效率:97.62%(41/42)比71.43%(30/42),基础护理评分(分):18.85±2.36比16.74±2.47,专科护理评分(分):18.94±1.53比16.36±1.32,安全管理评分(分):18.14±1.20比15.87±1.48,护理记录评分(分):17.85±1.66比15.74±1.47,病情掌握情况评分(分):17.94±1.53比15.36±2.02,危重患者护理评分(分):18.93±2.31比16.52±2.24,患者满意度:97.62%(41/42)比78.57%(33/42),健康知识知晓率:97.62%(41/42)比80.95%(34/42),均P<0.05〕;精细化管理组并发症发生率、护理缺陷发生率均显著低于常规管理组〔并发症发生率:2.38%(1/42)比14.29%(6/42),护理缺陷发生率:0(0/42)比16.67%(7/42),均P<0.05〕.两组护理后健康状况、生理功能、社会功能和情感职能评分均较护理前明显升高,且护理后精细化管理组上述指标水平均明显高于常规管理组〔健康状况评分(分):77.70±7.92比68.41±6.77,生理功能评分(分):78.26±7.69比71.85±6.58,社会功能评分(分):76.95±7.90比68.75±7.26,情感职能评分(分):81.63±8.44比72.47±7.27,均P<0.05〕.结论对行介入手术治疗的AMI患者在护理过程中应用精细化管理,可有效提高护理质量和临床疗效.
Objective To analyze the application effect of meticulous management in the nursing care of patientswith acute myocardial infarction (AMI) treated by emergency intervention surgery, and provide reference for clinicalnursing work. Methods The 84 emergency patients with AMI who were treated by interventional surgery in TianjinNinghe District Hospital from January to November 2019 were selected as the research objects, and they were dividedinto a meticulous management group (42 cases) and a routine management group (42 cases). The meticulous managementgroup and routine management group were given meticulous management and routine management respectively in nursing,and the clinical efficacy, nursing quality score, nursing defect rate, patient satisfaction, health know ledge awareness rate,the incidence of complications and quality of life score of the two groups were observed.Results The total effectiverate of meticulous management group was significantly higher than that of routine management group [97.62% (41/42)vs. 71.43% (30/42), P < 0.05]. The nursing quality score, patient satisfaction, and health knowledge awareness rate inmeticulous management group were significantly higher than those in routine management group [basic nursing score(points): 18.85±2.36 vs. 16.74±2.47, special nursing score (points): 18.94±1.53 vs. 16.36±1.32, safety managementscore (points): 18.14±1.20 vs. 15.87±1.48, nursing records score (points): 17.85±1.66 vs. 15.74±1.47, conditionmastery score (points): 17.94± 1.53 vs. 15.36±2.02, critical care score (points): 18.93±2.31 vs. 16.52±2.24, patientssatisfaction: 97.62% (41/42) vs. 78.57% (33/42), health knowledge awareness rate: 97.62% (41/42) vs. 80.95% (34/42),all P<0.05]. The incidence of complications and nursing defects rate in meticulous management group were significantlylower than those in routine management group [incidence of complications: 2.38% (1/42) vs. 14.29% (6/42), nursingdefects rate: 0 (0/42) vs.16.67% (7/42), both P < 0.05] The scores of health status, physiological function, social functionand emotional function of two groups after nursing were significantly higher than those before nursing, and the levels of theabove indicators in meticulous management group were significantly higher than those in routine management group [healthstatus score (points): 77.70±7.92 vs. 68.41±6.77, physiological function score (points): 78.26±7.69 vs. 71.85±6.58,social function score (points): 76.95±7.90 vs. 68.75±7.26;emotional function score (points): 81.63±8.44 vs.72.47±7.27,allP < 0.05]. Conclusion The application of meticulous management in nursing process of AMI patientstreated by emergency intervention can effectively improve the quality of nursing and the clinical effect of treatment.
作者
贾少英
Jia Shaoying(Department of Radiology(Interventional Catheter Room).Tianjin Ninghe District Hospital,Tianjin 301500.China)
出处
《中国中西医结合急救杂志》
CAS
CSCD
北大核心
2020年第6期701-704,共4页
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
关键词
精细化管理
急性心肌梗死
介入手术
护理
Meticulous management
Acute myocardial infarction
Interventional surgery
Nursing