预见性护理在TAVI患者围手术期护理中的应用效果

Application Effect of Predictive Nursing in Perioperative Nursing of TAVI Patients

目的:观察预见性护理在经导管主动脉瓣置换术(TAVI)患者围术期护理中的应用效果。方法:选取2019年4月-2020年6月在笔者所在科室行TAVI治疗的70例主动脉瓣重度狭窄患者作为研究对象,按入院时间分为对照组(n=35)和观察组(n=35)。对照组予常规性护理,观察组在常规性护理基础上加预见性护理,对比两组护理效果。结果:术后两组MMSE评分对比差异无统计学意义(P>0.05);术后观察组RASS评分优于对照组,差异有统计学意义(P<0.05)。观察组术后疾病认知度、配合度均高于对照组,并发症发生率低于对照组,差异均有统计学意义(P<0.05)。观察组护理总满意度为97.14%,高于对照组的74.29%,差异有统计学意义(P<0.05)。结论:在TAVI患者围手术期护理中应用预见性护理能提升患者护理满意度、认知度、配合度,降低并发症发生率,改善患者不良情绪,值得临床推广应用。

Objective:To observe the application effect of predictive nursing in perioperative nursing of patients undergoing transcatheter aortic valve implantation(TAVI).Method:A total of 70 patients with severe aortic stenosis who received TAVI treatment in the author’s department from April 2019 to June 2020 were selected as the research subjects and were divided into control group(n=35)and observation group(n=35)according to the admission time,with 35 patients in each group.The control group was given routine nursing,and the observation group added predictive nursing on the basis of routine nursing,and the nursing effect of the two groups was compared.Result:There was no significant difference in postoperative MMSE scores between the two groups(P>0.05).The postoperative RASS score in the observation group was better than that in the control group,the difference was statistically significant(P<0.05).The postoperative disease awareness and cooperation degree of the observation group were higher than those of the control group,and the incidence of complications was lower than that of the control group,the differences were statistically significant(P<0.05).The total nursing satisfaction in the observation group was 97.14%,which was higher than 74.29%in the control group,the difference was statistically significant(P<0.05).Conclusion:The application of predictive nursing in the perioperative nursing of TAVI patients can improve patients’nursing satisfaction,awareness and cooperation,reduce the incidence of complications and improve patients’bad mood,which is worthy of clinical promotion and application.