护理风险管理在主动脉内球囊反搏治疗急性心肌梗死合并心源性休克患者中的应用效果

Application effect of nursing risk management in patients with acute myocardial infarction complicated with cardiogenic shock treated by intra-aortic balloon pumping

目的探讨护理风险管理在主动脉内球囊反搏治疗急性心肌梗死合并心源性休克患者中的应用效果。方法回顾性分析2016年1月至2019年1月我院收治的78例急性心肌梗死合并心源性休克患者的临床资料,采用随机数字表法将患者分为对照组和研究组,各39例。两组患者均进行主动脉内球囊反搏治疗,对照组给予常规护理干预,研究组在对照组的基础上给予护理风险管理。比较两组的临床疗效、临床指标、并发症发生情况及护理满意度。结果研究组的治疗总有效率显著高于对照组(P<0.05)。干预后,两组的心率、MMP-9、MDA水平均降低,SOD水平均升高,且研究组显著优于对照组(P<0.05)。研究组的并发症总发生率显著低于对照组(P<0.05)。研究组的护理满意度显著高于对照组(P<0.05)。结论护理风险管理应用于主动脉内球囊反搏治疗急性心肌梗死合并心源性休克患者的护理中,可有效提高临床效果,降低并发症总发生率,提高护理满意度,值得临床推广应用。

Objective To explore the application effect of nursing risk management in patients with acute myocardial infarction complicated with cardiogenic shock treated by intra-aortic balloon pumping.Methods The clinical data of 78 patients with acute myocardial infarction complicated with cardiogenic shock admitted in our hospital from January 2016 to January 2019 were retrospectively analyzed.The patients were divided into control group and study group according to the random number table method,with 39 cases in each group.Both groups were treated with intra-aortic balloon pumping,the control group was given routine nursing intervention,and the study group was given nursing risk management on the basis of the control group.The clinical efficacy,clinical indicators,complications and nursing satisfaction of the two groups were compared.Results The total effective rate of treatment in the study group was significantly higher than that in the control group(P<0.05).After intervention,the heart rate,MMP-9,MDA levels in the two groups decreased,while SOD level increased,and those in the study group were significantly better than the control group(P<0.05).The total incidence of complications in the study group was significantly lower than that in the control group(P<0.05).The nursing satisfaction in the study group was significantly higher than that in the control group(P<0.05).Conclusion The nursing risk management applied in patients with acute myocardial infarction complicated with cardiogenic shock treated by intra-aortic balloon pumping can effectively improve the clinical effect,reduce the total incidence of complications,and improve nursing satisfaction,which is worthy of clinical promotion and application.