预见性护理干预在冠状动脉性心脏病心绞痛患者中的应用价值

Application value of predictive nursing intervention in patients with angina pectoris of coronary heart disease

目的观察实施预见性护理对冠状动脉性心脏病心绞痛患者产生的积极影响。方法选取福建省南平市第一医院2018年4月-2019年6月收治的冠状动脉性心脏病心绞痛患者75例,随机分为观察组(37例)和对照组(38例)。对照组患者采用常规护理干预,观察组患者采用预见性护理干预。比较两组的症状控制时间、病情好转时间、住院时间和护理满意度,检测两组心绞痛程度和心功能分级,并统计不良事件。结果干预前,两组间心绞痛程度比较差异无统计学意义(P>0.05);干预后,观察组心绞痛程度较对照组显著改善(P<0.05)。干预前,两组间心功能分级比较差异无统计学意义(P>0.05);干预后,观察组心功能分级显著优于对照组(P<0.05)。观察组的症状控制时间、病情好转耗时和住院时长均显著短于对照组(P值均<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。观察组不良事件发生率低于对照组,差异有统计学意义(P<0.05)。结论护理冠状动脉性心脏病心绞痛患者时,实施预见性的护理干预应用成效较高,可提升症状改善效率,促使病情好转,使患者尽早出院。

Objective To observe the positive effect of the implementation of predictive nursing on patients with angina pectoris of coronary heart disease.Methods 75 patients with angina pectoris of coronary heart disease were selected in The First Hospital of Nanping City from April 2018 to June 2019,and they were randomly divided into an observation group(37 cases)and a control group(38 cases).The control group was given routine nursing intervention,and the observation group was given predictive nursing intervention.‘The symptom control time,improvement time,length of hospital stay and nursing satisfaction of the two groups were compared.The degree of angina pectoris and heart failure classification of the two groups were tested,and the adverse events were recorded.Results There was no significant difference in the degree of angina between the two groups before the intervention(P>0.05).After the intervention,the degree of angina in the observation group was significantly improved compared with the control group(P<0.05).Before the intervention,there was no statistically significant difference in the heart failure classification between the two groups(P>0.05).After the intervention,the classes of heart failure of the observation group was significantly better than that of the control group(P<0.05).The symptom control time,improvement time and length of hospital stay of the observation group were significantly shorter than those of the control group(all P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of adverse events in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion When providing nursing care to patients with angina pectoris of coronary heart disease,the application of predictive nursing intervention has a positive effect,which can increase the efficiency of symptom improvement,improve the patients'condition,and allow the patient to be discharged as soon as possible.