高龄急性心肌梗死合并左心衰竭的护理

Nursing Points of Elderly Patients With Acute Myocardial Infarction and Left Heart Failure

目的总结高龄急性心肌梗死合并左心衰(简称急性心梗并左心衰)患者的临床护理干预措施与干预效果,为高龄患者临床护理工作提供参考。方法选择我院2018年8月—2020年1月收治的高龄急性心梗并左心衰患者(n=80),采取随机数字表法进行对照组与研究组分组,两组各40例。对照组采取常规护理,研究组配合实施个性化护理干预。比较两组高龄患者的护理效果,包括护理效果与遵医行为情况。结果组间护理总有效率以及饮食、用药、情绪稳定等方面的遵医行为占比率比较,研究组均高于对照组,P <0.05。结论予以急性心梗并左心衰患者有效的护理干预可以进一步提高患者的遵医行为,从而提高护理效果与患者安全性,满足了高龄患者的护理需求。

Objective To summarize the clinical nursing intervention measures and effects of the elderly patients with acute myocardial infarction and left heart failure, and to provide reference for the clinical nursing work of the elderly patients. Methods The elderly patients with acute myocardial infarction and left heart failure(n=80) admitted in our hospital from August 2018 to January 2020 were randomly divided into control group and study group, 40 cases in each group. The control group was given routine nursing and the study group was given individualized nursing intervention. The nursing effect of the two groups was compared, including nursing effect and compliance behavior. Results The total effective rate of nursing and the proportion of compliance behaviors in diet, medication and emotional stability were significantly higher in the study group than in the control group(P < 0.05). Conclusion Effective nursing intervention for patients with acute myocardial infarction and left heart failure can further improve the compliance behavior of patients, so as to improve the nursing effect and safety of patients, and meet the nursing needs of elderly patients.