老年冠心病合并房颤患者行PCI术后的护理对策及效果分析

Nursing Strategy and Effect Analysis of Elderly Patients with Coronary Heart Disease and Atrial Fibrillation Undergoing PCI

目的讨论老年冠心病合并房颤患者行PCI术后的护理对策及效果分析。方法随机选取2019年8月—2020年8月期间在该院实施经皮冠状动脉介入术(PCI)的老年冠心病合并房颤患者96例符合条件的作为该次研究对象,随机分为两组,研究组和对照组,每组48例。对照组患者在PCI术后行常规护理,研究组则在PCI术后行精细化护理,对两组患者的负面情绪、护理满意度以及并发症发生率进行对比和分析。结果干预前,两组患者的SAS和SDS评分相比,差异无统计学意义(t=0.950、0.994,P>0.05);干预后,研究组SAS评分为(33.62±5.84)分,SDS评分为(35.63±5.84)分低于对照组(42.47±5.62)分和(41.62±6.47)分,差异有统计学意义(t=7.565、4.761,P<0.05);研究组患者从护理技能、护理态度以及舒适度方面的护理满意度评分均高于对照组,差异有统计学意义(t=2.341、5.454、13.621,P<0.05)。结论老年冠心病合并房颤患者行PCI术后可采取精细化护理措施,不仅可以有效降低并发症发生率,还可以缓解患者的负面情绪,提升护理满意度,值得临床应用和推广。

Objective To discuss the nursing strategy and effect analysis of elderly patients with coronary heart disease and atrial fibrillation after PCI.Methods Now 96 eligible elderly patients with coronary heart disease and atrial fibrillation who underwent percutaneous coronary intervention(PCI)in the hospital from August 2019 to August 2020 were randomly selected as the subjects of this study,and they were randomly divided into two groups,study group and control group,48 cases in each group.Patients in the control group received routine care after PCI,and the study group received refined care after PCI.The negative emotions,nursing satisfaction,and complication rates of the two groups of patients were compared and analyzed.Results Before the intervention,there were no statistically significant difference in SAS and SDS scores between the two groups(t=0.950,0.994,P>0.05);after the intervention,the SAS score and SDS score of the study group were(33.62±5.84)points and(35.63±5.84)points,which were significantly lower than those of the control group(42.47±5.62)points and(41.62±6.47)points,the difference was statistically significant(t=7.565,4.761,P<0.05);the scores of nursing satisfaction in nursing skills,nursing attitude and comfort in the study group were significantly higher than those in the control group,the difference was statistically significant(t=2.341,5.454,13.621,P<0.05).Conclusion Elderly patients with coronary heart disease and atrial fibrillation can take sophisticated nursing measures after PCI,which can not only effectively reduce the incidence of complications,but also relieve patients'negative emotions and improve nursing satisfaction.It is worthy of clinical application and promotion.