优化型术前访视体系对接受经皮冠状动脉介入术的老年冠心病患者的应用效果

Effect of Optimized Preoperative Visit System on Elderly Patients with Coronary Heart Disease Undergoing Percutaneous Coronary Intervention

目的探讨优化型术前访视体系在接受经皮冠状动脉介入术(PCI)老年冠心病患者中的应用效果。方法选取2020年1月至2021年1月郑州大学第一附属医院收治的91例老年冠心病患者作为研究对象,依据护理方案分为对照组(45例)与优化组(46例)。对照组接受常规术前护理,优化组接受优化型术前访视体系。比较两组患者干预前及进手术室时心血管应激反应[心率(HR)、收缩压(SBP)、舒张压(DBP)、平均动脉压(MAP)]、焦虑情绪[广泛焦虑性量表(GAD-7)]及护理工作满意度。结果干预前,两组HR、SBP、DBP及MAP水平比较,差异无统计学意义(P>0.05);进手术室时,两组HR、SBP、DBP、MAP水平升高,但优化组低于对照组,差异有统计学意义(P<0.05)。干预前,两组GAD-7评分比较,差异无统计学意义(P>0.05);进手术室时,优化组GAD-7评分低于对照组,差异有统计学意义(P<0.05)。优化组护理工作满意度为93.48%(43/46),高于对照组的73.33%(33/45),差异有统计学意义(P<0.05)。结论优化型术前访视体系可改善接受PCI治疗的老年冠心病患者的心血管应激反应,缓解其焦虑情绪,提升患者护理工作满意度。

Objective To explore the application effect of an optimized preoperative visit system in elderly patients with coronary heart disease undergoing percutaneous coronary intervention(PCI).Methods A retrospective collection of 91 elderly patients with coronary heart disease in the First Affiliated Hospital of Zhengzhou University from January 2020 to January 2021.The patients were divided into control group(45 cases)and optimization group(46 cases)according to the nursing plan.The control group received routine preoperative care,and the optimized group received an optimized preoperative visit system.Cardiovascular stress response[heart rate(HR),systolic blood pressure(SBP),diastolic blood pressure(DBP),mean arterial pressure(MAP)],anxiety[generalized anxiety disorder(GAD-7)]before and after intervention and nursing job satisfaction were compared between the two groups.Results Before the intervention,there was no difference in the levels of HR,SBP,DBP and MAP between the two groups(P>0.05).After the intervention,the levels of HR,SBP,DBP and MAP in the two groups were increased,but the optimization group were lower than those of the control group(P<0.05).Before the intervention,there was no difference in GAD-7 scores between the two groups(P>0.05).GAD-7 scores of the optimization group was lower than that of the control group after intervention(P<0.05).The nursing satisfaction of the optimized group[93.48%(43/46)]was higher than that of the control group[(73.33%)(33/45)](P<0.05).Conclusion The optimized preoperative visit system can improve the cardiovascular stress response of elderly patients with coronary heart disease undergoing PCI treatment,relieve their anxiety,and improve patient satisfaction with nursing work.