精准护理对急性心肌梗死患者血流再灌及预后的影响

The Effect of Precision Nursing on Blood Flow Reperfusion and Prognosis in Patients With Acute Myocardial Infarction

目的探讨急性心肌梗死患者护理中采用精准护理对其血流再灌和预后的影响。方法选取2018年6月-2019年8月在医院住院治疗的急性心肌梗死患者60例,按照入院顺序随机分为观察组和对照组各30例,对照组选择的是常规护理法,观察组选择的是常规护理联合精准护理模式。比较两组护理前后的Barthel指数、心功能分级、心脏受损程度、心脏不良事件(major adverse cardiovascular events,MACE)的发生率。结果观察组的Killip分级中Ⅰ级+Ⅱ级与对照组的相比较,观察组较优,差异有统计学意义(P<0.05);两组护理后MACE相比较,差异有统计学意义(P<0.05);护理前,两组Barthel指数相较,差异无统计学意义(P>0.05);护理后,两组比较差异有统计学意义(P<0.05);观察组心脏功能的受损程度Ⅰ级+Ⅱ级显著低于对照组,差异有统计学意义(P<0.05)。结论对急性心肌梗死患者的护理中应用精准护理,能够逐步增强患者的心功能,并改善其日常生活质量,降低心脏不良事件的几率,效果显著,值得临床借鉴。

Objective To explore the effect of precision nursing on the reperfusion and prognosis of patients with acute myocardial infarction.Methods A total of 60 patients with acute myocardial infarction who were hospitalized in our hospital from June 2018 to August 2019 were selected and randomly divided into the observation group and the control group according to the order of admission,30 cases in each group.The control group was given routine care,and the observation group was given precision care on the basis of routine care.The Barthel index,cardiac function classification,the degree of cardiac damage,and the incidence of major adverse cardiovascular events(MACE)were compared between the two groups before and after nursing.Results In the Killip classification of the observation group,the comparison of level Ⅰ+level Ⅱ of the control group was better in the observation group,and the difference was statistically significant(P<0.05);the comparison of MACE between the two groups after nursing,the difference was statistically significant(P<0.05).Before nursing,there was no statistically significant difference in Barthel index between the two groups(P>0.05).After nursing,the difference between the two groups was statistically significant(P<0.05).The level Ⅰ+level Ⅱ of impairment of cardiac function in the observation group was significantly lower than the control group,the difference was statistically significant(P<0.05).Conclusion The application of precision nursing in the nursing of patients with acute myocardial infarction can improve the patient’s cardiac function,improve their quality of daily living,and reduce the probability of adverse cardiac events.The effect is significant and it is worthy of clinical reference.