预见性护理在冠心病介入患者围术期中的应用

Application of predictive nursing care in perioperative treatment of patients with coronary heart disease after interventional therapy

目的探讨预见性护理在冠心病介入患者围术期中的应用效果。方法回顾性分析中国人民解放军联勤保障部队第906医院2017年2月—2018年10月期间182例行介入诊疗的冠心病患者的临床资料,随机分为观察组和对照组各91例。对照组给予常规护理,观察组在常规护理的基础上给予预见性护理措施,观察2组术中术后并发症、住院时间及护理满意度。结果观察组患者穿刺口出血及血肿、心律失常、冠状动脉破裂、拔管综合征发生率均低于对照组,差异有统计学意义(P<0.05)。观察组患者住院时间明显短于对照组,护理满意度明显高于对照组,差异均有统计学意义(P<0.05)。结论冠心病介入治疗围术期中采用预见性护理可降低手术并发症,提高护理满意度,促进患者康复,值得临床上推广应用。

Objective To investigate effect evaluation of predictive nursing care in perioperative treatment of patients with coronary heart disease after interventional therapy.Methods The clinical data of 182 patients with coronary heart disease after interventional therapy in our hospital from February 2017 to October 2018 were analyzed retrospectively.They were randomly divided into the study group and the control group,with 91 cases in each group.Patients in the control group received the routine nursing care,while the study group was added with the predictive nursing care.The complications,the length of stay and the satisfaction of nursing care in the two groups were compared.Results The complications including bleeding and hematoma,arrhythmia,coronary artery rupture,and extubation syndrome in the study group were all lower than the control group(P<0.05).The length of stay in the study group was 4.3±1.4 days,while in the control group it was 6.2±1.3 days.There was statistical significance between the two groups(P<0.05).The satisfaction of nursing care in the study group and the control group were 9.63±0.34 and9.31±0.28 separately.The difference between the two groups was of statistical significance(P<0.05).Conclusions Predictive nursing care in perioperative treatment of patients with coronary heart disease after interventional therapy could decrease the incidence of complications,improve nursing satisfaction and accelerate rehabilitation,so it should be worth application.