急性心梗并心律失常患者开展预见性护理的临床价值分析

Analysis of Clinical Value of Predictive Nursing for Patients with Acute Myocardial Infarction and Arrhythmia

目的研究急性心梗并心律失常患者临床护理中开展预见性护理的临床价值。方法便利选择该院2019年7月—2021年6月收治的急性心梗并心律失常患者82例,随机分成研究组与对照组,各41例。对照组采用常规护理,研究组在对照组基础上进行预见性护理,对比两组对护理服务的满意度,护理前后两组的情感功能、躯体功能、角色功能、社会功能等生活质量情况以及并发症发生情况。结果研究组护理满意度为95.12%,高于对照组的80.49%,差异有统计学意义(χ^(2)=4.100,P<0.05);护理前,两组患者的情感功能、躯体功能、角色功能、社会功能等生活质量情况差异无统计学意义(P>0.05),护理后,研究组情感功能(78.49±6.84)分、躯体功能(73.53±5.28)分、角色功能(75.19±9.31)分、社会功能(80.28±7.42)分均优于对照组,差异有统计学意义(t=2.896、2.249、2.084、2.036,P<0.05);研究组并发症率为2.44%,低于对照组的19.51%,差异有统计学意义(χ^(2)=4.493,P<0.05)。结论采用预见性护理对急性心梗并心律失常的患者进行干预,患者的治疗效果明显得以提高,同时生活质量也改善明显,并发症发生情况明显降低,患者满意度较高。

Objective To study the clinical value of predictive nursing in the clinical nursing of patients with acute myocardial infarction and arrhythmia.Methods A total of 82 patients with acute myocardial infarction and arrhythmia admitted in the hospital from July 2019 to June 2021 were conveniently selected and randomly divided into a study group and a control group,with 41 cases in each group.The control group adopts conventional nursing,and the study group carried out predictive nursing based on the control group.The satisfaction of the two groups with nursing service,and the quality of life of the two groups before and after nursing,such as emotional function,physical function,role function,social function,and concurrency symptoms was compared.Results The nursing satisfaction in the study group was 95.12%,which was significantly higher than 80.49%in the control group,the difference was statistically significant(χ^(2)=4.100,P<0.05);before nursing,there was no statistically significant difference in the emotional function,physical function,role function,social function and other quality of life between the two groups(P>0.05).After nursing,the study group had scores of emotional function(78.49±6.84)points,physical function(73.53±5.28)points,role function(75.19±9.31)points,and social function(80.28±7.42)points,which were better than the control group,the difference was statistically significant(t=2.896,2.249,2.084,2.036,P<0.05);the incidence of complications in the study group was 2.44%,which was lower than 19.51% in the control group,and the difference between the groups was statistically significant(χ^(2)=4.493,P<0.05).Conclusion Using predictive nursing to intervene patients with acute myocardial infarction and arrhythmia,the treatment effect of the patients has been significantly improved,and the quality of life has also been significantly improved,the incidence of complications has been significantly reduced,and the patient satisfaction has been high.