预见性护理在急性心梗护理中的效果及减少并发症发生的影响探讨

The Effect of Predictive Nursing in Acute Myocardial infarction Nursing and the Effect of Reducing Complications

目的 探讨预见性护理在急性心肌梗死中的护理效果以及对并发症的应用价值。方法 方便选择2019年5月—2020年8月于该院就诊的急性心肌梗死患者96例,根据就诊的先后顺序将其分为观察组(n=48)、对照组(n=48),对照组采用常规护理,观察组在对照组基础上行预见性护理。对比两组护理效果以及对并发症的应用价值。结果 护理后,观察组护理满意度评分高,心理状态评分低,生活质量评分高于对照组,差异有统计学意义(P<0.05);护理后,观察组心律失常发生率为16.67%(8/48)、心源性休克发生率为2.08%(1/48)、心力衰竭发生率为18.75%(9/48)、下肢静脉血栓发生率为0.00%(0/48),消化道出血为2.08%(1/48),对照组心律失常发生率为20.83%(10/48)、心源性休克的发生率为4.17%(2/48)、心力衰竭的发生率为22.92%(11/48)、下肢静脉血栓发生率为0.00%(0/48),消化道出血为4.17%(2/48),两组并发症发生率对比,差异无统计学意义(P>0.05)。结论 对急性心肌梗死患者采用预见性护理方案,对巩固护理效果具有积极意义,同时能够降低并发症发生风险,满意度较高。

Objective To explore the nursing effect of predictive nursing in acute myocardial infarction and the application value of complications.Methods 96 patients with acute myocardial infarction who were treated in the hospital from May 2019 to August 2020 were conveniently selected.They were divided into observation group(n=48)and control group(n=48)according to the order of visits,control group was given routine nursing,observation group was given predictive nursing method based on the control group.The nursing effect and application value of complications were compared between the two groups.Results After nursing,the nursing satisfaction score in the observation group was higher,the psychological state score in the observation group was lower,and the quality of life scores in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After nursing,the incidence of arrhythmia in the observation group was 16.67%(8/48),the incidence of cardiogenic shock was 2.08%(1/48),the incidence of heart failure was 18.75%(9/48),the incidence of lower extremity venous thrombosis was 0.00%(0/48),and the incidence of gastrointestinal bleeding was 2.08%(1/48).The incidence of arrhythmia in the control group was 20.83%(10/48),the incidence of cardiogenic shock was 4.17%(2/48),and the incidence of heart failure was 22.92%(11/48).48),the incidence of lower extremity venous thrombosis was 0.00%(0/48),and the gastrointestinal bleeding was 4.17%(2/48).There was no statistically significant difference in the incidence rate of complications between the two groups(P>0.05).Conclusion The use of predictive nursing program for patients with acute myocardial infarction has a positive significance in consolidating nursing effect,and can reduce the risk of complications,with high satisfaction.