基于GRACE评分系统的分层护理模式在急性心肌梗死患者术后的应用效果

Effect of hierarchical nursing model based on GRACE scoring system on postoperative complications and negative emotions in patients with acute myocardial infarction

目的探讨基于全球急性冠状动脉事件注册(GRACE)评分系统的分层护理模式在急性心肌梗死(AMI)患者术后的应用效果。方法选取2019年6月至2021年3月南昌大学第一附属医院收治的127例接受经皮冠状动脉介入术(PCI)治疗的AMI患者作为研究对象,采用随机数字表法将其分为对照组(64例)与研究组(63例)。对照组患者PCI术后采用常规护理,研究组患者PCI术后采用基于GRACE评分系统的分层护理,两组患者均护理2周。比较两组患者的术后并发症发生情况、负面情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分]、护理满意度。结果研究组患者的并发症总发生率低于对照组,差异有统计学意义(P<0.05)。两组患者护理后的HAMA、HAMD评分均低于护理前,且研究组患者的HAMA、HAMD评分低于对照组,差异有统计学意义(P<0.05)。研究组患者的护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论AMI患者术后采用基于GRACE评分系统的分层护理模式可减少并发症发生,减轻患者负面情绪,提高护理满意度。

Objective To observe the effect of hierarchical nursing model based on global registry of acute coronary events(GRACE)scoring system on postoperative complications and negative emotions in patients with acute myocardial infarction(AMI).Methods A total of 127 patients with AMI who received percutaneous coronary intervention(PCI)in the First Affiliated Hospital of Nanchang University from June 2019 to March 2021 were selected as research objects and divided into control group(64 cases)and study group(63 cases)according to random number table method.The control group received routine nursing after PCI,and the study group received stratified nursing based on GRACE scoring system after PCI,and they were all nursed until discharge.The incidence of postoperative complications,negative emotions(Hamilton anxiety scale[HAMA],Hamilton depression scale[HAMD]score)and nursing satisfaction were compared between the two groups.Results The total incidence of complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).The HAMA and HAMD scores in the two groups after nursing were lower than those before nursing,and HAMA and HAMD scores in study group were lower than those in control group,the differences were statistically significant(P<0.05).The total nursing satisfaction of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The hierarchical nursing model based on GRACE scoring system can reduce complications,relieve patients′negative emotions and improve nursing satisfaction.