协同护理对急性心肌梗死患者心功能及自我护理能力的影响

Effect of Collaborative Nursing on Cardiac Function and Self-care Ability of Patients with Acute Myocardial Infarction

目的研究协同护理模式对急性心肌梗死患者心功能、自我护理能力的影响。方法选取2019年10月-2020年10月在我院诊治的54例急性心肌梗死患者为研究对象,采用随机数字表法分为对照组和观察组,各27例。对照组实施常规护理,观察组给予协同护理干预,比较两组患者心功能指标、自我护理能力评分、心绞痛发作频率、不良心血管事件发生率以及护理满意度。结果观察组干预后LVEF、LVESD均高于对照组,NT-pro BNP均低于对照组,差异有统计学意义(P<0.05);观察组干预后自我概念、自我责任感、健康知识水平、自我护理技能各自我护理能力维度评分均高于对照组,差异有统计学意义(P<0.05);观察组心绞痛发作次数、心绞痛持续时间均短于对照组,差异有统计学意义(P<0.05);观察组不良心血管事件发生率为3.70%,低于对照组的14.81%,差异有统计学意义(P<0.05);观察组护理满意度为96.30%,高于对照组的81.48%,差异有统计学意义(P<0.05)。结论协同护理可促进急性心肌梗死患者心功能恢复,提高自我护理能力,降低心血管不良事件,减轻心绞痛发作,提高护理满意度,具有显著的应用有效性和可行性。

Objective To study the effect of collaborative nursing mode on cardiac function and self-care ability in patients with acute myocardial infarction.Methods A total of 54 patients with acute myocardial infarction who were treated in our hospital from October 2019 to October 2020 were selected as the research objects.They were divided into control group and observation group by random number table method,with 27 cases in each group.The control group was given routine nursing,and the observation group was given collaborative nursing intervention.The cardiac function index,self-care ability score,angina attack frequency,incidence of adverse cardiovascular events and nursing satisfaction were compared between the two groups.Results After intervention,LVEF and LVESD in the observation group were higher than those in the control group,and NT-pro BNP was lower than that in the control group,the difference was statistically significant(P<0.05).The scores of self-concept,self-responsibility,health knowledge level and self-care skills in the observation group after intervention were higher than those in the control group,and the differences were statistically significant(P<0.05).The frequency and duration of angina pectoris in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse cardiovascular events in the observation group was 3.70%,which was lower than 14.81%in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was 96.30%,which was higher than 81.48%of the control group,and the difference was statistically significant(P<0.05).Conclusion Collaborative nursing can promote the recovery of cardiac function in patients with acute myocardial infarction,improve self-care ability,reduce cardiovascular adverse events,reduce angina attack and improve nursing satisfaction,which has obvious application effectiveness and feasibility.