分析针对性护理干预在急性心肌梗死并发左心衰竭患者无创呼吸机治疗中的临床应用价值

Clinical Application Value of Targeted Nursing Intervention in Non-invasive Ventilator Treatment of Patients with Acute Myocardial Infarction Complicated with Left Heart Failure

目的:探讨针对性护理干预在急性心肌梗死并发左心衰竭患者无创呼吸机治疗中的应用效果。方法:选择2019年7月-2020年7月郑州市第七人民医院收治的86例急性心肌梗死并发左心衰竭患者作为研究对象,按随机数表法分为两组,每组各43例。对照组实施常规护理,观察组实施针对性护理干预。对比分析两组患者不良情绪、心功能指标及不良心血管事件发生情况。结果:干预前,两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分及左室收缩末期内径(LVESD)、左室射血分数(LVEF)、左心室舒张末期内径(LVEDD)比较,差异无统计学意义(t=0.286、1.000、1.851、0.979、0.889,P>0.05);干预后,观察组SAS评分、SDS评分低于对照组,LVESD、LVEDD低于对照组,LVEF高于对照组,差异有统计学意义(t=5.462、6.613、4.872、7.480、4.351,P<0.05);观察组不良心血管事件发生率显著低于对照组,差异有统计学意义(χ^(2)=7.242,P<0.05)。结论:针对性护理干预能够改善急性心肌梗死并发左心衰竭患者无创呼吸机治疗后心功能,减轻其不良情绪,降低不良心血管事件发生风险,促进患者康复。

Objective:To explore the effect of targeted nursing intervention in noninvasive ventilator treatment of patients with acute myocardial infarction complicated with left heart failure.Methods:A total of 86 patients with acute myocardial infarction complicated with left heart failure who were admitted to the hospital from July 2019 to July 2020 were selected as the research subjects,and divided into two groups according to the random number table method,with 43 cases in each group.The control group received routine nursing and the observation group received targeted nursing intervention.The adverse emotions,cardiac function indicators and adverse cardiovascular events were compared between the two groups.Results:Before intervention,there was no statistically significant difference between the two groups of patients in the self-rating anxiety scale(SAS),self-rating depression scale(SDS)scores,left ventricular end-systolic diameter(LVESD),left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD)(t=0.286,1.000,1.851,0.979,0.889,P>0.05).After intervention,the SAS score and SDS score of the observation group were lower than those of the control group,LVESD and LVEDD were lower than those of the control group,and LVEF was higher than that of the control group,the differences were statistically significant(t=5.462,6.613,4.872,7.480,4.351,P<0.05).The incidence of adverse cardiovascular events in the observation group was significantly lower than that in the control group,and the difference was statistically significant(χ^(2)=7.242,P<0.05).Conclusion:Targeted nursing intervention can improve the cardiac function of patients with acute myocardial infarction complicated by left heart failure after non-invasive ventilator treatment,reduce their negative emotions,reduce the risk of adverse cardiovascular events,and promote the recovery of patients.