精细化针对性护理对心肌梗死术后患者的影响

Effect of refined targeted nursing on postoperative patients with myocardial infarction

目的探讨精细化针对性护理干预在心肌梗死术后患者康复中的临床效果。方法根据组间基本特征均衡可比原则将医院2019年7月—2022年3月接收的心肌梗死行手术治疗患者188例分为对照组和观察组,每组94例。对照组实施常规康复护理干预,观察组实施精细化针对性护理干预。于护理干预前、干预后,比较两组患者自我行为管理、交感神经调节、心脏功能及运动耐力等情况。结果护理干预前,两组患者健康行为管理、交感神经调节、心脏功能等情况比较,差异无统计学意义(P>0.05);护理干预后,观察组患者在健康责任、运动锻炼、饮食、心理舒适得分高于对照组,差异有统计学意义(P<0.05)。护理干预后,观察组患者收缩压、心率及左室舒张末期内径(LVEDD)、左室射血分数(LVEF)优于对照组,差异有统计学意义(P<0.05);护理干预后1、2、4周3个时点,两组患者的6MWD均呈增加的趋势,时间之间差异有统计学意义(P时间<0.05);各时点均以观察组高于对照组,差异有统计学意义(P组间<0.05),并且随观察时间延长,组间差异逐渐增大(P交互<0.05)。结论对我院接收的心肌梗死术后患者采取精细化针对性护理干预,在增加患者自我护理管理意识的同时,提高患者交感神经、心脏功能等功能的恢复效果,提高机体运动耐受能力。

Objective To explore the clinical effect of refined targeted nursing intervention in postoperative rehabilitation of patients with myocardial infarction.Methods According to the principle of balanced and comparable basic features between groups,188 patients with myocardial infarction who underwent surgical treatment from July 2019 to March 2022 were divided into control group and observation group,with 94 cases in each group.The control group received routine rehabilitation nursing intervention,and the observation group received fine targeted nursing intervention.Before and after nursing intervention,self-behavior management,sympathetic regulation,cardiac function and exercise endurance were compared between the two groups.Results Before nursing intervention,there was no statistical significance in health behavior management,sympathetic regulation and cardiac function between the two groups(P>0.05).After nursing intervention,observation group patients in health responsibility,exercise,diet,psychological comfort scores were higher than control group,the difference was statistically significant(P<0.05).After nursing intervention,systolic blood pressure,heart rate,left ventricular end-diastolic diameter(LVEDD)and left ventricular ejection fraction(LVEF)in observation group were better than the control group,and the differences were statistically significant(P<0.05).At 3 time points at 1,2 and 4 weeks after nursing intervention,6MWD in 2 groups showed an increasing trend,and the difference between the time was statistically significant(P<0.05).At all time points,the observation group was higher than the control group,the difference was statistically significant(P<0.05),and with the extension of observation time,the difference between groups gradually increased(P<0.05).Conclusion The refined targeted nursing intervention for the patients received after myocardial infarction in our hospital can improve the recovery effect of sympathetic nerve,heart function and other functions and improve the body's exercise tolerance while increasing the self-care management consciousness of patients.