护理干预在预防冠状动脉介入治疗血管并发症中的效果研究

Effect of Nursing Intervention in Prevention of Vascular Complications af⁃ter Coronary Intervention

目的分析护理干预在预防冠状动脉介入治疗血管并发症中的效果。方法方便选择2018年2月—2021年2月于广东省江门市人民医院接受冠状动脉介入术的冠心患者360例为研究对象,结合患者干预方法差异性分成对照组、观察组,各180例。对照组术后接受常规化护理,观察组在此基础上接受针对性护理。对比两组护理效果。结果两组干预前HAMA评分和HAMD评分对比,差异无统计学意义(P>0.05);干预后,和对照组相比,观察组HAMA评分和HAMD评分明显更低,差异有统计学意义(t=80.052、82.390,P<0.05)。两组干预前VAS评分对比,差异无统计学意义(P>0.05);干预后观察组VAS评分比对照组低,差异有统计学意义(P<0.05)。和对照组相比,观察组护理满意率更高,差异有统计学意义(P<0.05)。干预后观察组睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能及PSQI总分比对照组高,差异有统计学意义(P<0.05)。对照组血管并发症发生率为20.00%,高于观察组的2.78%,差异有统计学意义(χ^(2)=26.452,P<0.05)。结论针对需要接受冠状动脉介入治疗的冠心患者者而言,实施针对性护理干预能够改善其内心不良情绪,减少术后疼痛感以及血管并发症发生概率,提升患者睡眠质量以及患者护理满意率。

Objective To analyze the effect of nursing intervention in the prevention of vascular complications after coronary intervention.Methods A total of 360 patients with coronary heart disease who received coronary intervention in Jiangmen People's Hospital of Guangdong Province from February 2018 to February 2021 were conveniently se⁃lected as the study objects.Divided into a control group and an observation group based on the differences in interven⁃tion methods among the patients,with 180 cases in each group.The control group received routine nursing after opera⁃tion.The observation group received targeted nursing on this basis.Compared the nursing effects of two groups.Re⁃sults There was no statistically significant difference in HAMA scores and HAMD scores between the two groups before intervention(P>0.05);after intervention,HAMA scores and HAMD scores in the observation group were significantly lower than those in the control group,the difference was statistically significant(t=80.052,82.390,P<0.05).There was no statistically significant difference in VAS scores between the two groups before intervention(P>0.05);after inter⁃vention,VAS score of observation group was lower than control group,and the difference was statistically significant(P<0.05).Compared with the control group,the nursing satisfaction rate of the observation group was higher,the differ⁃ence was statistically significant(P<0.05).After intervention,the sleep quality,sleeping time,sleeping time,sleep effi⁃ciency,sleep disorders,daytime function and PSQI total score in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of vascular complications in the control group was 20.00%,higher than the 2.78%in the observation group and the difference was statistically sig⁃nificant(χ^(2)=26.452,P<0.05).Conclusion For patients with coronary heart disease who require coronary intervention treatment,implementing targeted nursing interventions can improve their inner negative emotions,reduce postopera⁃tive pain and the probability of vascular complications,and improve their sleep quality and nursing satisfaction rate.