基于GRACE评分的分级护理在非ST段抬高型急性冠脉综合征患者中的临床效果

The Effect of GRACE Score-based Graded Nursing Care Management in Nursing Patients with Acute CoronarySyndrome and Non-ST-segment Elevation

目的:分析基于GRACE评分的分级护理在非ST段抬高型急性冠脉综合征(NSTE-ACS)患者中的临床应用效果。方法:选取2020年1月—2022年12月沈阳市康平县人民医院收治的NSTE-ACS患者112例为研究对象,根据便利抽样法随机分为对照组和观察组,各56例。对照组采用常规护理干预,观察组采用基于GRACE评分的分级护理。比较两组的主要不良心血管事件(MACE)发生情况、护理依从性。结果:观察组MACE总发生率低于对照组,差异有统计学意义(P=0.002);观察组护理总依从性高于对照组,差异有统计学意义(P=0.009)。结论:基于GRACE评分的分级护理在NSTE-ACS患者中的临床应用效果显著,可以降低患者MACE发生率,提高护理依从性。

Objective:To analyze the nursing effect of GRACE score-based graded nursing care in patients with non-ST-segment elevation acute coronary syndrome(NSTE-ACS).Methods:112 patients with NSTE-ACS admitted to Kangping County People's Hospital in Shenyang City from January 2020 to December 2022 were selected as the study subjects,and were randomly divided into a control group and an observation group of 56 cases each according to the convenience sampling method.The control group used conventional nursing intervention,and the observation group used graded nursing based on GRACE score.The occurrence of major adverse cardiovascular events(MACE)and nursing compliance were compared between the two groups.Results:The total in⁃cidence of MACE in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.002);the total nursing adherence in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.009).Conclusion:The application of graded nursing care based on GRACE score in patients with NSTE-ACS is effective,which can reduce the incidence of MACE and improve nursing care compliance.