基于风险预测模式的行为管理在急性心肌梗死伴呼吸衰竭中的应用效果

Application effect of behavior management based on risk prediction model in acute myocardial infarction complicated with respiratory failure

目的探讨基于风险预测模式的行为管理在急性心肌梗死(AMI)伴呼吸衰竭中的应用效果。方法选取2020年1月至2022年1月我院收治的84例AMI伴呼吸衰竭患者为研究对象,采用随机数字表法将其分为对照组与研究组,各42例。对照组接受常规护理,研究组接受基于风险预测模式的行为管理。比较两组的干预效果。结果研究组的心音低钝、血压下降、心率加快、肺部啰音改善时间短于对照组(P<0.05)。干预后,两组的左室舒张末期内径(LVEDD)小于干预前,左室射血分数(LVEF)、混合静脉血氧饱和度(SvO_(2))高于干预前(P<0.05);干预后,研究组的LVEDD小于对照组,LVEF、SvO_(2)高于对照组(P<0.05)。研究组的并发症总发生率低于对照组(P<0.05)。研究组的护理满意度高于对照组(P<0.05)。结论基于风险预测模式的行为管理在AMI伴呼吸衰竭患者中的应用效果良好,可有效改善心肺功能,缩短临床症状改善时间,降低并发症发生风险,提高护理满意度,具有临床应用价值。

Objective To explore the application effect of behavior management based on risk prediction model in acute myocardial infarction(AMI)complicated with respiratory failure.Methods A total of 84 AMI patients complicated with respiratory failure admitted in our hospital from January 2020 to January 2022 were selected as the research objects,and the patients were divided into control group and study group by random number table method,with 42 cases in each group.The control group received routine nursing,and the study group received behavior management based on risk prediction model.The intervention effects of the two groups were compared.Results The improvement time of heart sounds low blunt,blood pressure decrease,accelerated heart rate and pulmonary rales in the study group were shorter than those in the control group(P<0.05).After intervention,the left ventricular end diastolic diameter(LVEDD)of the two groups was smaller than that before intervention,and the left ventricular ejection fraction(LVEF)and mixed venous oxygen saturation(SvO_(2))were higher than those before intervention(P<0.05);after intervention,the LVEDD in the study group was smaller than that in the control group,and the LVEF and SvO_(2) were higher than those in the control group(P<0.05).The total incidence of complications in the study group was lower than that in the control group(P<0.05).The nursing satisfaction in the study group was higher than that in the control group(P<0.05).Conclusion Behavior management based on risk prediction model has a good application effect in patients with AMI complicated with respiratory failure.It can effectively improve the cardiopulmonary function,shorten the improvement time of clinical symptoms,reduce the risk of complications,and improve nursing satisfaction,which has clinical application value.