护理风险管理在老年冠心病患者介入治疗中的应用

Application of Nursing Risk Management in Interventional Therapy of Elderly Patients with Coronary Heart Disease

目的探究护理风险管理在老年冠心病患者介入治疗中的应用价值。方法以2019年8月-2021年8月于佳木斯市中心医院行介入治疗的50例老年冠心病患者为研究对象,依据随机数字表法分为对照组(25例)与观察组(25例)。对照组行常规护理管理,观察组在其基础上开展护理风险管理,比较两组术后康复指标(出血时间、完全松懈压迫时间、术后住院时间)、凝血功能[凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)]、手术并发症、主要不良心脑血管事件(MACCE)、护理风险事件、纠纷投诉事件及护理满意度。结果观察组术后出血时间、完全松懈压迫时间以及术后住院时间短于对照组(P<0.05);观察组术后PT、APTT指标低于对照组(P<0.05);观察组手术并发症发生率低于对照组(P<0.05);观察组护理风险事件、纠纷投诉事件发生率低于对照组(P<0.05);观察组护理满意率高于对照组(P<0.05)。结论护理风险管理在老年冠心病患者介入治疗中具有较高应用价值,可加快康复进展,改善患者术后凝血指标,降低其并发症风险,同时减少护理风险事件及纠纷投诉,满意度反馈良好。

Objective To explore the application value of nursing risk management in interventional therapy of elderly patients with coronary heart disease.Methods A total of 50 elderly patients with coronary heart disease who underwent interventional therapy in Jiamusi Central Hospital from August 2019 to August 2021 were divided into control group(25 patients)and observation group(25 patients)according to random number table method.The control group was given routine nursing management,and the observation group was given nursing risk management on the basis of the control group.The postoperative rehabilitation indexes(bleeding time,complete relaxation compression time,postoperative hospital stay),coagulation function[prothrombin time(PT),activated partial thromboplastin time(APTT)],surgical complications,major adverse cardiovascular and cerebrovascular events(MACCE),nursing risk events,dispute complaints and nursing satisfaction were compared between the two groups.Results The postoperative bleeding time,complete relaxation compression time and postoperative hospital stay in the observation group were shorter than those in the control group(P<0.05).The indexes of PT and APTT in the observation group were lower than those in the control group(P<0.05).The incidence of surgical complications in the observation group was lower than that in the control group(P<0.05).The incidence of nursing risk events and dispute complaints in the observation group was lower than that in the control group(P<0.05).The nursing satisfaction rate of the observation group was higher than that of the control group(P<0.05).Conclusion Nursing risk management has high application value in interventional therapy of elderly patients with coronary heart disease,which can accelerate the progress of rehabilitation,improve the postoperative coagulation index of patients,reduce the risk of complications.Meanwhile,it can reduce nursing risk events and dispute complaints,as well as the satisfaction feedback is good.