风险意识管理在ST段抬高型心肌梗死患者经皮冠状动脉介入手术护理管理中的应用效果

Application effect of risk awareness management in nursing management of STEMI percutaneous coronary intervention operating room

目的探讨风险意识管理在ST段抬高型心肌梗死(ST-segment elevation myocardial infarction,STEMI)患者经皮冠状动脉介入(percutaneous coronary intervention,PCI)手术护理管理中的应用效果。方法选取2020年7月至2022年3月东南大学附属中大医院收治的行PCI治疗的STEMI患者84例为研究对象,以电脑随机数法将其分为观察组及对照组各42例。对照组予以常规手术管理,观察组在对照组的基础上施以风险意识管理。两组均干预2 w。比较两组的护理质量、住院时间、手术时间、生活质量及干预期间风险事件发生情况。结果观察组护理质量高于对照组,差异有统计学意义(P<0.05);干预前,两组PSQI评分比较差异无统计学意义(P>0.05);观察组住院时间短于对照组,差异有统计学意义(P<0.05),两组手术时间比较差异无统计学意义(P>0.05);干预后,两组SF-36评分均高于干预前,且观察组SF-36评分高于对照组,差异均有统计学意义(均P<0.05);观察组干预期间风险事件发生率低于对照组,差异有统计学意义(P<0.05)。结论风险意识管理应用于STEMI患者PCI手术护理管理中效果满意,可提升护理质量及患者的生活质量,促进患者术后恢复,并可降低风险事件的发生风险。

Objective To explore the application effect of risk awareness management in the nursing management of patients with ST-segment elevation myocardial infarction(STEMI)in the operating room of percutaneous coronary intervention(PCI).Methods A total of 84 patients with STEMI who underwent PCI in the hospital from July 2020 to March 2022 were selected as the research objects,and they were divided into the observation group and the control group by computer random number method.A total of 42 cases in the control group received routine operating room management,and 42 cases in the observation group were given risk awareness management on the basis of the control group.Both groups were intervened for 4 weeks.The nursing quality,hospital stay,operation time,quality of life and the occurrence of risk events during the intervention period were compared between the two groups.Results The nursing quality of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Before intervention,there was no significant difference in pittsburgh sleep quality index(PSQI)scores between the two groups(P>0.05).The hospital stay in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the operation time between the two groups(P>0.05).After the intervention,the MOS item short from health survey(SF-36)scores of the two groups were higher than those before the intervention(P<0.05),and the SF-36 scores of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).The incidence of risk events in the observation group during the intervention period was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions The application of risk awareness management in the nursing management of STEMI patients in PCI operating room is satisfactory,it can improve the quality of care and quality of life,promote postoperative recovery of patients,and reduce the risk of risk events.