预见性护理联合优质护理对肺栓塞患者危险因素及护理效果的影响

Effect of Predictive Nursing Combined with High Quality Nursing on Risk Factorsand Nursing Effect of Patients with Pulmonary Embolism

目的 观察预见性护理联合优质护理对肺栓塞患者危险因素及护理效果的影响。方法 选取2021年1月1日-7月31日天津市胸科医院接诊的100例肺栓塞患者为研究对象,采用随机数字表法分为对照组(n=50)和观察组(n=50)。对照组采用常规护理,观察组在对照组基础上给予预见性护理联合优质护理干预,比较两组患者住院天数、胸痛评分、护理满意度评分、危险因素发生情况,以及治疗依从性。结果 观察组住院时间短于对照组(P<0.05);两组干预后胸痛评分均低于干预前,且观察组低于对照组(P<0.05);观察组健康教育、治疗性护理、服务态度、心理护理各维度评分均高于对照组(P<0.05);观察组患者深静脉血栓、下肢静脉曲张、房颤、慢性阻塞性肺疾病危险因素发生率均低于对照组(P<0.05);观察组治疗依从性为96.00%,高于对照组的82.00%(P<0.05)。结论 预见性护理联合优质护理可提高肺栓塞患者护理效果,缩短住院时间,减轻胸痛评分,提高护理满意度评分,预防高危因素发生,提高治疗依从性,是一种可行、有效的护理方案。

Objective To observe the effect of predictive nursing combined with high quality nursing on risk factors and nursing effect of patients with pulmonary embolism.Methods A total of 100 patients with pulmonary embolism admitted to Tianjin Chest Hospital from January 1 to July 31,2021 were selected as the research objects.They were divided into control group(n=50)and observation group(n=50)by random number table method.The control group was given routine nursing,and the observation group was given predictive nursing combined with high quality nursing intervention on the basis of the control group.The hospitalization days,chest pain score,nursing satisfaction score,risk factors and treatment compliance were compared between the two groups.Results The hospitalization time of the observation group was shorter than that of the control group(P<0.05).The chest pain score of the two groups after intervention was lower than that before intervention,and that of the observation group was lower than that of the control group(P<0.05).The scores of health education,therapeutic nursing,service attitude and psychological nursing in the observation group were higher than those in the control group(P<0.05).The incidence of risk factors of deep vein thrombosis,varicose veins of lower extremities,atrial fibrillation and chronic obstructive pulmonary disease in the observation group were lower than those in the control group(P<0.05).The treatment compliance of the observation group was 96.00%,which was higher than 82.00%of the control group(P<0.05).Conclusion Predictive nursing combined with high quality nursing can improve the nursing effect of patients with pulmonary embolism,shorten hospitalization time,reduce chest pain score,improve nursing satisfaction score,prevent high risk factors,and improve treatment compliance.It is a feasible and effective nursing program.