手术室护理路径在冠心病患者PCI围术期的应用

Application of operating room nursing pathway in the perioperative period of percutaneous coronary intervention for patients with coronary heart disease

目的探讨手术室护理路径在冠心病患者经皮冠状动脉介入治疗(PCI)围术期的应用效果。方法选择2020年6月至2023年6月于新乡医学院第一附属医院接受PCI治疗的160例冠心病患者作为研究对象,按随机数表法分为观察组和对照组各80例。对照组患者采用常规护理,观察组患者采用手术室护理路径。比较两组患者的围术期情况以及术前、术后30 min的呼吸频率(RR)、心率(HR)、平均动脉压(MAP)和术前、术后1 d的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分,并比较两组患者的术后并发症发生率。结果观察组患者的住院时间为(11.46±2.71)d,明显短于对照组的(12.67±2.54)d,差异有统计学意义(P<0.05);术后30 min,观察组患者RR、HR、MAP分别为(20.01±1.83)次/min、(78.47±6.19)次/min、(96.42±6.41)mm Hg,明显低于对照组的(21.74±2.01)次/min、(83.33±7.10)次/min、(101.03±7.24)mmHg,差异均有统计学意义(P<0.05);术后1 d,观察组患者的SDS、SAS评分分别为(44.28±5.71)分、(43.72±4.83)分,明显低于对照组的(49.50±6.13)分、(47.06±5.27)分,差异均有统计学意义(P<0.05);观察组患者的术后并发症总发生率为5.00%,明显低于对照组的15.00%,差异有统计学意义(P<0.05)。结论冠心病患者PCI围术期介入手术室护理路径的应用效果明显,值得临床推广应用。

Objective To investigate the effect of operating room nursing pathway in the perioperative period of percutaneous coronary intervention(PCI)for patients with coronary heart disease.Methods A total of 160 patients with coronary heart disease who received PCI in the First Affiliated Hospital of Xinxiang Medical College from January 2020 to December 2023 were selected and divided into an observation group and a control group according to random number table method,with 80 patients in each group.Patients in the control group received routine nursing,and patients in the observation group received operating room nursing pathway.The perioperative situation and the respiratory rate(RR),heart rate(HR),and mean arterial pressure(MAP)before operation and 30 min after operation,and Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)scores before operation and at 1 d after operation were compared between the two groups.The incidence of complications was also compared.Results The length of hospital stay in the observation group was(11.46±2.71)d,which was significantly shorter than(12.67±2.54)d of the control group(P<0.05).At 30 min after operation,the RR,HR,and MAP in the observation group were(20.01±1.83)times/min,(78.47±6.19)times/min,and(96.42±6.41)mmHg,which were significantly lower than(21.74±2.01)times/min,(83.33±7.10)times/min,(101.03±7.24)mmHg of the control group(P<0.05).At 1 d after operation,SDS and SAS scores in the observation group were(44.28±5.71)points and(43.72±4.83)points,which were significantly lower than(49.50±6.13)points and(47.06±5.27)points of the control group(P<0.05).The total incidence of complications in the observation group was 5.00%,which was significantly lower than 15.00%in the control group(P<0.05).Conclusion The effect of operating room nursing pathway in the perioperative period of percutaneous coronary intervention for patients with coronary heart disease is significant,which is worthy of clinical application.