以患者需求为导向的集束化护理在急性心肌梗死患者中的应用效果

Application effects of patient demand-oriented cluster nursing in patients with acute myocardial infarction

目的:观察以患者需求为导向的集束化护理在急性心肌梗死(AMI)患者中的应用效果。方法:回顾性分析2022年1—12月该院收治的116例AMI患者的临床资料,依据护理方案不同将其分为对照组与观察组各58例。对照组采用常规护理,观察组在对照组基础上采用以患者需求为导向的集束化护理。比较两组护理前后心境状态[心境状态量表(POMS)]评分、并发症发生率和护理满意度。结果:护理后,两组紧张、抑郁、疲劳、慌乱、愤怒等POMS评分均低于护理前,且观察组低于对照组,两组精力、自尊感等POMS评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组护理满意度为94.83%(55/58),高于对照组的79.31%(46/58),差异有统计学意义(P<0.05)。结论:在常规护理基础上采用以患者需求为导向的集束化护理可提高AMI患者护理满意度,改善心境状态评分,以及降低并发症发生率的效果优于单纯常规护理。

Objective:To observe application effects of patient demand-oriented cluster nursing in patients with acute myocardial infarction(AMI).Methods:The clinical data of 116 patients with AMI admitted to this hospital from January to December 2022 were retrospectively analyzed.According to different nursing schemes,they were divided into control group and observation group,58 cases in each group.The control group was given routine nursing,while the observation group was given the patient demand-oriented cluster nursing on the basis of that of the control group.The mood state[profile of mood states(POMS)]score before and after the nursing,the complication rate,and the nursing satisfaction were compared between the two groups.Results:After the nursing,the POMS scores of tension,depression,fatigue,panic and anger in the two groups were lower than those before the nursing,and those in the observation group were lower than those in the control group;the POMS scores of vitality and selfesteem in the two groups were higher than those before the nursing,and those in the observation group were higher than those in the control group;and the differences were statistically significant(P<0.05).The complication rate in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 94.83%(55/58),which was higher than 79.31%(46/58)of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the patient demand-oriented cluster nursing can improve the nursing satisfaction of the AMI patients,improve the mood state scores,and reduce the complication rate.Moreover,it is superior to simple routine nursing.