急性心肌梗死急诊PTCA及支架植入术后的护理干预效果分析  

Nursing Intervention Effect Analysis After Emergency PTCA and Stent Implantation of Patients with Acute Myocardial Infarction

作　　者：于大洲[1] YU Dazhou(Shandong University Qilu Hospital,Jinan,Shandong,250012)

机构地区：[1]山东大学齐鲁医院,山东济南250012

出　　处：《智慧健康》2022年第24期182-185,191,共5页Smart Healthcare

摘　　要：目的探讨急性心肌梗死急诊经皮冠状动脉内腔成形术(PTCA)及支架植入术后的护理干预效果。方法选择2018年5月-2020年5月山东大学齐鲁医院收治的急性心肌梗死患者108例作为资料,随机数字抽签分2组,每组各54例,均采取PTCA及支架植入术治疗,对照组展开常规护理干预,观察组实施综合护理干预,观察两组并发症发生情况,测定护理前、护理后患者心功能指标、自我管理行为及生活质量评分,评价患者的护理满意度。结果观察组与对照组并发症发生率为11.11%、33.33%,差异有统计学意义(P<0.05);护理后观察组与对照组患者的LVEF、LVEDV比较差异显著(P<0.05)。护理后,观察组与对照组患者的自我管理行为评分及生活质量评分比较差异有统计学意义(P<0.05)。观察组与对照组护理满意度96.30%、81.48%,比较差异有统计学意义(P<0.05)。结论针对行PTCA及支架植入术治疗的急性心肌梗死患者术后可落实综合护理干预,进一步预防并发症,降低术后风险,利于心功能改善,提高治疗效果,增强自我管理行为能力及生活质量,提高护理满意度,值得推广。Objective To explore effect of nursing intervention after emergency percutaneous transluminal coronary angioplasty(PTCA)and stent implantation for acute myocardial infarction.Methods The paper chose 108 patients with acute myocardial infarction treated in our hospital from May 2018 to may 2020,and divided them into two groups randomly,54 cases in each group,treated with PTCA and stent implantation.Control group received routine nursing intervention,and observation group received comprehensive nursing intervention.Complications between two groups were observed,cardiac function indexes,self-management behavior and life quality scores of patients before and after nursing were measured,nursing satisfaction degree of patients was evaluated.Results Complications incidence between observation group and control group was 11.11%and 33.33%,with statistically significant difference(P<0.05).After nursing,there was significant difference in LVEF and LVEDV between observation group and control group(P<0.05).After nursing,there was significant difference in self-management behavior scores and life quality scores between observation group and control group,(P<0.05).Nursing satisfaction degree of observation group and control group was 96.30%and 81.48%,with statistically significant difference(P<0.05).Conclusion Comprehensive nursing intervention can further prevent complications,reduce postoperative risk,improve cardiac function,treatment effect,enhance self-management behavior ability and life quality,and improve nursing satisfaction degree of patients with acute myocardial infarction treated by PTCA and stent implantation,which is worthy of promotion.

关 键 词：急性心肌梗死 经皮冠状动脉内腔成形术 支架植入术 并发症 

分 类 号：R473.5[医药卫生—护理学]