直接经皮冠状动脉介入治疗急性心肌梗死围手术期护理措施  

Systematic holistic nursing care of patients with acute myocardial infarction during peri-operation period of direct percutaneous coronary intervention

作　　者：杨秀芳[1] 马敬[1] 王雪燕[1] 季姗姗[1] 尚爱英[1] 

机构地区：[1]河北省沧州市中心医院,061001

出　　处：《现代护理》2007年第03Z期707-708,共2页Modern Nursing

摘　　要：目的探讨急性心肌梗死（AMI）行直接经皮冠状动脉介入治疗（PCI）围术期系统整体护理的安全有效性。方法将AMI并行直接PCI患者200例,随机分为2组,整体护理组和对照组,观察2组住院天数及并发症情况。结果2组患者围术期卧床时间、住院天数、需导尿例数、需清洁洗肠例数、血肿发生例数均有显著性差异。系统整体护理组无下肢静脉栓塞病例。结论AMI行直接PCI患者实施围术期整体护理缩短住院天数,减少并发症。　Objective To explore the safety and efficiency of systematic holistic nursing care （SHNC） in patients with acute myocardial infarction （AMI） during peri-operation period of direct percutaneous coronary intervention （PCI）. Methods 200 patients with AMI after direct PCI, from May 2002 to April 2006 in our hospital, were divided into two groups to accept different nursing methods. The patients of the control group were given the routine nursing care. The patients of the SHNC group were given the system holistic nursing care. The hospitalization day and the situation of complications of the two groups were observed. Results There were significant differences in time of lying in bed and hospitalization day, rates of urethral catheterization, cases needed intestinal lavage and cases having hematoma between the two groups. The incidence rate of lower extremity venous embolism in the SHNC group was zero. Conclusions Systematic holistic nursing care for patients with AMI during peri-operation period of direct PCI,can shorten the hospitalization day and reduce the complications. It is a safe and efficient nursing method.

关 键 词：急性心肌梗死(AMI) 经皮冠状动脉介入治疗(PCI) 系统整体护理(SHNC) 

分 类 号：R473[医药卫生—护理学]