舒适护理在急性心肌梗死急诊介入治疗中的效果观察  

Effect of comfort nursing on acute myocardial infarction patient with primary PCI

作　　者：张丽红[1] 侯亚红[1] 张继红[1] 付莉[1] 

机构地区：[1]武警医学院附属医院心内科,天津300162

出　　处：《武警医学院学报》2008年第2期117-119,共3页Acta Academiae Medicinae CPAPF

摘　　要：【目的】观察舒适护理在急性心肌梗死(acute myocardial infarction,AMI)急诊介入治疗中的临床效果。【方法】对152例AMI行急诊介入治疗患者随机分为两组,进行舒适护理和常规护理对比观察研究,随访1年,统计两组住院期间尿潴留、穿刺部位血肿、迷走神经反射例数、平均住院天数,1年间医嘱依从率及术后9个月冠脉造影随访率,并进行统计分析。【结果】相对于常规护理,采取舒适护理后,可明显减少AMI介入术后患者尿潴留(P<0.05)、迷走神经反射发生率(P<0.05),减少住院天数,同时使更多的患者愿意接受9个月的造影复查(39例vs 16例,P<0.05)。【结论】AMI行急诊介入治疗患者实行舒适护理,可减少并发症,使患者身心处于最佳的康复状态,值得临床推广。【Objective】To observe the clinical effect of comfort nursing on the AMI patient with primary PCI.【Methods】152 AMI patients received primary PCI in our department from 2004 January to 2006 January were randomly divided into comfort nursing group and routine nursing group.In the follow-up for 1 year,the rate of uroschesis,hematoncus of the puncture site,rate of vagus reflect,average days of hospitalization,rate of physical order comply and the number of coronary angiography in 9 month were collected and analyzed.【Results】In comfortable group,patients appeared calmer and more compliable.In the comfortable nursing group,there is relatively less uroschesis（3 cases vs 16 cases,P〈0.05）,less vagus reflect（2 cases vs 9 cases,P〈0.05）,less average hospitalization days（P〈0.05）,and more patients accepted coronary angiography recheck（39 cases vs 16 cases,P〈0.05）.【Conclusions】Comfortable nursing could improve the patients＇ satisfactoriness and compliableness,decrease the compliance and should be used in more clinical practice.

关 键 词：舒适护理 介入治疗 急性心肌梗死 

分 类 号：R473.5[医药卫生—护理学]