术前护理干预对老年高血压合并冠心病患者行PCI术后并发症的影响  

The effect of preoperative nursing intervention on the complication in elderly patients with hypertension combined with coronary heart disease after Percutaneous Coronary Intervention

作　　者：彭俊秋[1] 耿东霞[1] 

机构地区：[1]湖北省随州市中心医院,441300

出　　处：《国际护理学杂志》2013年第4期687-689,共3页international journal of nursing

摘　　要：目的 探讨术前护理干预对老年高血压合并冠心病患者行PCI术后并发症的影响，为临床护理提供参考依据。方法对本院2009年至2011年间老年高血压合并冠心病患者行PCI术后并发症发生的危险因素进行多因素logistic回归分析，针对分析结果给予2012年1至7月间收治的此类老年患者进行术前护理干预，比较干预性护理的临床效果。结果多因素logistic回归分析得出患者年龄、焦虑程度、糖尿病、疾病认知是老年高血压合并冠心病患者行PCI术后并发症发生的危险因素（P〈0．05）。未经过干预护理的并发症发生率为34．2％（40／117），干预后并发症发生率为11．1％（13／117），术前护理组降低了并发症的发生，差异有统计学意义（P〈0．05）。结论术前护理干预能够针对并发症发生的危险因素进行针对性的护理，有利于降低老年高血压合并冠心病患者行PCI术后并发症的发生。Objective To explore preoperative nursing intervention on the complication of elderly patients with hypertension com- bined with coronary heart disease after PCI, and to provide a reference for clinical care. Methods Multivariate logistic regression analysis was used to analyze the risk factors of the complications in the elderly patients with hypertension combined with coronary heart disease in our hospital from 2009 to 2011. According to the analysis result, the patients who hospitalized from January to July 2012 were treated with preop- erative nursing intervention, and clinical effect was compared. Results The risk factors of complication occurrence included age, anxiety, diabetes, disease awareness. The complication occurrence rate before nursing intervention was 34. 2% （40/117 ） , after the intervention complication rate was 11.1% （13/117） and the difference was statistically significant （P 〈 0. 05 ） . Conclusions Preoperative nursing intervention can reduce the complications occurrence in in elderly patients with hypertension combined with coronary heart disease after Pereutaneous Coronary Intervention

关 键 词：老年 高血压 术前护理干预 冠心病 PCI术 

分 类 号：R473[医药卫生—护理学]