早期护理干预对急性上呼吸道感染诱发心肌炎患者疗效的影响  

Effect of early nursing intervention on the myocarditis patients suffering from acute upper respiratory tract infection

作　　者：胡爱龙[1] 胡家华[1] 杜胜华[2] 

机构地区：[1]湖北省通城县人民医院护理部,咸宁437400 [2]湖北省通城县人民医院心血管内科,咸宁437400

出　　处：《中华现代护理杂志》2013年第21期2525-2527,共3页Chinese Journal of Modern Nursing

摘　　要：目的 研究早期护理干预对急性上呼吸道感染诱发心肌炎患者疗效的影响.方法 将78例急性上呼吸道感染诱发心肌炎患者随机分为两组,每组39例,对照组给予常规护理,干预组在常规护理的基础上给予早期护理干预.结果 治疗2周后,干预组总有效率为97.4％,对照组总有效率为87.2％,干预组治疗效果明显优于对照组,差异有统计学意义（Z =2.434,P＜0.05）；治疗2周后,两组患者cTnI和心肌酶谱（CK、CK-MB、LDH）均明显下降,与入院时相比差异有统计学意义（P＜0.05）；干预组各项指标下降更明显,与对照组比较差异有统计学意义（t分别为4.189,3.289,3.260,3.488；P＜0.05）；在对护理工作的评价方面,对照组总满意度为84.6％ （33/39）,干预组总满意度为97.4％（38/39）,两组比较差异有统计学意义（Z=3.017,P＜0.05）.结论 急性上呼吸道感染诱发心肌炎患者行早期护理干预具有积极的临床价值.Objective To study the effect of early care intervention on the myocarditis patients suffering from acute upper respiratory tract infection.Methods Totals of 78 patients were randomly divided into two groups,each with 39 cases.The control group received conventional care,while the intervention group received early nursing intervention on the basis of routine care.Results After two weeks,the total effective rate of the intervention group was 97.4％,higher than 87.2％ in the control group,and the difference was statistically significant （Z =2.434,P ＜ 0.05）.The cTnI and myocardial enzymes of the two groups were significantly decreased compared with before （P ＜ 0.05）.And indicators of intervention group decreased significantly compared with that of the control group （t =4.189,3.289,3.260,3.488,respectively ; P ＜ 0.05）.On the care evaluation,the total satisfaction of the control group was 84.6％ （33/39）,which was lower the intervention group that was 97.4％ （Z =3.017,P ＜ 0.05）.Conclusions Early care intervention on the myocarditis patients suffering from acute upper respiratory tract infection has positive clinical value.

关 键 词：呼吸道感染 心肌炎 护理 

分 类 号：R473[医药卫生—护理学]