系统化方案对老年ACS患者低分子肝素皮下注射出血率及疼痛的影响  

Effect of the systematic program on the subcutaneous hemorrhage and pain in elderly patients with ACS treated with subcutaneous injection of low molecular heparin

作　　者：姚丽[1] 王新丽[1] 袁萍[1] 王茹[1] 石慧[1] 

机构地区：[1]宁夏医科大学总医院,宁夏银川750004

出　　处：《齐鲁护理杂志》2016年第1期17-19,共3页Journal of Qilu Nursing

摘　　要：目的：探讨系统化方案对老年急性冠脉综合征（ACS）患者低分子肝素皮下注射出血率及疼痛的影响。方法：选取我院心内科接受低分子肝素皮下注射的老年ACS患者作为研究对象,其中将2013年10月-2014年4月收住的72例作为对照组,将2014年5-11月收住的79例作为干预组。对照组只进行注射前后的常规宣教,干预组实施系统化方案管理模式。结果：两组注射后48 h皮下出血情况、皮下出血直径比较差异有统计学意义（P〈0.05,P〈0.01）,两组疼痛程度比较差异有统计学意义（P〈0.01）。结论：系统化方案管理模式可降低ACS患者皮下出血率,有效缓解其疼痛。Objective： To investigate the effect of the systematic program on the subcutaneous hemorrhage and pain in elderly patients with acute coronary syndrome（ ACS） treated with subcutaneous injection of low molecular heparin. Methods： The elderly patients treated with low molecular heparin in the department of cardiology of our hospital were selected as the object of study. 72 hospitalized elderly patients（ from Oct. 2013 to Apr. 2014） were taken as the control group and other 79 hospitalized elderly patients（ from May to Nov. 2014）were taken as the intervention group. The conventional health education was given to the patients before and after the injection in the control group and the systematic program was provided for the patients in the intervention group. Results： There were statistically significant differences in the comparison of subcutaneous bleeding and the diameter of subcutaneous bleeding after the injection for 48 hours between the two groups（ P〈0. 05,P〈0. 01）; the difference in the comparison of the degree of pain was statistically significant between the two groups（ P〈0. 01）. Conclusion： The management model of the systematic program can reduce the rate of subcutaneous hemorrhage in patients with ACS and can effectively relieve the pain.

关 键 词：系统化方案 急性冠脉综合征 低分子肝素 皮下出血 

分 类 号：R473.5[医药卫生—护理学]