GRACE评分系统应用于急性冠脉综合征患者围手术期的护理效果  

Nursing effect of GRACE scoring system in patients with acute coronary syndrome(ACS) during perioperative period

作　　者：戎清 宋晓莉[1] 

机构地区：[1]中国人民解放军总医院急诊科,北京100853

出　　处：《中国循证心血管医学杂志》2016年第5期573-575,共3页Chinese Journal of Evidence-Based Cardiovascular Medicine

摘　　要：目的 分析基于GRACE评分系统的急诊专科护理模式在急性冠脉综合征（ACS）患者围手术期的应用效果.方法 连续选择2013年9月-2015年3月于中国人民解放军总医院急诊科诊断为ACS患者265例,男性138例,女性127例,年龄39~75岁.根据入院先后顺序,随机将其分为对照组（132例）和观察组（133例）.对照组采用标准专科护理模式,观察组采用基于GRACE评分系统的专科护理模式,对比两组的入院至球囊扩张（door-to-balloon,D-to-B）时间、手术时间和住院时间,手术相关并发症发生率和护理满意度评分.结果 观察组的D-to-B时间、手术时间和住院时间较对照组显著缩短,数值为[（27.8±13.2）min vs. （45.6±16.4）min]、[（42.6±15.5）min vs. （58.7±16.9）min]、[（7.8±2.4）d vs. （10.5±2.3）d],差异均有统计学意义（P均〈0.05）.观察组手术相关并发症发生率显著低于对照组（10.5% vs.23.5%）,差异有统计学意义（P〈0.05）.观察组的护理满意度各项评分均显著高于对照组,差异有统计学意义（P均〈0.05）.结论 应用GRACE评分系统对ACS患者进行分层护理,可明显缩短入院至救治时间,减少并发症,提升护理质量.Objective To analyze the application effect of emergency specific nursing mode based on GRACEscoring system in patients with acute coronary syndrome （ACS） during perioperative period. Methods ACS patients（n=265, male 138, female 127 and aged from 39 to 75） were chosen from Sept. 2013 to Mar. 2015, and then divided,according to hospitalized order, into control group （n=132） and observation group （n=133）. The control group wasgiven standard specific nursing mode and observation group was given specific nursing mode based on GRACE scoringsystem. The duration from hospitalization to door-to-balloon （D-to-B）, operation period, hospital-stay duration,incidence of operation-related complications and degree scores of satisfaction to nursing were compared between2 groups. Results The duration from hospitalization to D-to-B [（27.8±13.2） min vs. （45.6±16.4） min], operationperiod [（42.6±15.5） min vs. （58.7±16.9） min] and hospital-stay duration [（7.8±2.4） d vs. （10.5±2.3） d] weresignificantly shorter in observation group than those in control group （all P〈0.05）. The incidence of operation-relatedcomplications was significantly lower in observation group than that in control group （10.5% vs. 23.5%, P〈0.05）. Thedegree scores of satisfaction to nursing were significantly higher in observation group than those in control group （allP均〈0.05）. Conclusion The application of GRACE scoring system in stratification nursing for ACS patients cansignificantly shorten the duration from hospitalization to treatment, reduce incidence of complications and improvenursing quality.

关 键 词：GRACE评分系统 专科护理模式 救治成功率 

分 类 号：R47[医药卫生—护理学]