综合强化护理模式在急性冠状动脉综合征PCI手术患者中的应用分析  

Application analysis of comprehensive intensive nurse model in patients with acute coronary artery syndrome undergoing PCI operation

作　　者：欧惠珍 贺青军[2] 庞建萍[2] 

机构地区：[1]广东省佛山市南海区中医院沙头分院急诊科,广东佛山528208 [2]广东省佛山市中医院心内科,广东佛山528200

出　　处：《中国当代医药》2016年第24期194-196,共3页China Modern Medicine

基　　金：广东省佛山市医学类科技攻关项目(2014AB00334)

摘　　要：目的 探讨综合强化护理模式在急性冠状动脉综合征PCI手术患者中的应用效果,为急性冠状动脉综合征患者行PCI术的护理提供参考依据。方法 选取我院2015年1~12月收治的60例急性冠状动脉综合征患者作为研究对象,随机分为实验组和对照组,各30例。所有患者均给予PCI术,对照组给予常规护理,实验组给予综合强化护理。比较两组的并发症发生率、住院时间、护理总满意率及睡眠质量评分。结果 实验组的并发症发生率为3.33%,显著低于对照组的33.33%,差异有统计学意义（P〈0.01）。实验组的护理总满意率为96.67%,显著高于对照组的66.67%,差异有统计学意义（P〈0.01）。实验组的住院时间显著短于对照组,差异有统计学意义（P〈0.01）。实验组的睡眠质量评分显著低于对照组,差异有统计学意义（P〈0.01）。结论 在PCI术围术期给予急性冠状动脉综合征患者综合强化护理具有积极意义,可有效减少患者的并发症,缩短住院时间,改善睡眠质量,并可获得较高的护理认可,值得临床推广应用。Objective To explore the application effect of comprehensive intensive nursing model in patients with acute coronary artery syndrome undergoing percutaneous coronary intervention （PCI） operation,and to provide reference for nursing of patients with acute coronary artery syndrome by PCI.nethods 60 cases of acute coronary artery syndrome patients from January to December in 2015 in our hospital were selected and randomly divided into the experimental group and the control group,30 cases in each group.All patients were taken PCI surgery,The ~ontrol group was given routine nursing,the experimental group was given comprehensive intensive nursing.The incidence rate of complications, length of hospital stay,total satisfaction rate of nursing and sleep quality score was compared between the two groups. Results The incidence rate of complications in the experimental group was 3.33%,which was lower than 33.33% in the control group,with significant difference （P〈0.01）,The total satisfaction rate of nursing in the experimental group was 96.67%,which was higher than 66.67% in the control group,with significant difference （P〈0,01）.The length of hospital stay in the experimental group was shorter than that in the control group,with significant difference （P〈0.01）.The sleep quality score of the experimental group was lower than that of the control group,with significant difference （P〈0.O1）. Conclusion The comprehensive intensive nursing of patients with acute coronary artery syndrome during the perioperative period of PCI has a positive significance,which can effectively reduce the complications of patients,shorten the length of hospital stay,improve the sleep quality,and earn higher nursing recognition,it is worthy of clinical promotion and application.

关 键 词：急性冠状动脉综合征 急诊冠状动脉支架植入术 综合强化护理模式 

分 类 号：R473.5[医药卫生—护理学]