护理风险评估和预防式护理在心血管病患者中的应用  

Application of nursing risk assessment and preventive nursing for patients with cardiovascular disease

作　　者：徐兰[1] 汪晓霞[2] 陶晓玲[3] 

机构地区：[1]简阳市人民医院心内科,四川简阳641400 [2]简阳市人民医院产科,四川简阳641400 [3]简阳市人民医院儿科,四川简阳641400

出　　处：《西部医学》2016年第9期1324-1327,共4页Medical Journal of West China

基　　金：四川省卫生厅科研课题(100484)

摘　　要：目的 探讨护理风险评估和预防式护理在心血管病患者中的应用效果。方法 选择2015年1月~12月在我院接受治疗的心血管病患者136例,按照入院顺序将患者分为观察组及对照组各68例,两组患者在临床进行心血管病治疗的同时,对照组给予常规护理,观察组实施护理风险评估和预防式护理,对比两组患者护理后并发症及心血管风险事件的发生率,护理前后的服药依从性评分,以及患者对护理的满意度。结果 观察组的并发症发生率为2.94%,心血管风险事件的发生率为1.47%,均低于对照组的13.24%及10.29%,差异均有统计学意义（均P〈0.05）。观察组的护理优良率为88.24%,较对照组的77.94%更高,组间差异亦有统计学意义（P〈0.05）。护理后观察组的服药依从性评分显著高于对照组,组间差异有统计学意义（P〈0.05）。观察组患者对护理的总满意率为76.47%,高于对照组的52.94%,组间差异亦有统计学意义（P〈0.05）。结论 将护理风险评估和预防式护理应用于心血管病患者的护理中,能够较好地降低并发症及心血管风险事件的发生率,增加服药依从性,提升护理质量和满意度,可在临床推广应用。Objective To discuss application effect of nursing risk assessment and preventive nursing for patients with cardiovascular disease. Methods 136 patients with cardiovascular disease treated in our hospital from January 2015 to December 2015 were studied. The patients were divided into the observation group （68 cases） and the control group （68 cases）, according to the order of admission. All the patients were given the clinical treatment for cardiovascular dis- ease. The control group was given routine nursing operation. The observation group was given with nursing risk assess ment and preventive nursing. The incidence of complications and cardiovascular risk events, nursing effect, medication compliance score and patients＇ satisfaction with nursing were observed. Results The incidence of complication and cardiovascular risk events in observation group were lower than the control group （P〈0.05）. The excellent rate of nursing care in the observation group and control group were 88.24% and 77.94 （P〈0.05）. After nursing, the medication compliance score of observation group was significantly higher than that of the control group （P〈0.05）. The total satisfaction rate of patients in observation group and control group were 76.47% and 52.94% （P〈0.05）. Conclusion The nursing risk assessment and preventive nursing in the nursing process of patients with cardiovascular disease can reduce the incidence rate of complications and cardiovascular risk events, increase medication compliance and improve the quality of care and satisfaction.

关 键 词：护理风险 评估 预防式护理 心血管事件 

分 类 号：R54[医药卫生—心血管疾病] R473.5[医药卫生—内科学]