预见性护理在急性心肌梗死患者接受保护性临时起搏中的应用效果  

Effects of predictive nursing intervention on acute myocardial infarction patients undergoing temporary preventive cardiac pace maker

作　　者：范晓华[1] 曹岳蓉[1] 刘洪珍[2] 唐菊娣[2] 

机构地区：[1]东南大学医学院附属江阴医院护理部,214400 [2]东南大学医学院附属江阴医院心血管内科,214400

出　　处：《中华现代护理杂志》2016年第12期1724-1728,共5页Chinese Journal of Modern Nursing

摘　　要：目的：探讨预见性护理在急性心肌梗死（ AMI）并行保护性临时起搏患者中的临床应用效果。方法采用便利抽样法选择130例AMI接受急诊经皮冠状动脉介入治疗（ PCI），且术前行保护性临时起搏的患者为研究对象，根据入院时间分为对照组和观察组，各65例，对照组给予常规护理干预，观察组在此基础上给予预见性护理。记录分析两组患者恶性心律失常、低血压和严重并发症的发生情况。结果对照组和观察组患者均以右冠病变为主，分别占80．00％，76．92％（52／65，50／65），两组患者梗死血管差异无统计学意义（P＞0．05）。观察组恶性心律失常发生率（7．69％）较对照组（18．46％）有降低的趋势，但差异无统计学意义（ P＝0．069）；观察组右冠梗死患者中发生恶性心律失常比例为6．00％（3／50），低于对照组的21．15％（11／52），差异有统计学意义（P＝0．026）。观察组发生低血压的比例为12．31％，低于对照组的26．15％，差异有统计学意义（ P＝0．045）；接受预见性护理患者的并发症发生率较常规护理患者有降低的趋势（10．77％比20．00％），但差异无统计学意义（ P＝0．145）。结论对接受保护性临时起搏的AMI患者实施预见性护理，可以减少恶性心律失常和低血压的风险，对临床护理有一定的指导意义。Objective To investigate the effects of predictive nursing intervention on acute myocardial infarction （ AMI ） patients undergoing temporary preventive cardiac pace maker .Methods A total of 130 patients with AMI undergoing emergency percutaneous coronary intervention （ PCI） were enrolled by convenience sampling method and divided into control group （n=65） and observation group（n=65） according to the time of admittion.All patients were received temporary preventive cardiac pace maker before PCI .Routine nursing was applied in patients of the control group , and predictive nursing was applied in patients of the observation group . Malignant arrhythmia , hypotension and serious complications were recorded and analyzed .Results In both groups, the right coronary artery was the main artery of the infarction , accounting for 80.00%（control group, 52/65）, 76.92%（observation group, 50/65） respectively, the difference was not statistically significant （P〉0.05）.Malignant arrhythmia rate in the observation group tended to decrease compared with that of the control group （7.69% vs 18.46%）, but there′s no statistically significant difference （ P =0.069 ）.Malignant arrhythmia rate of right coronary artery infarction in the observation group was lower than that of the control group （6.00%vs 21.15%） （ P =0.026 ）.12.31% of observation group patients developed hypotension versus 26.15% in the control group （ P =0.045 ）.Predictive nursing intervention had a tendency to reduce complications occurrence compared with routine nursing intervention （10.77%vs 20.00%）, but no statistical significance was achieved（P=0.145）.Conclusions Implementation of predictive nursing intervention among AMI patients undergoing temporary preventive cardiac pace maker plays an important role in reducing the risks of malignant arrhythmia and hypotension , which has certain meaning for the clinical nursing .

关 键 词：急性心肌梗死 临时起搏 预见性护理 

分 类 号：R473.5[医药卫生—护理学]