优化护理在心肌梗死PCI患者中的临床应用观察及疗效分析  

Clinical observation and effect of optimized nursing in myocardial infarction patients with percutaneous coronary intervention

作　　者：赵丽[1] 赵学朋[1] 黄静[1] 

机构地区：[1]江苏省徐州市中心医院,江苏徐州221000

出　　处：《实用临床医药杂志》2017年第12期1-4,共4页Journal of Clinical Medicine in Practice

基　　金：江苏省卫生厅研究项目(KFSN201403-03)

摘　　要：目的探讨优化护理在心肌梗死PCI患者中的临床应用。方法回顾性分析急性心肌梗死患者并行PCI术的患者80例,按入院时间分为观察组与对照组,观察组47例患者在PCI围术期采用针对性的全面优化护理模式,对照组33例给予常规护理。在不同护理模式下,对患者再灌注后血管动力学指标、术后并发症发生情况、住院天数、日常生活活动能力Barthel指数、焦虑自评量表SAS、抑郁自评量表SDS评分进行比较,评价优化护理的临床疗效。结果治疗前后左室舒张末直径(LVEDD)与射血分数(EF)水平比较,观察组LVEDD为(52.8±1.7)mm较对照组(54.2±1.6)mm降低趋势显著,观察组EF为(54.0±1.8)%,显著高于对照组(48.3±1.4)%,差异有统计学意义(P<0.05)。观察组患者不良反应发生率为12.76%显著低于对照组患者30.30%;同时观察组患者住院时间也显著短于对照组患者。通过统计术后患者填写的日常生活能力Barthel指数自评表、焦虑自评表(SAS)及抑郁自评表(SDS)判断患者生活及心理恢复状态。观察组患者治疗后日常生活能力Barthel指数高于对照组;同时观察组SAS、SDS指数均低于对照组,2组比较差异有统计学意义(P<0.05)。结论针对心肌梗死患者PCI围术期的全方面强化护理可有效提高患者治疗有效率,促进患者身体及心理康复进程。Objective To observe application of optimized nursing in myocardial infarction patients with percutaneous coronary intervention（PCI）.Methods The data of 80 acute myocardial infarction patients with PCI in our hospital were retrospectively analyzed.The patients were divided into observation group and control group according to time of admission.And 47 patients in observation group were treated with high quality nursing care, and 33 in the control group with regular health care.Vascular hemodynamics index, postoperative complications, hospitalization days, Barthel index, SAS and SDS scores were observed.The clinical effect of different healthcare modes was evaluated.Results Compared with the control group, the LVEDD of the observation group was （52.8±1.7） mm, which was lower than （54.2±1.6） mm in the control group, EF in observation group was （54.0±1.8）%, which was significantly higher than （48.3±1.4）% in control group and the differences were statistically significant （P〈0.05）.The incidence rate of adverse reactions in the observation group was 12.76%, which was significantly lower than 30.30% in the control group.At the same time, the hospitalization time of the observation group was significantly shorter than that of the control group.After treatment, the Barthel indicators of the observation group was higher than that of the control group, and the SAS and SDS scores in the observation group were lower than that in the control group （P〈0.05）.Conclusion For PCI patients with myocardial infarction during perioperative period, strengthening nursing care can effectively improve the treatment efficiency, promote physical and psychological rehabilitation.

关 键 词：心肌梗死 PCI手术 优化护理疗效 

分 类 号：R473.5[医药卫生—护理学]