优化护理在急性心脏冠脉搭桥术围术期的应用  

Application of perioperative optimized nursing in patients with acute coronary artery bypass grafting

作　　者：李晓媛[1] 李春 章春芝[1] 任志慧[1] 奚月 LI Xiaoyuan LI Chun ZHANG Chunzhi REN Zhihui XI Yue(Department of Cardiothoracic Surgery, The First Affiliated Hospital of Hebei North University Zhangfiakou, Hebei, 075000 Department of Surgery, Mining and Machine Hospital of Zhangjiakou , Zhangfiakou , Hebei , 075000)

机构地区：[1]河北北方学院附属第一医院心胸外科,河北张家口075000 [2]河北省张家口煤机医院外科,河北张家口075000

出　　处：《实用临床医药杂志》2017年第18期53-56,共4页Journal of Clinical Medicine in Practice

基　　金：河北省科学技术厅资助项目(20161317)

摘　　要：目的探讨优化护理在急性心脏冠脉搭桥术围术期的应用策略和对预后的影响。方法选取急性冠状动脉粥样硬化性心脏病患者91例,按入院时间分为观察组44例与对照组47例。观察组在CABG围术期采用针对性的全面优化护理模式,对照组采用常规护理,比较2组患者再灌注后血管动力学指标、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、护理满意度。结果 2组间治疗前后左室舒张末直径(LVEDD)与射血分数(EF)水平比较,差异无统计学意义(P>0.05);治疗后,观察组Barthel指数高于对照组(P<0.05),观察组SAS、SDS评分低于对照组(P<0.05);观察组护理满意度高于对照组(P<0.05)。结论在急性心脏冠脉搭桥术围术期实施全方面优化护理,可促进患者身体及心理康复,提高护理满意度和治疗依从性,值得在临床推广应用。Objective To observe application of perioperative optimized nursing in patients with acute coronary artery bypass grafting and its influence on prognosis. Methods A total of 91 patients with acute coronary artery bypass grafting in our hospital were divided into observation group with 44 cases and control group with 47 cases according to the time of admission, treated by optimized nursing care and regular health care, respectively. Vascular hemodynamics indicators, Barthel index, self-rating anxiety scale （SAS）, self-rating depression scale （SDS） and nursing satisfaction were ob- served. Results There were no significant differences in left ventricular end-diastolic diameter （LVEDD） and ejection fraction（EF） between two groups（P 〉 0.05）. After treatment, Barthel index scores and satisfaction were higher, and SAS and SDS scores were lower than that in the control group （P 〈 0.05 ）. Conclusion Optimized nursing in acute coronary artery bypass grafting can significantly promote the physical and psychological rehabilitation of patients, and improve patients＇ satisfaction and compliance. Therefore, it is worthy of clinical promotion in clinic.

关 键 词：急性心脏冠脉搭桥术 优化护理 围术期护理 预后 

分 类 号：R473.6[医药卫生—护理学]