冠心病介入诊疗患者不良反应预防中应用综合护理的可行性研究  

Feasibility Study on Comprehensive Nursing in Prevention of Adverse Reaction in Patients With Coronary Heart Disease Interventional Therapy

作　　者：曲丽[1] 姜华[1] 李利英[1] 于国洋 胡家秀 

机构地区：[1]大连医科大学附属第二医院心内科,辽宁大连116023

出　　处：《中国卫生标准管理》2018年第3期146-148,共3页China Health Standard Management

摘　　要：目的探讨冠心病介入诊疗患者不良反应预防中应用综合护理的可行性。方法回顾2016年1月—2017年4月84例冠心病介入诊疗患者并分组。对照组应用常规护理,综合组应用综合护理。比较两组冠心病介入诊疗护理满意度;疾病知识掌握度、介入诊疗依从性;干预前后患者SAS评分、SDS评分结果 ;术后过敏、尿潴留、心律失常、前臂血肿等不良反应发生率。结果综合组冠心病介入诊疗护理满意度高于对照组,P<0.05;综合组疾病知识掌握度、介入诊疗依从性高于对照组,P<0.05;干预前两组SAS评分、SDS评分结果相近,P>0.05;干预后综合组SAS评分、SDS评分结果优于对照组,P<0.05。综合组术后过敏、尿潴留、心律失常、前臂血肿等不良反应发生率低于对照组,P<0.05。结论冠心病介入诊疗患者不良反应预防中应用综合护理的可行性高,可提升患者疾病了解程度和诊疗依从性,减轻不良情绪,减少不良反应,提升满意度。Objective To investigate the feasibility of comprehensive nursing in the prevention of adverse reactions in patients with coronary heart disease. Methods From January 2016 to April 2017, 84 patients with coronary heart disease were treated and divided into two groups. The control group was given routine nursing, comprehensive group was given comprehensive care. The satisfaction degree of interventional care of patients with coronary heart disease, the knowledge of disease knowledge, the compliance of interventional diagnosis and treatment, SAS score and SDS score before and after intervention, postoperative allergy, urinary retention, arrhythmia, hypotension and forearm hematoma and other adverse reactions were compared between two groups. Results The satisfaction rate of interventional care in patients with coronary heart disease was higher than that of the control group, P < 0.05. The comprehensive knowledge of disease knowledge and interventional compliance were higher than those of the control group, P < 0.05. SAS scores and SDS scores, P > 0.05. After intervention, SAS score and SDS score of the comprehensive group were better than that of the control group, P < 0.05. Postoperative allergy, urinary retention, arrhythmia, hypotension, forearm hematoma and other adverse reactions in the combined group were lower than those in the control group, P < 0.05. Conclusion It is feasible to apply comprehensive nursing in the prevention of adverse reactions in patients with coronary heart disease interventional therapy, which can improve patients' understanding of disease and treatment compliance, alleviate adverse emotions, better reduce adverse reactions, enhance satisfaction.

关 键 词：冠心病介入诊疗患者 不良反应 预防 综合护理 可行性 

分 类 号：R473[医药卫生—护理学]