术后强化护理干预在急性心肌梗死行经皮冠状动脉介入术患者中的应用效果  

Application effect of intensive nursing intervention after operation on patients with acute myocardial infarction undergoing percutaneous coronary intervention

作　　者：朱见玲[1] 刘秋文[1] ZHU Jian-ling;LIU Qiu-wen(Department of Cardiovascular Medicine,People＇s Hospital of Luohu District in Shenzhen City,Guangdong Province,Shenzhen 518020,China)

机构地区：[1]深圳市罗湖区人民医院心血管内科,广东深圳518020

出　　处：《中国当代医药》2018年第21期186-188,共3页China Modern Medicine

摘　　要：目的探讨术后强化护理干预对急性心肌梗死行经皮冠状动脉介入术(PCI)患者并发症和生活质量的影响。方法选取2015年12月~2017年12月我院行PCI治疗的58例急性心肌梗死患者作为研究对象,采用随机双盲法将其分为研究组和参照组,每组29例。参照组患者术后进行常规护理干预,研究组患者则接受强化护理干预。比较两组患者干预前后的生活质量和并发症总发生率。结果干预前,两组患者的生活质量评分比较,差异无统计学意义(P>0.05);干预后两组患者的各项生活评分均有所提高,而研究组患者的生活质量评分及总分均显著高于参照组,差异均有统计学意义(P<0.05)。研究组患者的并发症总发生率显著低于参照组,差异有统计学意义(P<0.05)。结论对于急性心肌梗死行PCI患者,术后给予针对性的强化干预,能有效减少术后相关并发症,提高患者生存质量,具有临床推广应用价值。Objective To investigate the influence of intensive nursing intervention after operation on the complications and quality of life of patients with acute myocardial infarction undergoing percutaneous coronary intervention（PCI）.Methods Fifty-eight patients with acute myocardial infarction（AMI） treated by PCI in our hospital from December 2015 to December 2017 were selected as the research object and divided into the research group and the reference group with 29 cases in each group by random double blind method. Patients in the reference group was received routine nursing intervention after surgery, while patients in the study group was received intensive nursing intervention. The quality of life and the total incidence of complications before and after the intervention were compared between the two groups.Results Before the intervention, there was no significant difference in the quality of life scores between the two groups（P〈0.05）. After the intervention, all the life scores of the patients in the two groups were improved, while the quality of life scores and total scores of the patients in the study group were significantly higher than those in the reference group,and the differences were statistically significant（P〈0.05）. The total incidence of complications in the study group was significantly lower than that in the reference group, with significant difference（P〈0.05）. Conclusion Intensive intervention for patients with acute myocardial infarction after PCI can effectively reduce postoperative complications and improve the quality of life of patients. It has the value of clinical popularization and application.

关 键 词：急性心肌梗死 经皮冠状动脉介入术 护理干预 并发症 生活质量 

分 类 号：R473.5[医药卫生—护理学]