集束化护理对急性主动脉夹层患者术前病情的影响  

Effect of Cluster Nursing on State of Pre-operative Patients with Acute Aortic Dissection

作　　者：黄斌 李倩[1] 王国妃[1] 蒋玲[1] 周建辉[1] 林国强[1] HUANG Bin;LI Qian;WANG Guofei;JIANG Ling;ZHOU Jianhui;LIN Guoqiang(Cardiothoracic Surgery Department,Xiangya Hospital of Central South University,Changsha,Hunan 410008,China)

机构地区：[1]中南大学湘雅医院心胸外科ICU,湖南长沙410008

出　　处：《湖南中医药大学学报》2018年第2期224-227,共4页Journal of Hunan University of Chinese Medicine

摘　　要：目的探讨集束化护理在急性主动脉夹层患者术前控制病情及并发症发生的效果。方法将2017年1月-2017年6月收治的47例急性主动脉夹层的病人随机分为对照组和实验组,对照组予以常规护理,实验组给予集束化护理干预,比较两组病人术前病情控制及并发症的发生情况。结果实验组入院后30 min焦虑和疼痛缓解率、心率血压控制达标率均显著高于对照组(P<0.05或P<0.01)。对照组手术前主动脉夹层发生破裂4例,其发生率显著高于实验组(P<0.05)。结论集束化护理能有效缓解急性主动脉夹层患者的焦虑和疼痛,控制心率血压,稳定病情,减少手术前主动脉夹层破裂的发生率,促进患者康复。Objective To investigate the effect of cluster nursing on state and complications of preoperative patients with acute aortic dissection.Methods The 47 cases of acute aortic dissection patients were randomly divided into control group and the experimental group received in January 2017-June 2017.The control group was given routine nursing,the experimental group was given cluster nursing intervention.The state of preoperative patients and complications occurrence in the two groups were compared.Results The relief rate of the anxiety and pain,and the control rate of heart rate and blood pressure in the experimental group in hospital for 30 minutes were significantly higher than those in the control group(P<0.05 or P<0.01).In the control group,there were 4 cases occurred aortic dissection burst before operation,and its incidence was significantly higher than that in the experimental group(P<0.05).Conclusion Cluster nursing can effectively relieve the anxiety and pain of patients with acute aortic dissection,control the blood pressure effectively and stabilize condition of the disease.Therefore,cluster nursing can reduce the incidence of aortic dissection burst before operation and promote the recovering of patients with acute aortic dissection.

关 键 词：集束化护理 主动脉夹层 并发症 

分 类 号：R473.6[医药卫生—护理学] R248[医药卫生—临床医学]