术前训练对冠状动脉介入治疗患者的影响  

Effect of Preoperative Training on Patients Undergoing Coronary Intervention

作　　者：陈丽娟 CHEN Li-juan(Department of Cardiology,Putian First Hospital,Putian,Fujian Province,351100 China)

机构地区：[1]莆田市第一医院心内科

出　　处：《中外医疗》2019年第34期131-133,共3页China & Foreign Medical Treatment

摘　　要：目的探讨术前综合训练对冠状动脉介入治疗患者的影响。方法方便选取2017年9月—2018年10月该院行介入治疗的88例患者,按随机数字表法分为常规组(44例)和综合组(44例)。常规组采取常规术前护理,综合组在此基础上采取术前综合训练。并比较不同组术后胸痛程度、心电图缺血性改变、并发症,首次排尿及术前后不良情绪。结果综合组术后胸痛评分>1分[9.09%(4/44)vs 25.00%(11/44)(χ^2=3.938,P=0.047)]和ST段偏移>1 mV[9.09%(4/44)vs 29.55%(13/44)(χ^2=5.901,P=0.015)]患者比例明显低于常规组(P<0.05);综合组术后首次自行排尿率[56.82%(25/44)vs 34.09%(15/44)(χ^2=4.583,P=0.032)]明显高于常规组(P<0.05),而两组诱导后排尿率[38.64%(17/44)vs 52.27%(23/44)(χ^2=1.650,P=0.199)]及导尿率[4.54%(2/44)vs 13.64%(6/44)(χ^2=2.200,P=0.138)]比较差异无统计学意义(P>0.05);综合组术后并发症发生率[4.54%(2/44)vs 18.18%(8/44)(χ^2=5.091,P=0.024)]明显低于常规组(P<0.05);综合组术后焦虑情绪[(15.66±6.03)分vs(20.47±5.74)分,t=3.654,P=0.001]明显低于常规组(P<0.05)。结论术前综合训练能减轻冠状动脉介入治疗患者的临床症状和排尿困难,降低术后并发症发生率,改善其不良情绪。Objective To explore the effect of preoperative comprehensive training on patients undergoing coronary intervention therapy.Methods A total of 88 patients who underwent coronary intervention in the hospital from September 2017 to October 2018 were convenient selected divided into routine group(44 cases)and comprehensive group(44 cases)according to random number table method.in routine group,patients were given routine preoperative nursing;in comprehensive group,patients were given preoperative comprehensive training on the basis of routine preoperative nursing.The degree of chest pain,ischemic changes of electrocardiogram,complications,first urination and adverse mood before and after operation were compared among different groups.Results The proportion of patients with chest pain score>1 points[9.09%(4/44)vs 25.00%(11/44)(χ^2=3.938,P=0.047)]and ST segment deviation>1 mV[9.09%(4/44)vs 29.55%(13/44)(χ^2=5.901,P=0.015)]in the comprehensive group was significantly lower than that in the conventional group(P<0.05);the rate of first self-urination[56.82%(25/44)vs 34.09%(15/44)(χ^2=4.583,P=0.032)]in the comprehensive group was significantly higher than that in the conventional group(P<0.05),there was no statistically significant difference in the induced urination rate[38.64%(17/44)vs 52.27%(23/44)(χ^2=1.650,P=0.199)]and the catheterization rate[4.54%(2/44)vs 13.64%(6/44)(χ^2=2.200,P=0.138)]between the two groups(P>0.05);the postoperative complications in the comprehensive group[4.54%(2/44)vs 18.18%(8/044)(χ^2=5.091,P=0.024)]were significantly lower than that in the conventional group(P<0.05);postoperative anxiety in the comprehensive group[(15.66±6.03)points vs(20.47±5.74)points,t=3.654,P=0.001]were significantly lower than the conventional group(P<0.05).Conclusion Preoperative comprehensive training can alleviate the clinical symptoms and dysuria of patients undergoing coronary intervention,reduce the incidence of adverse cardiac events and improve their bad mood.

关 键 词：术前综合训练 冠状动脉 介入 心脏不良事件 不良情绪 

分 类 号：R473.5[医药卫生—护理学]