中心静脉压监测及综合护理对复杂危重心脏病患者术后康复效果的影响  

Observation on the Effect with Comprehensive Nursing on Postoperative Rehabilitation Intervention in Patients with Complex Critical Heart DiseaseWang

作　　者：王璐璐[1] 周楠[1] 叶枫林[1] 黄慧[1] 刘玉 Wang Lulu;Zhou Nan;Ye Fenglin(Department of Cardiac Surgery,The First Hospital Affiliated to Bengbu Medical College)

机构地区：[1]蚌埠医学院第一附属医院,233000

出　　处：《长治医学院学报》2020年第1期73-76,共4页Journal of Changzhi Medical College

基　　金：蚌埠医学院自然科学基金面上项目(BYKY18124)。

摘　　要：目的:探讨采用中心静脉压监测及综合护理对复杂危重心脏病患者术后康复的效果。方法:将72例复杂危重型心脏病患者随机分为观察组(36例)和对照组(36例),2组患者在采用中心静脉压监测基础上,对照组给予常规护理,观察组给予综合护理干预。比较2组患者临床预后情况、心理状况[汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)]、生活质量及并发症发生情况。结果:与对照组比较,观察组干预后监护时间[(36.45±1.01)vs(44.58±1.13)h]、住院时间[(8.23±3.45)vs(12.74±3.12)d]均短于对照组,差异有统计学意义(P<0.05);观察组HAMA评分[(18.23±1.12)vs(26.58±1.34)分]、HAMD评分[(20.49±3.01)vs(29.73±3.34)分]均低于对照组,差异有统计学意义(P<0.05);观察组患者生活质量评分高于对照组,差异有统计学意义(P<0.05);观察组患者并发症总发生率(13.89%)低于对照组(33.33%),差异有统计学意义(P<0.05)。结论:采用中心静脉压监测基础上联合综合护理干预对复杂危重型心脏病患者预后情况好,缩短了监护时间和住院时间,提高了生活质量,降低了并发症的发生率。Objective:To investigate the effect of central venous pressure monitoring combined with comprehensive nursing on postoperative rehabilitation of patients with complex and severe heart disease.Methods:72 patients with complex and severe heart disease were randomly divided into the observation group(36 cases)and the control group(36 cases).Based on the central venous pressure test,the two groups were given routine care,and the observation group was given comprehensive nursing intervention.The clinical prognosis,psychological status[Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)],quality of life and complications were compared between the two groups.Results:Compared with the control group,the monitoring time[(36.45±1.01)vs(44.58±1.13)h]and the length of hospital stay[(8.23±3.45)vs(12.74±3.12)d]in the observation group after the intervention were shorter than those in the control group.The difference was statistically significant(P<0.05);The HAMA score(18.23±1.12 vs 26.58±1.34)and the HAMD score(20.49±3.01 vs 29.73±3.34)in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The quality of life scores in the observation group were higher than The difference in the control group was statistically significant(P<0.05);the total incidence of complications in the observation group(13.89%)was lower than that in the control group(33.33%),and the difference was statistically significant(P<0.05).Conclusion:Combined comprehensive nursing intervention based on central venous pressure monitoring has a good prognosis for patients with complex and severe heart disease,shortens the monitoring time and hospital stay,improves the quality of life,and reduces the occurrence of complications.

关 键 词：中心静脉压监测 复杂危重型心脏病 心脏手术 护理 

分 类 号：R473[医药卫生—护理学]