人文关怀护理在急性心肌梗死患者PCI术后护理中的应用  

Application of humanistic care nursing in patients with acute myocardial infarction after PCI

作　　者：段会会 胡淑芬[1] 刘伟[1] 游莉[1] 郑晓芳[1] DUAN Huihui;HU Shufen;LIU Wei;YOU Li;ZHENG Xiaofang(Department of Cardiovascular Medicine,The Eighth Affiliated Hospital of Sun Yat-sen University,Shenzhen 518000,China)

机构地区：[1]中山大学附属第八医院心血管内科,广东深圳518000

出　　处：《沈阳医学院学报》2021年第1期47-52,56,共7页Journal of Shenyang Medical College

摘　　要：目的:探讨在急性心肌梗死患者行经皮冠状动脉介入术(PCI)后护理工作中实施人文关怀护理的临床效果。方法:选取2018年1月至2019年1月在我院行PCI手术治疗的84例急性心肌梗死患者,按照随机数字表法分为干预组与对照组,各42例,对照组PCI手术后采取常规护理干预,干预组在对照组基础上实施人文关怀护理,比较2组患者干预后心理状态、心脏不良事件发生情况、生存质量、护理满意度及患者遵医行为。结果:干预前,2组心理状态SAS、SDS评分比较差异无统计学意义(P>0.05);干预后,2组SAS、SDS评分较干预前明显降低,干预组SAS、SDS评分显著低于对照组(P<0.05);干预组术后出现严重心律失常、心绞痛、缺血性心力衰竭、非致死性心肌梗死等心脏不良事件发生率显著低于对照组(P<0.05);干预前,2组SF-36各维度评分比较差异无统计学意义(P>0.05);干预后,2组SF-36各维度评分明显提高,干预组高于对照组(P<0.05);干预组护理工作满意率显著高于对照组(P<0.05);2组患者出院后进行为期6个月的随访,干预组坚持服药、戒烟戒酒、适当运动、均衡营养及定期复查等遵医行为显著优于对照组(P<0.05)。结论:对急性心肌梗死患者PCI术后实施人文关怀护理有利于改善患者心理状态,降低心脏不良事件发生率,提高患者生存质量、对护理服务的满意度及患者遵医行为。Objective: To explore the clinical effects of humanistic care nursing in patients with acute myocardial infarction after percutaneous coronary intervention( PCI). Methods: A total of 84 patients with acute myocardial infarction who underwent PCI surgery in our hospital from Jan 2018 to Jan 2019 were selected and divided into intervention group and control group according to the random number table method,each with 42 cases. The control group received routine nursing intervention after PCI,on this basis,the intervention group also received humanistic care nursing. The psychological status,incidence of adverse cardiac events,quality of life,nursing satisfaction and patient compliance behavior of the two groups after intervention were compared. Results: Before the intervention,there was no statistically significant difference in the scores of SAS and SDS between the two groups( P>0. 05). After the intervention,the SAS and SDS scores of the two groups were significantly lower than those before the intervention,and the SAS and SDS scores of the intervention group were significantly lower than those of the control Group( P<0. 05). The incidence of adverse cardiac events such as severe arrhythmia, angina pectoris, ischemic heart failure, and non-fatal myocardial infarction in the intervention group was significantly lower than that in the control group( P < 0. 05). Before intervention,there was no significant difference in the scores of SF-36 dimensions between the two groups( P > 0. 05). After the intervention,the scores of SF-36 dimensions in the two groups were significantly improved,and the intervention group was higher than those in the control group( P<0. 05). The intervention group was satisfied with the nursing work,and the satisfaction rate was significantly higher than that in the control group( P<0. 05). The patients were followed up for 6 months after discharge. The compliance behaviors in the intervention group were significantly better than those in the control group such as adherence to medication,quittin

关 键 词：急性心肌梗死 经皮冠状动脉介入术 人文关怀 心理状态 生存质量 

分 类 号：R473.5[医药卫生—护理学]