结构式心理干预结合水化治疗对行冠脉介入治疗患者心肾功能的影响  

Effect of structural psychological intervention combined with hydration therapy on heart and kidney function of patients undergoing coronary intervention

作　　者：徐美芳[1] 林妍蓓 刘琳[1] 俞瑾[1] XU Mei-fang;LIN Yan-bei;LIU Lin;YU Jin

机构地区：[1]苏州大学附属第一医院心内科,苏州市215000

出　　处：《护理实践与研究》2020年第24期54-56,共3页Nursing Practice and Research

摘　　要：目的探讨结构式心理干预结合水化治疗对行冠脉介入治疗患者心、肾功能的影响。方法选取2017年6月至2019年6月在医院行冠脉介入治疗的冠心病患者100例,按照组间基本特征匹配的原则分为对照组和观察组,各50例。对照组实施常规护理,观察组在对照组基础上实施结构式心理干预结合水化治疗,比较两组心功能和肾功能指标。结果实施护理干预后,观察组左心房平均压(mLAP)、左心室射血分数(LVEF)、左心房内径(LAD)均优于对照组,差异具有统计学意义(P<0.05);尿微量白蛋白(ALB)、血清β2-微球蛋白(β2-MG)、血肌酐(Scr)、血尿素氮(BUN)均低于对照组,差异有统计学意义(P<0.05)。结论对行冠脉介入治疗患者实施结构式心理护理,可有效缓解患者负性情绪,改善心功能指标。通过水化治疗,可避免行冠脉介入术后造影剂相关肾损伤的发生,提高手术效果。Objective To explore the effect of structural psychological intervention combined with hydration therapy on heart and kidney function of patients undergoing coronary intervention.Methods To select 100 cases of patients with coronary heart disease who underwent coronary interventional therapy in hospital from June 2017 to June 2019 and divide them into a control group and an observation group with 50 cases in each group according to the matching principle of basic characteristics between groups.The control group received routine nursing care,and the observation group implemented structural psychological intervention combined with hydration treatment on the basis of the control group to compare the heart and kidney function indexes of the two groups.Results After nursing intervention,the mean left atrial pressure(mLAP),left ventricular ejection fractions(LVEF),left atrial diameter(LAD)in the observation group were better than those in the control group,and the differences were statistically significant(P<0.05),and the urine micro-albumin(ALB)and serumβ2-microglobulin(β2-MG),Serum creatinine(Scr)and blood urea nitrogen(BUN)of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The implementation of structural psychological care for patients undergoing coronary interventional therapy can effectively relieve patients'negative emotions and improve cardiac function indicators.Through hydration therapy,the occurrence of contrast agent-related kidney injury after coronary intervention can be avoided and the surgical effect can be improved.

关 键 词：结构式心理干预 水化治疗 冠脉介入治疗 心功能 造影剂相关肾损伤 

分 类 号：R473.54[医药卫生—护理学]