临床护理路径对急性心肌梗死PCI患者并发症及生活质量的影响  

Effect of Clinical Nursing Pathway on Complications and Quality of Life of Patients with Acute Myocardial Infarction Undergoing PCI

作　　者：汪正艳[1] WANG Zheng-yan(Catheter Room,First Affiliated Hospital of Dalian Medical University,Dalian 116012,Liaoning,China)

机构地区：[1]大连医科大学附属第一医院导管室,辽宁大连116012

出　　处：《医学信息》2021年第19期184-186,共3页Journal of Medical Information

摘　　要：目的观察临床护理路径对急性心肌梗死PCI患者并发症及生活质量的影响。方法选取2020年5月-10月在我院诊治的126例急性心肌梗死PCI患者为研究对象,采用随机数字表法分为对照组和观察组,各63例。对照组实施常规护理,观察组给予临床护理路径干预,比较两组血管再通率、胸痛缓解时间、住院时间、遵医行为评分、生活质量评分及并发症发生率。结果观察组血管再通率为87.30%,高于对照组的73.01%,差异有统计学意义(P<0.05);观察组胸痛缓解时间、住院时间均短于对照组,差异有统计学意义(P<0.05);观察组规律作息、情绪稳定、遵医嘱用药、按时复查各遵医行为评分均高于对照组,差异有统计学意义(P<0.05);观察组生活质量各维度评分均高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论临床护理路径可提高急性心肌梗死PCI患者血管再通率,快速缓解患者胸痛,缩短住院时间,提高患者遵医行为和生活质量水平,降低并发症发生率,应用效果切确。Objective To study the effect of clinical nursing pathway on complications and quality of life in patients with acute myocardial infarction after PCI.Methods A total of 126 patients with acute myocardial infarction after PCI in our hospital from May to October 2020 were selected as the research object,and divided into control group and observation group with 63 cases using random number table.The control group received routine nursing,and the observation group received clinical nursing path intervention,the recanalization of blood vessels rate,the time of relieving chest pain,the time of hospitalization,the score of compliance behavior,the score of quality of life and the rate of complications were compared between the two groups.Results The recanalization of blood vessels rate in the observation group was 87.30%,which was higher than 73.01%of the control group,and the difference was statistically significant(P<0.05);the remission time and hospitalization time of chest pain in the observation group were shorter than those of the control group,and the difference was statistically significant(P<0.05);the scores of regular work and rest,stable mood,taking medicine according to the doctor's advice and rechecking on time in the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05);the scores of quality of life in the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05);the incidence of complications in the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Clinical nursing pathway can improve the recanalization of blood vessels rate in patients with acute myocardial infarction after PCI,relieve chest pain quickly,shorten hospital stay,improve patients'compliance behavior and quality of life,and reduce the incidence of complications,it has definite clinical application effect.

关 键 词：临床护理路径 急性心肌梗死 PCI 生活质量 

分 类 号：R473[医药卫生—护理学]