敏感指标建立的量化评价体系对心肌梗死患者术后并发症及生存质量的影响  

Effects of quantitative evaluation system established by sensitive indexes on postoperative complications and quality of life in patients with myocardial infarction

作　　者：符燕萍 韦迎娜[1] 方莲莲 刘慧君 FU Yanping;WEI Yingna;FANG Lianlian;LIU Huijun(Department of Cardiology,Sanya Central Hospital(Hainan Third People's Hospital),Sanya Hainan 572000,China)

机构地区：[1]三亚中心医院(海南省第三人民医院)心内科,海南三亚572000

出　　处：《中国急救复苏与灾害医学杂志》2022年第7期953-956,共4页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：海南省卫生计生行业科研项目(编号:19A200072)。

摘　　要：目的 研究敏感指标建立的量化评价体系对心肌梗死患者术后并发症及生存质量的影响。方法 采取前瞻性研究,选择2019年1月—2020年12月在海南第三人民医院治疗的心肌梗死患者96例作为研究对象,按照随机数字表法将其分为两组,各48例。两组患者均采取冠状动脉支架植入术(PCI),观察组患者采取敏感指标建立的量化评价体系对PCI术后患者进行护理;对照组患者采取常规护理措施。比较两组患者的并发症、生活质量之间的差异。结果 通过对术后护理质量的敏感性指标的函询分析,绝大多数的专家均表现出较高的热情以及关注,表明结构更具说服力;观察组患者发生并发症的风险显著低于对照组(χ^(2)=4.360,P=0.037),差异存在统计学意义;经过治疗后,观察组患者生理功能(t=19.972,P=0.000)、生理职能(t=7.302,P=0.000)、躯体疼痛(t=16.549,P=0.000)、一般健康(t=13.835,P=0.000)、精力(t=16.669,P=0.000)、社会功能(t=19.906,P=0.000)、情感职能(t=14.847,P=0.000)、心理健康(t=30.617,P=0.000)、总分(t=33.838,P=0.000)显著高于对照组。结论 对心肌梗死患者术后采取敏感指标建立的量化评价体系进行护理干预,患者的术后并发症显著降低,术后生命质量显著提升。Objective To study the effects of nursing based on quantitative evaluation system established by sensitive indexes on postoperative complications and quality of life in patients with myocardial infarction.Methods 96 patients with myocardial infarction treated in Hainan Third People’s Hospital from January 2019 to December 2020 were selected as the research object.They were divided into two groups with 48 cases in each group according to the random number table method.Patients in both groups were treated with PCI,and patients in the observation group were treated with a quantitative evaluation system based on sensitive indicators for nursing after PCI.The control group took routine nursing measures.The differences of complications and quality of life between the two groups were compared.Results In this study,through the correspondence analysis of the sensitive indicators of postoperative nursing quality,the vast majority of experts showed high enthusiasm and attention,indicating that the structure is more persuasive;The risk of complications in the observation group was significantly lower than that in the control group(χ2=4.360,P=0.037).After treatment,the scores of physiological function,physical pain,general health,energy,and social function,and total score of the observation group were all significantly higher than those of the control group( t=19.972,7.302,16.549,13.835,16.669,19.906,14.847,30.617 and 33.838 respectively,and all P=0.000).Conclusion Nursing care based on quantitative evaluation system established by sensitive indexes helps reduce the postoperative complications and improve the quality of life in the patients with myocardial infarction.

关 键 词：敏感指标 并发症 心肌梗死 PCI 生存质量 

分 类 号：R446.1[医药卫生—诊断学]