早期体位规范化护理对冠状动脉搭桥术后胸痛及生活质量的影响研究  

Effect of early postural standardized nursing strategy on chest pain and quality of life after coronary artery bypass grafting

作　　者：余晴晴 YU Qing-qing(Department of Cardiac and Vascular Surgery,the First Affiliated Hospital of Nanyang Medical College,Nanyang 473000,Henan,China)

机构地区：[1]南阳医学高等专科学校第一附属医院心脏、大血管外科,河南南阳473000

出　　处：《青岛医药卫生》2022年第5期388-391,共4页Qingdao Medical Journal

摘　　要：目的 探讨早期体位规范化护理对行冠状动脉搭桥术后胸痛及生活质量的影响。方法 选择2019年9月至2021年12月本院收治的行冠状动脉搭桥术患者154例,按护理干预方法不同分为对照组和观察组各77例,对照组实施常规护理,观察组在常规护理基础上行早期体位规范化护理,比较两组胸痛情况及生活质量。结果 观察组干预后1h、2h及3h的VAS评分分别为(6.42±0.37)分、(4.03±0.07)分及(2.43±0.21)分,对照组干预后1h、2h及3h的VAS评分分别为(7.56±0.51)分、(5.25±0.18)分及(3.26±0.26)分,观察组优于对照组,差异有统计学意义(P<0.05);两组干预前SF-36量表评分比较差异无统计学意义(P>0.05),干预后评分均提升,其中观察组总体健康评分为(81.96±5.24)分,对照组(76.15±5.47)分,差异有统计学意义(P<0.05)。结论 早期体位规范化护理,能够有效缓解冠状动脉搭桥术后患者胸疼情况,改善其生活质量。Objective To explore the effect of early postural standardized nursing strategy on postoperative chest pain and quality of life in patients undergoing coronary artery bypass grafting. Methods A total of 154 patients who underwent coronary artery bypass grafting in our hospital from September 2019 to December 2021 were selected, and divided into the control group and the observation group according to different nursing intervention methods, with 77 cases in each group. The control group was given conventional nursing intervention, and the observation group was given early postulated standardized nursing strategy on the basis of the control group. The chest pain and quality of life were compared between the two groups. Results The VAS scores of the observation group at 1 h, 2 h and 3 h after intervention were(6.42±0.37),(4.03±0.07) and(2.43±0.21), the control group were(7.56±0.51),(5.25±0.18)and(3.26±0.26), the observation group was superior to the control group(P<0.05). There was no significant difference in SF-36 scores between the two groups before intervention(P>0.05), and the scores were improved after intervention. The overall health score of the observation group was(81.96±5.24), the control group was(76.15±5.47), the difference was statistically significant(P<0.05). Conclusion The application of early postural standardized nursing strategy for patients undergoing coronary artery bypass grafting can effectively relieve postoperative chest pain and improve their quality of life.

关 键 词：早期体位规范护理 冠状动脉搭桥术 胸痛 生活质量 

分 类 号：R473.6[医药卫生—护理学]