危险因素分析对老年冠心病护理中梗死再发、心绞痛再发率的影响  

Analysis of the influence of risk factors on the recurrence rate of infarction and angina pectoris in elderly patients with coronary heart disease

作　　者：林巧莹 林燕燕[1] 卓雪芳[1] LIN Qiaoying;LIN Yanyan;ZHUO Xuefang(Department of Special Diagnosis II for Cadres,Fujian Provincial Hospital,Fuzhou,Fujian,350001,China)

机构地区：[1]福建省立医院干部特诊二科,福建福州350001

出　　处：《当代医学》2022年第31期178-180,共3页Contemporary Medicine

摘　　要：目的探究在老年冠心病护理中应用危险因素分析对患者梗死再发、心绞痛再发率的影响。方法选取2019年1月至2020年12月本院收治的86例冠心病患者作为研究对象,采用随机数字表法分为对照组和观察组,每组43例。对照组采用传统护理模式,观察组在对照组基础上应用危险因素分析,比较两组心功能障碍、梗死再发、心绞痛再发的发生率/心功能指标[左室短轴缩短率(LVFS)、左室射血分数(LVEF)、左室收缩末期内径(LVESD)]、安全事件发生率及护理满意度。结果观察组心功能障碍、梗死再发、心绞痛再发发生率低于对照组,差异有统计学意义(P<0.05);观察组LVFS、LVEF高于对照组,LVESD短于对照组(P<0.05);观察组安全事件发生率低于对照组(P<0.05);观察组护理满意度高于对照组(P<0.05)。结论在老年冠心病患者护理干预期间采用危险因素分析可有效降低安全事件发生率,降低心肌梗死、心功能障碍及心绞痛等相关症状的发生率,治疗安全性较高,可提高护理人员综合素质及医院基础护理质量,值得临床推广应用。Objective To explore the effect of risk factor analysis on the recurrence rate of infarction and angina pectoris in elderly coronary heart disease nursing.Methods Atotal of 86 patients with coronary heart disease admitted to our hospital from January 2019 to December 2020 were selected as the research objects and divided into control group and observation group by random number table method,with 43 cases in each group.The control group adopted traditional nursing mode,while the observation group applied risk factor analysis on the basis of the control group,the incidence of cardiac dysfunction,infarction recurrence,angina recurrence,cardiac function indicators(left ventricular fractional shortening[LVFS],left ventricular ejection fraction[LVEF],left ventricular end systolic diameter[LVESD]),incidence of safety incidents and nursing satisfaction were compared between two groups.Results The incidence rates of heart dysfunction,recurrent infarction and recurrent angina pectoris in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).LVFS and LVEF of the observation group were higher than those of the control group,and LVESD of the observation group was shorter than that of the control group(P<0.05).The incidence of safety events in the observation group was lower than that in the control group(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion Risk factor analysis during nursing intervention in elderly patients with coronary heart disease can effectively reduce the incidence of safety events,reduce the incidence of myocardial infarction,cardiac dysfunction,angina and other related symptoms,high safety treatment,can improve the comprehensive quality of nursing staff and hospital basic nursing quality,worthy of clinical application.

关 键 词：危险因素分析 老年冠心病 梗死再发 心绞痛再发率 

分 类 号：R541.4[医药卫生—心血管疾病] R47[医药卫生—内科学]