护理风险管理在老年冠心病心律不齐患者服用胺碘酮治疗中的效果观察  

Observation on the Effect of Nursing Risk Management in Elderly Patients with Coronary Heart Disease and Arrhythmia During Amiodarone Treatment Period

作　　者：王青青 张琮[1] WANG Qingqing;ZHANG Cong(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,河南南阳473000

出　　处：《中国药物滥用防治杂志》2023年第10期1851-1853,1857,共4页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：河南省医学科技攻关项目(编号:2019020772)。

摘　　要：目的:探讨护理风险管理在老年冠心病心律不齐患者服用胺碘酮治疗期间的应用效果。方法:选取2022年3月—2023年3月经本院收治的服用胺碘酮治疗的老年冠心病心律不齐患者84例进行研究,按随机数字表法设立对照组及观察组,每组42例。对照组予以常规护理,观察组在对照组基础上施以护理风险管理,比较两组心理状态及舒适度、不良反应发生率及护理满意度。结果:两组护理后POMS-SF评分低于护理前,GCQ评分高于护理前,且观察组POMS-SF评分低于对照组,GCQ评分高于对照组(P<0.05);观察组不良反应发生率为7.14%,低于对照组的26.19%(P<0.05);观察组护理满意度为95.24%,高于对照组的76.19%(P<0.05)。结论:老年冠心病心律不齐患者在服用胺碘酮治疗期间应用护理风险管理可改善负性心理状态,提升舒适度,降低不良反应发生率,提高护理满意度,具有较高应用价值。Objective:To explore the application effect of nursing risk management in elderly patients with coronary heart disease arrhythmia during amiodarone treatment period.Methods:From March 2022 to March 2023,84 elderly patients with coronary heart disease and arrhythmia treated with amiodarone in our hospital were selected for study.The control group and the observation group were established according to the random number table method,with 42 cases in each group.The control group was given routine nursing,and the observation group was given nursing risk management on the basis of the control group.The psychological state,comfort,incidence of adverse reactions and nursing satisfaction were compared between the two groups.Results:The POMS-SF score of the two groups after nursing was lower than that before nursing,and the GCQ score was higher than that before nursing,while the POMS-SF score of the observation group was lower than that of the control group,and the GCQ score was higher than that of the control group(P<0.05).The incidence of adverse reactions in the observation group was 7.14%,which was lower than 26.19%in the control group(P<0.05).The nursing satisfaction of the observation group was 95.24%,which was higher than 76.19%of the control group(P<0.05).Conclusion:The application of nursing risk management during amiodarone treatment period in elderly patients with coronary heart disease arrhythmia can improve negative psychological states,enhance comfort,reduce the incidence of adverse reactions,and improve nursing satisfaction,which has high practical value.

关 键 词：冠心病 心律不齐 护理风险管理 

分 类 号：R473.5[医药卫生—护理学]