协作式术前访视方案在冠心病PCI患者术前准备中的应用  

Application of collaborative preoperative visit program in the preoperative preparation of patients with coronary heart disease undergoing percutaneous coronary intervention

作　　者：何喜美 周金花[1] 余登峰 莫伟[1] HE Xi-mei;ZHOU Jin-hua;YU Deng-feng;MO Wei(Interventional Composite Surgery DepartmentⅠ,Hunan Provincial People's Hospital,Changsha 410006,Hunan,CHINA)

机构地区：[1]湖南省人民医院介入复合手术一部,湖南长沙410006

出　　处：《海南医学》2024年第15期2246-2250,共5页Hainan Medical Journal

基　　金：湖南省人民医院新技术项目课题(编号:[2020]34)。

摘　　要：目的探究协作式术前访视方案在冠心病经皮冠状动脉介入术(PCI)患者术前准备中的应用效果。方法回顾性分析2022年5月至2023年12月在湖南省人民医院接受冠心病PCI的100例患者的临床资料,根据是否开展协作式术前访视分为观察组和对照组各50例,对照组由病房护士常规予以简单的术前宣教,观察组给予协作式术前访视,比较两组患者对本次手术的知晓度、术前准备质量、术前访视满意度,以及干预前及干预后(进手术室时)的心率(HR)、舒张压(DBP)、收缩压(SBP)和平均动脉压(MAP)变化;采用焦虑自评量表(SAS)评估两组患者干预前及干预后(进手术室时)的情绪变化。结果观察组患者的访视内容知晓度、术前准备质量、术前访视满意度得分分别为(13.67±1.68)分、(11.63±1.74)分、(8.67±1.45)分,均明显高于对照组的(11.55±0.30)分、(9.53±0.26)分、(6.39±0.25)分,差异有统计学意义(P<0.05)。干预前,两组患者的HR、DBP、SBP、MAP比较差异无统计学意义(P>0.05);干预后,两组的HR、DBP、SBP、MAP水平均明显降低,且观察组患者的HR、DBP、SBP、MAP分别为(84.63±4.74)次/min、(131.66±11.68)mmHg、(84.66±4.65)mm Hg、(110.66±12.63)mm Hg,明显低于对照组的(95.53±4.26)次/min、(136.39±14.67)mmHg、(96.39±4.23)mmHg、(117.39±12.54)mmHg,差异有统计学意义(P<0.05)。干预前,两组患者的SAS评分比较差异无统计学意义(P>0.05),干预后,两组患者的SAS评分均明显降低,且观察组患者的SAS评分为(48.34±4.27)分,明显低于对照组的(59.17±6.21)分,差异有统计学意义(P<0.05)。结论协作式术前访视方案有助于提高冠心病PCI患者术前准备质量,减轻患者心血管应激反应,改善其焦虑情绪,节省术前准备时间,促进手术的顺利进行。Objective To explore the effect of collaborative preoperative visit program in the preoperative prepa-ration of patients with coronary heart disease undergoing percutaneous coronary intervention(PCI).Methods The clini-cal data of 100 patients undergoing PCI for coronary heart disease in Hunan Provincial People's Hospital from May 2022 to December 2023 were retrospectively analyzed.According to whether collaborative preoperative visit was carried out,the patients were divided into an observation group and a control group,with 50 cases in each group.Patients in the control group were given simple preoperative education by ward nurses routinely,and those in the observation group were given collaborative preoperative visit.The awareness of the operation,the quality of preoperative preparation,the satisfaction with preoperative visit,and the changes of heart rate(HR),diastolic blood pressure(DBP),systolic blood pressure(SBP),and mean arterial pressure(MAP)before and after intervention were compared between the two groups.Self-rating Anxiety Scale(SAS)was used to evaluate the emotional changes of the two groups of patients before and after intervention(when entering the operating room).Results The scores for awareness of visit content,quality of preoperative preparation,and satisfaction with preoperative visit in the observation group were(13.67±1.68)points,(11.63±1.74)points,and(8.67±1.45)points,respectively,which were significantly higher than the control group's(11.55±0.30)points,(9.53±0.26)points,and(6.39±0.25)points(P<0.05).Before intervention,there was no significant differ-ence in HR,DBP,SBP,and MAP between the two groups(P>0.05);after intervention,the HR,DBP,SBP,and MAP in two groups were significantly reduced,and the levels in the observation group were(84.63±4.74)times/min,(131.66±11.68)mmHg,(84.66±4.65)mmHg,and(110.66±12.63)mmHg,respectively,which were significantly lower than(95.53±4.26)times/min,(136.39±14.67)mmHg,(96.39±4.23)mmHg,and(117.39±12.54)mmHg in the control group,with statistically

关 键 词：冠心病 经皮冠状动脉介入术 协作式术前访视 心血管应激 

分 类 号：R541.4[医药卫生—心血管疾病]