对心脏瓣膜病合并冠心病同期手术后患者实施监护室针对性护理的效果分析  

Analysis of the Effect of Targeted Nursing in the Intensive Care Unit for Patients after Simultaneous Surgery of Valvular Heart Disease and Coro⁃nary Heart Disease

作　　者：邵晗 李珊珊[1] 王红梅 SHAO Han;LI Shanshan;WANG Hongmei(Department of Intensive Care Unit of Cardiac Surgery,Qilu Hospital of Shandong University,Jinan,Shandong,250000,China)

机构地区：[1]山东大学齐鲁医院心脏外科重症监护室,山东济南250000

出　　处：《中外医疗》2025年第4期103-107,共5页China & Foreign Medical Treatment

摘　　要：目的探讨心脏瓣膜病合并冠状动脉粥样硬化性心脏病(简称冠心病)同期手术患者中实施监护室护理的临床效果。方法方便选取2022年5月—2023年5月山东大学齐鲁医院收治的72例心脏瓣膜病伴冠心病患者作为研究对象,根据护理方法差异分为对照组(36例,常规术后护理),观察组(36例,实行监护室针对性护理)。比较两组的临床指标、不良事件发生率、疼痛程度、焦虑抑郁情绪、护理满意度。结果护理后,观察组呼吸机辅助通气时间与首次排气时间均短于对照组,差异均有统计学意义(P均<0.05)。术后,观察组焦虑自评量表、抑郁自评量表评分与术后4 h、24 h、48 h疼痛评分结果均低于对照组,且不良事件发生率低于对照组,差异均有统计学意义(P均<0.05)。对照组护理满意度为77.78%(28/36),低于观察组的94.44%(34/36),差异有统计学意义(χ^(2)=4.180,P=0.040)。结论心脏瓣膜病合并冠心病同期手术患者开展监护室针对性护理,有利于加快术后康复进程,改善负性情绪和减轻疼痛症状,并降低不良事件发生风险,以实现改善预后的干预目的。Objective To explore the clinical effect of implementing intensive care unit(ICU)targeted nursing for pa⁃tients undergoing simultaneous surgery for valvular heart disease complicated with coronary atherosclerotic heart dis⁃ease(hereinafter referred to as coronary heart disease).Methods Conveniently,72 patients with valvular heart disease complicated with coronary heart disease admitted to Qilu Hospital of Shandong University from May 2022 to May 2023 were selected as the research subjects.According to the differences in nursing methods,they were divided into the control group(36 cases,receiving routine postoperative nursing care)and the observation group(36 cases,receiv⁃ing targeted nursing care in the intensive care unit).The clinical indicators,the incidence of adverse events,the de⁃gree of pain,the levels of anxiety and depression,and the nursing satisfaction of the two groups were compared.Re⁃sults After nursing,the duration of ventilator-assisted ventilation and the time to first exhaust in the observation group were both shorter than those in the control group,and the differences were statistically significant(both P<0.05).After the operation,the scores of the Self-Rating Anxiety Scale(SAS),the Self-Rating Depression Scale(SDS),and the pain scores at 4 h,24 h,and 48 h after the operation in the observation group were all lower than those in the control group,and the incidence of adverse events was lower than that in the control group,and the differences were statistically significant(all P<0.05).The nursing satisfaction of the control group was 77.78%(28/36),which was lower than 94.44%(34/36)of the observation group,and the difference was statistically significant(χ^(2)=4.180,P=0.040).Conclu⁃sion Implementing targeted nursing in the intensive care unit for patients undergoing simultaneous surgeries for valvu⁃lar heart disease combined with coronary heart disease is beneficial for accelerating the postoperative rehabilitation process,improving negative emotions,alleviating pain symptoms,and re

关 键 词：心脏瓣膜病 冠心病 同期手术 监护室护理 心功能 

分 类 号：R473.6[医药卫生—护理学]