以患者需求为导向的全方位护理干预在急性心肌梗死PCI治疗患者中的应用  

Application of Comprehensive Nursing Intervention Guided by Patient-Oriented in Patients with Acute Myocardial Infarction Undergoing PCI Treatment

作　　者：王喜东 刘亚非 余阳[1] WANG Xidong;LIU Yafei;YU Yang(Interventional Operation Room,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第二附属医院介入手术室,河南郑州450000

出　　处：《河南医学研究》2025年第6期1105-1108,共4页Henan Medical Research

摘　　要：目的重点观察以患者需求为导向的全方位护理在行经皮冠状动脉介入治疗(PCI)的急性心肌梗死(AMI)患者中的应用效果。方法回顾性采集郑州大学第二附属医院2021年5月至2023年5月行PCI治疗的97例AMI患者资料,48例接受常规护理患者纳入对照组,49例以患者需求为导向的全方位护理患者纳入观察组,统计并比较两组术后康复情况、负性情绪、心功能、生活质量。结果观察组术后下床时间、功能锻炼开始时间及住院时间均短于对照组(P<0.05)。干预后,观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组,左心室射血分数(LVEF)水平高于对照组,左心室舒张末内径(LVEDD)、左心室收缩末内径(LVESD)低于对照组(P<0.05)。出院后1个月,观察组生活质量评分高于对照组(P<0.05)。结论AMI患者PCI后接受以患者需求为导向的全方位护理干预,能促进术后早期康复,患者负性情绪缓解、心功能改善,生活质量提高。Objective To observe the application effect of comprehensive nursing guided by patient-oriented in acute myocardial infarction(AMI)patients undergoing percutaneous coronary intervention(PCI)treatment.Methods Data of 97 patients with AMI who underwent PCI in the Second Affiliated Hospital of Zhengzhou University from May 2021 to May 2023 were retrospectively collected,48 patients with routine care were included in the control group and 49 patients with demand oriented comprehensive nursing were included in the observation group.Postoperative rehabilitation,negative emotion,heart function and quality of life of the two groups were statistically compared.Results The observation group had shorter postoperative bed rest time,functional exercise start time,and total hospital stay than the control group(P<0.05).Compared with the control group,the observation group had lower scores on self-rating anxiety scale(SAS)and self-rating depression scale(SDS)after intervention,higher levels of left ventricular ejection fraction(LVEF),and lower left ventricular end diastolic diameter(LVEDD)and left ventricular end systolic diameter(LVESD)(P<0.05).One month after discharge,the quality of life score of the observation group was higher than that of the control group(P<0.05).After one month of discharge,the observation group had a higher quality of life score compared to the control group(P<0.05).Conclusion After PCI,AMI patients receiving comprehensive nursing interventions guided by patient-oriented can promote early postoperative recovery,alleviate negative emotions,significantly improve heart function,and enhance quality of life.

关 键 词：急性心肌梗死 经皮冠状动脉介入治疗 全方位护理 以需求为导向 心功能 

分 类 号：R473.6[医药卫生—护理学]