风险防范护理干预对控制冠状动脉造影术后患者血管并发症的影响  

Effect of risk prevention nursing intervention on controlling vascular complications in patients after coronary angiography

作　　者：胡圆圆 张青波 朱乾荣 HU Yuanyuan;ZHANG Qingbo;ZHU Qianrong(Interventional Operating Room,South Campus,Henan Chest Hospital,Zhengzhou 450000,China;EICU,South Campus,Henan Chest Hospital,Zhengzhou 450000,China;Department of Cardiovascular,South Campus,Henan Chest Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省胸科医院南院区介入手术室,河南郑州450000 [2]河南省胸科医院南院区EICU,河南郑州450000 [3]河南省胸科医院南院区心血管内科,河南郑州450000

出　　处：《广州医药》2025年第3期356-360,共5页Guangzhou Medical Journal

摘　　要：目的 探讨在冠状动脉造影术后患者中应用风险防范护理干预对血管并发症的控制效果。方法 选择2022年1月—2023年6月于我院接受治疗的85例冠状动脉造影术后患者。按照随机数字表法分组,其中对照组42例给予常规护理干预,观察组43例给予风险防范护理干预,比较两组干预前后的心理状态、治疗依从性、血管并发症。结果 干预后,观察组正性情绪(PA)评分高于对照组PA评分(t=3.821,P<0.001),观察组负性情绪(NA)评分低于对照组NA评分(t=5.380,P<0.001)。与对照组比,观察组治疗依从性更好(Z=2.268,P=0.023)。观察组血管并发症总发生率低于对照组(9.30%vs 30.95%,χ^(2)=6.224,P=0.013)。结论 采用风险防范护理干预,能够改善冠状动脉造影术后患者的心理状态,提高治疗依从性,并降低血管并发症总发生率。Objective To explore the effect of risk prevention nursing intervention on controlling vascular complications in patients after coronary angiography.Methods Eighty-five patients after coronary angiography in our hospital were selected from January 2022 to June 2023.They were grouped according to the random number table.And 42 cases were divided into the control group for routine nursing intervention,and 43 cases in the observation group were given risk prevention nursing intervention.Psychological status,treatment compliance and vascular complications of the two groups were observed.Results After the intervention,the postive affect score of the observation group was higher than that of the control group(t=3.821,P<0.001),and the negative affect score of the observation group(21.25±3.31)was lower than the score of the control group(25.35±3.70)(t=5.380,P<0.001).Compared with the control group the compliance of observation group was higher(Z=2.268,P=0.023).The overall incidence of vascular complications in the observation group was lower than that in the control group(9.30%vs 30.95%,χ^(2)=6.224,P=0.013).Conclusions Risk prevention nursing intervention can improve the psychological status of patients after coronary angiography,improve treatment compliance,and reduce the overall incidence of vascular complications.

关 键 词：风险防范护理 冠状动脉造影术 血管并发症 依从性 心理状态 

分 类 号：R473.5[医药卫生—护理学]