全程护理干预在急性心肌梗死患者行急诊PCI术治疗的效果分析(1)
[摘要] 目的 分析全程护理干预在急性心肌梗死患者行急诊PCI术治疗的效果。 方法 选取2013年10月～2017年4月我院收治的行急诊PCI术治疗的急性心肌梗死患者160例进行分组研究，按照单双号法分为对照组和观察组，各组均为80例患者。对照组给予常规护理，观察组给予全程护理干预，对两组临床护理效果进行比较。 结果 观察组护理后的SAS、SDS评分显著低于对照组，组间差异明显(P<0.05)；两组护理满意度比较，对照组低于观察组，差异具有统计学意义(P<0.05)；观察组心律失常发生率和院内心肌梗死复发率与对照组比较，组间差异存在统计学意义(P<0.05)。 结论 急性心肌梗死行急诊PCI术治疗的患者应用全程护理干预有利于改善其心理状态，提高治疗效果和护理满意度，值得临床采纳和推广应用。
[关键词] 急性心肌梗死；急诊PCI术；全程护理干预；护理效果；心律失常
[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701(2017)22-0137-04
[Abstract] Objective To analyze the effect of comprehensive nursing intervention on emergency PCI in the patients with acute myocardial infarction. Methods 160 patients with acute myocardial infarction who were admitted to our hospital were given emergency PCI from October 2013 to April 2017 and they were selected and divided into groups. According to the odd and even number method， the patients were divided into the control group and the observation group， with 80 patients in each group. The control group was given routine care， and the observation group was given comprehensive nursing intervention. The clinical nursing effects were compared between the two groups. Results The SAS and SDS scores in the observation group after the nursing were significantly lower than those in the control group， and the differences were significant(P<0.05)； the satisfaction degree in the control group was lower than that in the observation group， and the difference was statistically significant(P<0.05)； the incidence rate of arrhythmia and the recurrence rate of nosocomial myocardial infarction in the observation group were significantly different from those in the control group， and the differences were statistically significant(P<0.05). Conclusion The application of comprehensive nursing intervention in the patients with acute myocardial infarction undergoing emergency PCI is helpful to improve their mental state， improve the therapeutic effect and nursing satisfaction， which is worthy of clinical application and popularization.
[Key words] Acute myocardial infarction； Emergency PCI； Comprehensive nursing intervention； Nursing effects； Arrhythmia
急性心肌梗死(acute myocardial infarction，AMI)主要是指持久且嚴重性的心肌缺血造成的心肌急性坏死，是中老年患者的常见病，近年来发病率明显升高。其具有起病急促、病情进展速度快、预后差等特点，若治疗不及时会导致一系列并发症出现，严重者会引起心源性休克、心律失常、心功能衰退等疾病[1-3]。冠状动脉长期处于持续性、急性缺氧缺血状态，导致患者的病死率逐渐上升。近年来随着经皮冠状动脉介入治疗(PCI)术的发展与应用，其已经在心肌梗死治疗中得到广泛应用，并取得显著性成效[4-6]。而急诊PCI术的全程护理的临床效果尚待深度探讨和分析。本文选取我院收治的行急诊PCI术治疗的急性心肌梗死患者160例进行分组研究，现报道如下。
1 资料与方法
1.1 一般资料, http://www.100md.com(赵青青 赵素玉 毛素芳 张慧红 张伟)
[关键词] 急性心肌梗死；急诊PCI术；全程护理干预；护理效果；心律失常
[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701(2017)22-0137-04
[Abstract] Objective To analyze the effect of comprehensive nursing intervention on emergency PCI in the patients with acute myocardial infarction. Methods 160 patients with acute myocardial infarction who were admitted to our hospital were given emergency PCI from October 2013 to April 2017 and they were selected and divided into groups. According to the odd and even number method， the patients were divided into the control group and the observation group， with 80 patients in each group. The control group was given routine care， and the observation group was given comprehensive nursing intervention. The clinical nursing effects were compared between the two groups. Results The SAS and SDS scores in the observation group after the nursing were significantly lower than those in the control group， and the differences were significant(P<0.05)； the satisfaction degree in the control group was lower than that in the observation group， and the difference was statistically significant(P<0.05)； the incidence rate of arrhythmia and the recurrence rate of nosocomial myocardial infarction in the observation group were significantly different from those in the control group， and the differences were statistically significant(P<0.05). Conclusion The application of comprehensive nursing intervention in the patients with acute myocardial infarction undergoing emergency PCI is helpful to improve their mental state， improve the therapeutic effect and nursing satisfaction， which is worthy of clinical application and popularization.
[Key words] Acute myocardial infarction； Emergency PCI； Comprehensive nursing intervention； Nursing effects； Arrhythmia
急性心肌梗死(acute myocardial infarction，AMI)主要是指持久且嚴重性的心肌缺血造成的心肌急性坏死，是中老年患者的常见病，近年来发病率明显升高。其具有起病急促、病情进展速度快、预后差等特点，若治疗不及时会导致一系列并发症出现，严重者会引起心源性休克、心律失常、心功能衰退等疾病[1-3]。冠状动脉长期处于持续性、急性缺氧缺血状态，导致患者的病死率逐渐上升。近年来随着经皮冠状动脉介入治疗(PCI)术的发展与应用，其已经在心肌梗死治疗中得到广泛应用，并取得显著性成效[4-6]。而急诊PCI术的全程护理的临床效果尚待深度探讨和分析。本文选取我院收治的行急诊PCI术治疗的急性心肌梗死患者160例进行分组研究，现报道如下。
1 资料与方法
1.1 一般资料, http://www.100md.com(赵青青 赵素玉 毛素芳 张慧红 张伟)