预见性护理对急性心梗患者溶栓效果及心理状况的影响(1)
[摘要] 目的 探讨预见性护理在急性心肌梗死患者静脉溶栓治疗中的临床应用。 方法 整群选择2012年6月—2014年6月在该院心内科收治的急性心肌梗死患者62例，将62例符合急性心肌梗死溶栓指征的患者分为实验组31例和对照组31 例。对照组给予常规护理，实验组给予预见性护理；比较两组患者从入院到开始溶栓所用平均时间、患者心理状况、治疗效果。结果 实验组从入院到开始溶栓所用平均时间为(20.09±8.21)min，对照组从入院到开始溶栓所用平均时间为(31.28±11.76)min，两组比较差异有统计学意义(P<0.01 )。患者心理状况，实验组在溶栓后SAS评分为(51.8 ±2.8)分，对照组为(62.3±2.6)分，两组比较差异有统计学意义(P<0.05 )；实验组在溶栓后SDS评分为( 50.3±2.1)分，对照组为(60.8±2.3)分，两组比较差异有统计学意义(P<0.05 )。 治疗效果：实验组 77.41 % 的患者病情稳定，治疗有效率为90.32%，均显著高于对照组(P<0.05)。 结论 预见性护理能使患者更快地接受溶栓治疗，改善患者的心理状况，缩短抢救时间，提高溶栓成功率。
[关键词] 预见性护理；急性心肌梗死；静脉溶栓治疗
[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742(2015)09(b)-0146-03
[Abstract] Objective To explore the clinical application effect of predictive nursing on acute myocardial infarction patients with intravenous thrombolytic therapy. Methods Sixty-two acute myocardial infarction patients with the indications of thrombolytic therapy admitted in Department of Cardiology of our hospital from June 2012 to June 2014 were selected and divided into the experimental group and the control group with 31 cases in each. Patients in the control group were given the conventional nursing， and those in the experimental group were given predictive nursing. And the mean time from admission to the beginning of thrombolytic therapy， psychological status and therapeutic effect were compared between the two groups. Results The mean time from admission to the beginning of thrombolytic therapy of the experimental group was (20.09±8.21) min， and that of the control group was (31.28±11.76) min， the difference between the two groups was statistically significant (P<0.01). After thrombolytic therapy， the SAS scores were (51.8±2.8) points in the experimental group， and (62.3±2.6) points in the control group with statistically significant difference(P<0.05). The SDS scores were (50.3±2.1) points in the experimental group， and (60.8±2.3) points in the control group after thrombolytic therapy with statistically significant difference(P<0.05). 77.41% of the patients had stable conditions and the response rate was 90.32% in the experimental group， which was higher than that in the control group， respectively(P<0.05). Conclusion For patients with acute myocardial infarction， predictive nursing can help them quickly receive the thrombolytic therapy， improve the psychological status， shorten the rescue time as well as increase the success rate of thrombolysis.
[Key words] Predictive nursing； Acute myocardial infarction； Intravenous thrombolytic therapy (叶芹)
[关键词] 预见性护理；急性心肌梗死；静脉溶栓治疗
[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742(2015)09(b)-0146-03
[Abstract] Objective To explore the clinical application effect of predictive nursing on acute myocardial infarction patients with intravenous thrombolytic therapy. Methods Sixty-two acute myocardial infarction patients with the indications of thrombolytic therapy admitted in Department of Cardiology of our hospital from June 2012 to June 2014 were selected and divided into the experimental group and the control group with 31 cases in each. Patients in the control group were given the conventional nursing， and those in the experimental group were given predictive nursing. And the mean time from admission to the beginning of thrombolytic therapy， psychological status and therapeutic effect were compared between the two groups. Results The mean time from admission to the beginning of thrombolytic therapy of the experimental group was (20.09±8.21) min， and that of the control group was (31.28±11.76) min， the difference between the two groups was statistically significant (P<0.01). After thrombolytic therapy， the SAS scores were (51.8±2.8) points in the experimental group， and (62.3±2.6) points in the control group with statistically significant difference(P<0.05). The SDS scores were (50.3±2.1) points in the experimental group， and (60.8±2.3) points in the control group after thrombolytic therapy with statistically significant difference(P<0.05). 77.41% of the patients had stable conditions and the response rate was 90.32% in the experimental group， which was higher than that in the control group， respectively(P<0.05). Conclusion For patients with acute myocardial infarction， predictive nursing can help them quickly receive the thrombolytic therapy， improve the psychological status， shorten the rescue time as well as increase the success rate of thrombolysis.
[Key words] Predictive nursing； Acute myocardial infarction； Intravenous thrombolytic therapy (叶芹)