围术期护理干预对冠脉支架术后并发症的影响(1)
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2010年4月5日
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[摘要] 目的:探讨经皮冠状动脉支架植入术(PCI)患者围术期进行护理干预的重要性。方法:将80例接受PCI术的心肌梗死患者随机分为干预组(40例)和对照组(40例),对照组在围术期采用常规护理,干预组在常规护理基础上增加心理和行为干预等多种护理干预措施。结果:干预组术前焦虑程度较对照组明显降低(P<0.05),术后急性冠脉闭塞和心律失常、对比剂肾病发生率两组比较,差异无统计学意义(P>0.05),干预组术后尿潴留、穿刺局部并发症、血管迷走反射、腰酸背痛、下肢深静脉血栓形成等并发症较对照组少,差异具有统计学意义(P<0.05)。结论:PCI围术期积极的护理干预可调动患者的积极性,有效地减少术后并发症和不良反应的发生率,促进患者康复。
[关键词] 围术期;护理干预;冠状动脉支架术;并发症
[中图分类号] R473.5 [文献标识码]C [文章编号]1674-4721(2010)04(a)-094-03
Influrence of perioperative nursing intervention on patients undergoing coronary artery intervention
LIN Meixiang*,MA Weidong,CHEN Jianhong
(The Centre People's Hospital of Huizhou City, Guangdong Province, Huizhou 516001, China)
[Abstract] Objective: To study the importance of perioperative nursing intervention on patients undergoing coronary artery intervention. Methods: A total of 80 patients with myocadial infarction accepted coronary artery intervention were divided into test and control group randomly. Patients of the control group were accepted treatment and nursing care as routine. While patients in test group were given preoperative systematic psychological care, education and instruction besides the routine treatment and nursing care. Then all patient s were investigated before operation by filling out SAS. Results: The scorings ofSAS of the two groups were higher than the critical line(50) before intervention. However, anxiety scorings of test group patients before intervention were lower than that of control group (P<0.05). There was no statistical difference between two groups about acute coronary occlusion, arrhythmia and contrast-induced nephropathy after operation. But the incidence of aches in rump and back, vasovagal reflex, urinary retention, deep venous thrombosis(DVT) and local puncture complication in test group was lower than that of control group after intervention(P<0.05). Conclusion: Perioperative nursing intervention relieves the preoperative anxiety and decreases the postoperative complications of coronary artery intervention, Promoting a quick recover.
[Key words] Perioperative; Nnursing Intervention; Percutaneous coronaryintervention(PCI);Complications ......
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