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目的探讨经皮冠状动脉介入治疗急性心肌梗死患者行综合护理的干预效果。方法选取2015年5月—2017年1月于麻城市人民医院收治的行经皮冠状动脉介入治疗的急性心肌梗死患者92例,采用随机数字表法将患者分为对照组与试验组,各46例。对照组予以常规护理,试验组予以综合护理干预。比较两组患者心理状态[焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分]、接诊到导管室时间、术后卧床时间、住院时间、住院费用、视觉模拟评分法(VAS)评分、健康知识掌握程度、术后并发症发生情况及护理满意度。结果试验组患者SAS评分、SDS评分低于对照组,接诊到导管室时间、术后卧床时间、住院时间短于对照组,住院费用、VAS评分低于对照组,发病原因、缓解措施、药物反应及自我防护掌握度评分高于对照组,并发症发生率低于对照组,服务态度、工作能力、心理护理、生活护理、健康教育满意度评分高于对照组(P<0.05)。结论综合护理干预在行经皮冠状动脉介入治疗急性心肌梗死患者中的应用效果确切,可有效缓解患者负性情绪,提高治疗效果,且患者并发症少,满意度高。
Objective To investigate the effect of comprehensive nursing intervention in patients with acute myocardial infarction undergoing percutaneous coronary intervention. Methods From May 2015 to January 2017, 92 patients with acute myocardial infarction who underwent percutaneous coronary intervention in Ma City People’s Hospital were enrolled. Patients were divided into control group and trial group by random number table . The control group was given routine nursing, and the experimental group was given comprehensive nursing intervention. Psychological status [SAS score, SDS score], time from admissions to catheterization, postoperative bed time, hospital stay, hospitalization costs and visual analogue scale were compared between the two groups (VAS) score, health knowledge mastery, postoperative complications and nursing satisfaction. Results SAS score and SDS score in the experimental group were lower than those in the control group. The time of receiving the catheterization, the time of bed rest and the length of stay in the experimental group were shorter than those in the control group. The hospitalization costs, VAS score were lower than those in the control group, etiology, mitigation measures, The score of mastery of response and self-protection was higher than that of the control group, and the complication rate was lower than that of the control group. The scores of service attitude, working ability, psychological nursing, life nursing and health education were higher than those of the control group (P <0.05). Conclusion The comprehensive nursing intervention in patients undergoing percutaneous coronary intervention for acute myocardial infarction is effective and can effectively alleviate the negative emotions of patients and improve the therapeutic effect. The patients with fewer complications and high satisfaction.