整体护理干预在冠状动脉粥样硬化性心脏病心肌梗死患者行心脏支架置入术中的应用效果-现代医学

整体护理干预在冠状动脉粥样硬化性心脏病心肌梗死患者行心脏支架置入术中的应用效果

单位：四川大学华西医院心内科, 四川成都 610041

分类号：R541.4

出版年·卷·期（页码）：2018·46·第七期（815-818）

摘要：

目的：探讨整体护理干预在冠状动脉粥样硬化性心脏病心肌梗死（MI）患者行心脏支架置入术（HSI）中的应用效果。方法：选取138例冠状动脉粥样硬化性心脏病MI行HSI治疗的患者，并随机分为对照组和观察组。对照组行常规护理，观察组在对照基础上行整体护理。观察比较两组治疗有效率、血小板计数、D-二聚体水平及并发症情况。结果：治疗有效率观察组为91.30%，对照组为73.91%，两组差异有统计学意义（χ²=7.263，P=0.007）。术前两组血小板计数和D-二聚体水平差异无统计学意义（P>0.05）；术后观察组血小板计数和D-二聚体水平分别为（198.87±43.82）×10⁹ L^-1和（397.73±71.54） g·L^-1，对照组分别为（178.32±38.14）×10⁹ L^-1和（473.49±79.23） g·L^-1，差异均有统计学意义（P<0.05）。不良反应的总发生率观察组为4.35%，对照组为20.29%，差异有统计学意义（χ²=8.118，P=0.004）；对护理的满意度观察组为95.65%，对照组为75.36%，差异有统计学意义（χ²=11.461，P=0.001）。结论：整体护理干预用于冠状动脉粥样硬化性心脏病MI行HIS的患者，可以预防术后血栓并发症，显著提高了治疗效果和患者对医护人员护理的满意度。

Objective: To investigate the application effect of holistic nursing intervention on heart stent implantation (HSI) in cases of coronary atherosclerotic heart disease with myocardial infarction (MI).Methods:A total of 138 patients diagnosed as coronary atherosclerotic heart disease with MI were selected for HSI treatment. The patients were randomly divided into the control group and the observation group. The patients in the control group received routine care. The patients in the observation group received the holistic interventions on the basis of routine care. The effective rate, platelet count, D-dimer levels and complications were observed and compared between the two groups.Results:The treatment efficiency was 91.30% in the observation group and 73.91% in the control group, respectively. The difference was statistically significant(χ²=7.263,P=0.007). There was no significant difference in platelet count and D-dimer levels between the two groups before HSI(P>0.05).After HSI the platelet count and D-dimer index were (198.87±43.82)×10⁹ L^-1 and (397.73±71.54) g·L^-1 in the observation group and(178.32±38.14)×10⁹ L^-1 and (473.49±79.23) g·L^-1 in the control group, respectively. The difference was statistically significant (P<0.05). The total incidence of adverse reactions was 4.35% in the observation group and 20.29% in the control group.The difference was statistically significant (χ²=8.118,P=0.004). The nursing satisfaction rate was 95.65% in the observation group and 75.36% in the control group. The difference was statistically significant (χ²=11.461,P=0.001).Conclusions:The application of holistic nursing intervention in patients with coronary heart disease and MI who underwent HSI can prevent postoperative thrombotic complications,and significantly improve the efficacy of treatment and satisfaction of medical staff care.

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