CAJ | 학술논문

目的探讨术前护理干预对老年高血压合并冠心病患者行PCI术后并发症的影响,为临床护理提供参考依据.方法对本院2009年至2011年间老年高血压合并冠心病患者行PCI术后并发症发生的危险因素进行多因素logistic回归分析,针对分析结果给予2012年1至7月间收治的此类老年患者进行术前护理干预,比较干预性护理的临床效果.结果多因素logistic回归分析得出患者年龄、焦虑程度、糖尿病、疾病认知是老年高血压合并冠心病患者行PCI术后并发症发生的危险因素(P＜0.05).未经过干预护理的并发症发生率为34.2％ (40/117),干预后并发症发生率为11.1％ (13/117),术前护理组降低了并发症的发生,差异有统计学意义(P＜0.05).结论术前护理干预能够针对并发症发生的危险因素进行针对性的护理,有利于降低老年高血压合并冠心病患者行PCI术后并发症的发生.
목적 탐토술전호리간예대노년고혈압합병관심병환자행PCI술후병발증적영향,위림상호리제공삼고의거.방법 대본원2009년지2011년간노년고혈압합병관심병환자행PCI술후병발증발생적위험인소진행다인소logistic회귀분석,침대분석결과급여2012년1지7월간수치적차류노년환자진행술전호리간예,비교간예성호리적림상효과.결과 다인소logistic회귀분석득출환자년령、초필정도、당뇨병、질병인지시노년고혈압합병관심병환자행PCI술후병발증발생적위험인소(P＜0.05).미경과간예호리적병발증발생솔위34.2％ (40/117),간예후병발증발생솔위11.1％ (13/117),술전호리조강저료병발증적발생,차이유통계학의의(P＜0.05).결론 술전호리간예능구침대병발증발생적위험인소진행침대성적호리,유리우강저노년고혈압합병관심병환자행PCI술후병발증적발생.
Objective To explore preoperative nursing intervention on the complication of elderly patients with hypertension combined with coronary heart disease after PCI,and to provide a reference for clinical care.Methods Multivariate logistic regression analysis was used to analyze the risk factors of the complications in the elderly patients with hypertension combined with coronary heart disease in our hospital from 2009 to 2011.According to the analysis result,the patients who hospitalized from January to July 2012 were treated with preoperative nursing intervention,and clinical effect was compared.Results The risk factors of complication occurrence included age,anxiety,diabetes,disease awareness.The complication occurrence rate before nursing intervention was 34.2％ (40/117),after the intervention complication rate was 11.1％ (13/117) and the difference was statistically significant (P ＜ 0.05).Conclusions Preoperative nursing intervention can reduce the complications occurrence in in elderly patients with hypertension combined with coronary heart disease after Percutaneous Coronary Intervention