中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
2期
120-123
,共4页
徐雯%孙海英%张娅娅%陈晓锋%陶丹
徐雯%孫海英%張婭婭%陳曉鋒%陶丹
서문%손해영%장아아%진효봉%도단
冠心病%经皮冠状动脉成形术和支架植入术%围术期%满意度%并发症
冠心病%經皮冠狀動脈成形術和支架植入術%圍術期%滿意度%併髮癥
관심병%경피관상동맥성형술화지가식입술%위술기%만의도%병발증
Coronary heart disease%Percutaneous coronary angioplasty and stent implantation%Perioperative period%Satisfaction%Complications
目的：观察冠心病经皮冠状动脉成形术和支架植入术的围术期护理干预效果。方法选取2012年1月~2014年1月在我院行经皮冠状动脉成形术和支架植入术64例患者作为观察对象,入选患者根据护理侧重点不同随机分为干预组(n=32﹚和对照组(n=32﹚,对照组采取随机对症护理,干预组着重实施围术期护理干预,包括术前准备及心理护理、术中配合、术后病情观察及生活护理、并发症的观察及护理,比较两组患者术前术后SAS评分、SDS评分及护理满意度、并发症发生率。结果治疗后两组SAS、SDS评分均较治疗前明显下降(P<0.05﹚,且干预组较对照组降低更显著(P<0.05﹚。介入治疗后,干预组的护理满意度率为93.75%,明显高于对照组的71.88%(χ2=6.348,P<0.05﹚。干预组并发症的发生率达12.50%,对照组并发症的发生率达31.25%,干预组明显低于对照组(P<0.05﹚。结论对冠心病经皮冠状动脉成形术和支架植入术围术期实施护理干预措施,可以提高护理满意度,改善患者的负性心理状态,减少并发症的发生,有利于患者疾病的恢复。
目的：觀察冠心病經皮冠狀動脈成形術和支架植入術的圍術期護理榦預效果。方法選取2012年1月~2014年1月在我院行經皮冠狀動脈成形術和支架植入術64例患者作為觀察對象,入選患者根據護理側重點不同隨機分為榦預組(n=32﹚和對照組(n=32﹚,對照組採取隨機對癥護理,榦預組著重實施圍術期護理榦預,包括術前準備及心理護理、術中配閤、術後病情觀察及生活護理、併髮癥的觀察及護理,比較兩組患者術前術後SAS評分、SDS評分及護理滿意度、併髮癥髮生率。結果治療後兩組SAS、SDS評分均較治療前明顯下降(P<0.05﹚,且榦預組較對照組降低更顯著(P<0.05﹚。介入治療後,榦預組的護理滿意度率為93.75%,明顯高于對照組的71.88%(χ2=6.348,P<0.05﹚。榦預組併髮癥的髮生率達12.50%,對照組併髮癥的髮生率達31.25%,榦預組明顯低于對照組(P<0.05﹚。結論對冠心病經皮冠狀動脈成形術和支架植入術圍術期實施護理榦預措施,可以提高護理滿意度,改善患者的負性心理狀態,減少併髮癥的髮生,有利于患者疾病的恢複。
목적：관찰관심병경피관상동맥성형술화지가식입술적위술기호리간예효과。방법선취2012년1월~2014년1월재아원행경피관상동맥성형술화지가식입술64례환자작위관찰대상,입선환자근거호리측중점불동수궤분위간예조(n=32﹚화대조조(n=32﹚,대조조채취수궤대증호리,간예조착중실시위술기호리간예,포괄술전준비급심리호리、술중배합、술후병정관찰급생활호리、병발증적관찰급호리,비교량조환자술전술후SAS평분、SDS평분급호리만의도、병발증발생솔。결과치료후량조SAS、SDS평분균교치료전명현하강(P<0.05﹚,차간예조교대조조강저경현저(P<0.05﹚。개입치료후,간예조적호리만의도솔위93.75%,명현고우대조조적71.88%(χ2=6.348,P<0.05﹚。간예조병발증적발생솔체12.50%,대조조병발증적발생솔체31.25%,간예조명현저우대조조(P<0.05﹚。결론대관심병경피관상동맥성형술화지가식입술위술기실시호리간예조시,가이제고호리만의도,개선환자적부성심리상태,감소병발증적발생,유리우환자질병적회복。
Objective To observe the effects of percutaneous coronary angioplasty and stent implantation in periopera-tive nursing intervention effect. Methods From January 2012 to January 2014 year in our hospital, 64 cases of percuta-neous transluminal coronary angioplasty and stent implantation were observed, according to different nursing patients were randomly divided into intervention group (n=33﹚ and the control group(n=32﹚,the control group adopted random symptomatic care, the intervention group focused on the implementation of perioperative nursing, included preopera-tive preparation,and psychological nursing,observation and nursing cooperation during the operation, postoperative complications and nursing, observation of life, patients,the SAS score, SDS score, the incidence and nursing satisfac-tion, complications were compared between the two groups before and after treatment. Results After treatment, two groups of SAS, SDS scores were significantly decreased than before treatment(P<0.05﹚, and the SAS, SDS scores of pa-tients in the intervention group were lower than control group (P<0.05﹚. After interventional,nursing satisfaction rate was 93.75% in the intervention group,nursing satisfaction rate was 71.88%,was significantly higher than the con-trol group (χ2=6.348,P<0.05﹚. After intervention, the incidence of complications of intervention group was 12.50%, the control group was 31.25%, the incidence of postoperative complications of the intervention group was significantly lower than the control group(P<0.05﹚. Conclusion Percutaneous coronary angioplasty and stent implantation of perioper-ative nursing intervention measures can improve nursing satisfaction, improve the patients' negative psychological shape body, reduce the incidence of complications, is conducive to the recovery of patients with the disease.
