简论急性心肌梗死患者介入治疗临床护理
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论文导读:干预前、干预后对照组比较均显著降低(P急性心肌梗死;介入治疗;护理1673-9701(2014)11-0079-03ObjectiveToexploretheeffectiveclinicalnursinginterventioninpatientswithacutemyocardialinfarction.MethodsAtotalof76casesofpatientswithacutemyocardialinfarctionundergoingPCI
[摘要] 目的 探讨急性心肌梗死患者介入治疗的有效临床护理措施。 策略 选择2011年1月~2012年12月我院收治的择期行PCI术的急性心肌梗死患者76例,将患者随机分为观察组42例、对照组34例,对照组患者行常规的护理模式,观察组患者在常规护理的基础上行临床有效干预护理,比较两组患者干预前后焦虑、抑郁评分以及患者常见并发症的发生率。 结果 干预后观察组患者的焦虑评分(SAS)以及抑郁评分(SDS)与干预前、干预后对照组比较均显著降低(P<0.05);观察组心律失常的发生率显著低于对照组(P<0.05)。 结论 有效的临床护理措施能够显著降低患者的心理抑郁以及焦虑,同时能够有效降低心肌梗死的并发症发生率,值得临床上推广使用。
[关键词] 急性心肌梗死;介入治疗;护理
[] B [文章编号] 1673-9701(2014)11-0079-03
[Abstract] Objective To explore the effective clinical nursing intervention in patients with acute myocardial infarction. Methods A total of 76 cases of patients with acute myocardial infarction undergoing PCI operation from January 2011 to December 2012 in our hospital were selected and randomly divided into observation group of 42 cases and control group of 34 cases. The control group was treated with conventional nursing mode, and the observation group patients were clinically effective nursing intervention on the basis of routine nursing. Anxiety, depression scores and the incidence of complications were compared between the two groups. Results Intervention in the observation group (SAS) score of anxiety and depression score (SDS) were significantly decreased (P<0.05); The occurrence of arrhythmia of the observation group was significantly lower than that of control group (P<0.05). Conclusion The clinical effective nursing measures can reduce the psychological depression and anxiety of patients, and can effectively reduce the incidence of complications of myocardial infarction, so it is worthy of clinical use.
[Key words] Acute myocardial infarction; Intervention; Care
急性心肌梗死(AMI)发病理由是由于冠状动脉发生闭死,使得血流中断,导致闭死冠状灌注区心肌发生持久而严重的缺氧、缺血而造成局部坏死[1,2]。在临床上,患者的主要表现有心前区针刺样疼痛、血压下降、呼吸急促、心悸、心率加快等,若对其治疗及护理不当,严重者将威胁到患者的生命安全。经皮冠状动脉介入治疗术(PCI)现已成为临床治疗AMI的重要手段之一,它是使用导管技术以疏通患者狭窄甚至闭死的冠状动脉管腔,进而使患者的心肌血流灌注得到改善[3]。而对行PCI术患者有效的临床护理措施,直接影响到手术的成功与否,同时也是减少并发症的关键因素之一。本研究探讨急性心肌梗死患者介入治疗的有效临床护理措施,现报道如下。
1 资料与策略
[摘要] 目的 探讨急性心肌梗死患者介入治疗的有效临床护理措施。 策略 选择2011年1月~2012年12月我院收治的择期行PCI术的急性心肌梗死患者76例,将患者随机分为观察组42例、对照组34例,对照组患者行常规的护理模式,观察组患者在常规护理的基础上行临床有效干预护理,比较两组患者干预前后焦虑、抑郁评分以及患者常见并发症的发生率。 结果 干预后观察组患者的焦虑评分(SAS)以及抑郁评分(SDS)与干预前、干预后对照组比较均显著降低(P<0.05);观察组心律失常的发生率显著低于对照组(P<0.05)。 结论 有效的临床护理措施能够显著降低患者的心理抑郁以及焦虑,同时能够有效降低心肌梗死的并发症发生率,值得临床上推广使用。
[关键词] 急性心肌梗死;介入治疗;护理
[] B [文章编号] 1673-9701(2014)11-0079-03
[Abstract] Objective To explore the effective clinical nursing intervention in patients with acute myocardial infarction. Methods A total of 76 cases of patients with acute myocardial infarction undergoing PCI operation from January 2011 to December 2012 in our hospital were selected and randomly divided into observation group of 42 cases and control group of 34 cases. The control group was treated with conventional nursing mode, and the observation group patients were clinically effective nursing intervention on the basis of routine nursing. Anxiety, depression scores and the incidence of complications were compared between the two groups. Results Intervention in the observation group (SAS) score of anxiety and depression score (SDS) were significantly decreased (P<0.05); The occurrence of arrhythmia of the observation group was significantly lower than that of control group (P<0.05). Conclusion The clinical effective nursing measures can reduce the psychological depression and anxiety of patients, and can effectively reduce the incidence of complications of myocardial infarction, so it is worthy of clinical use.
[Key words] Acute myocardial infarction; Intervention; Care
急性心肌梗死(AMI)发病理由是由于冠状动脉发生闭死,使得血流中断,导致闭死冠状灌注区心肌发生持久而严重的缺氧、缺血而造成局部坏死[1,2]。在临床上,患者的主要表现有心前区针刺样疼痛、血压下降、呼吸急促、心悸、心率加快等,若对其治疗及护理不当,严重者将威胁到患者的生命安全。经皮冠状动脉介入治疗术(PCI)现已成为临床治疗AMI的重要手段之一,它是使用导管技术以疏通患者狭窄甚至闭死的冠状动脉管腔,进而使患者的心肌血流灌注得到改善[3]。而对行PCI术患者有效的临床护理措施,直接影响到手术的成功与否,同时也是减少并发症的关键因素之一。本研究探讨急性心肌梗死患者介入治疗的有效临床护理措施,现报道如下。
1 资料与策略