延伸护理在心肌梗死患者冠脉介入治疗中的效果探讨

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　　【摘要】 目的 分析延伸護理对心肌梗死患者冠脉介入治疗中的临床效果。方法 90例进行经皮冠状动脉介入治疗的患者， 采用随机数字表法分为观察组与对照组， 各45例。对照组患者给予常规的围术期护理， 观察组在对照组基础上采用延伸护理进行干预。观察比较两组患者满意度、护理期间不良反应的发生情况以及生活质量。结果 观察组患者护理满意度93.33%明显高于对照组的66.67%， 差异具有统计学意义（P<0.05）;观察组患者护理期间不良反应发生率4.44%明显低于对照组的22.22%， 差异具有统计学意义（P<0.05）;观察组护理后其生活质量评分（84.55±8.1）分显著高于治疗前的（61.44±
　　5.8）分， 并且高于对照组护理后的（60.39±7.8）分， 差异具有统计学意义（P<0.05）。结论 对心肌梗死冠脉介入治疗患者实施延续性护理， 不仅能有效降低不良反应的发生率， 而且还提高患者护理满意度， 提高患者生活质量， 可在临床进行推广。
　　【关键词】 延伸护理;心肌梗死;冠脉介入;治疗效果
　　DOI：10.14163/j.cnki.11-5547/r.2019.34.078
　　Discussion on effect of extended nursing in the coronary intervention of patients with myocardial infarction   LI Li-qun， LIN Hai-yun， ZHANG Jin-mei， et al. Department of Internal Medicine-Cardiovascular， Dongguan Changping Hospital， Dongguan 523560， China
　　【Abstract】 Objective   To analyze the clinical effect of extended nursing in the coronary intervention of patients with myocardial infarction. Methods   A total of 90 patients with myocardial infarction undergoing percutaneous coronary intervention were divided by random number table method into observation group and control group， with 45 cases in each group. The control group received routine perioperative nursing， and the observation group received extended nursing intervention on the basis of the control group. The satisfaction degree， occurrence of adverse reactions and quality of life was observed and compared between the two groups. Results   The degree of satisfaction with nursing 93.33% in the observation group was higher than 66.67% in the control group， and the difference was statistically significant （P<0.05）. The incidence of adverse reactions during treatment 4.44% in the observation group was significantly lower than 22.22% in the control group， and the difference was statistically significant （P<0.05）. After nursing， the quality of life score （84.55±8.1） points in the observation group was significantly higher than （61.44±5.8） points before treatment and （60.39±7.8） points in the control group after nursing. Their difference was statistically significant （P<0.05）. Conclusion   For patients with myocardial infarction undergoing percutaneous coronary intervention， extended nursing can not only effectively reduce the incidence of adverse reactions， but also improve the patients' degree of satisfaction with nursing and quality of life， which can be popularized in clinical practice.
　　【Key words】 Extended nursing; Myocardial infarction; Coronary intervention; Therapeutic effect
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