摘要
目的研究并分析重症心脏瓣膜病患者行瓣膜置换术后的临床护理过程中,评价应用ICU护理干预措施的护理效果,为临床心内科护理奠定基础。方法在四川省凉山州第一人民医院相关科室选择了2013年5月—2017年4月期间收治的行瓣膜置换术的重症心脏瓣膜病患者,随机抽取64例分为两组,各32例,并分别予以不同的护理方式,对比其效果。结果经过不同的方案护理后,试验组患者的各项护理质量指标均显著优于对照组,如护患沟通、心理干预、护理技术等,差异具有统计学意义(P<0.05)。试验组患者心理状况及护理满意度评分均显著优于对照组,如抑郁、健康知识及护理满意度评分等,差异具有统计学意义(P<0.05)。试验组患者的低心排出量综合征、心律失常等并发症发生率显著低于对照组(25.0%,68.8%),差异具有统计学意义(P<0.05)。结论在临床护理行瓣膜置换术重症心脏瓣膜病患者的过程中,应用ICU护理干预措施有利于患者心理状况、护理满意度的改善,显著提升各项护理质量,并避免并发症的发生,应广泛推广。
Objective To study and analyze the effects of clinical nursing on severe valvular heart disease after valve replacement.Nursing effects of application of ICU nursing intervention measures were evaluated.The foundation of clinical department of cardiology nursing was laied.Methods64caces of severe valvular heart disease in First people's Hospital of Liangshan state in Sichuan during the period from May2016to April2017were randomly selected and divided into two groups,30cases in each group.They were given different nursing methods.Effects of two groups were compared.Results After different schemes of nursing,nursing quality indexes of experiment group were significantly better than those in control group(P<0.05),such as the communication between nurses and patients,psychological intervention,nursing technique.Psychological status and nursing satisfaction scores in experiment group were significantly better than those in control group(P<0.05),such as depression,health knowledge and nursing satisfaction scores.Low cardiac output syndrome,arrhythmia incidence in experiment group was lower than those in control group(25.0%,68.8%),with significant difference(P<0.05).Conclusion In the clinical nursing of aortic valve replacement for patients with severe valvular heart disease,the application of ICU nursing intervention is conducive to the psychological status of the patients.It can improve nursing satisfaction,the quality of nursing and avoid complications and it should be widely promoted.
作者
吴雪
WU Xue(Department of Critical Care Medicine, First people's Hospital of Liangshan State in Sichuan, XI Chang 615000, China)
出处
《实用心脑肺血管病杂志》
2017年第B12期143-145,共3页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
