摘要
目的探讨分析服务全过程整体护理对急性心肌梗死患者经皮冠状动脉介入术(PCI)术后治疗依从性和预后的影响。方法80例急性心肌梗死患者,根据随机数字表法分为常规组与观察组,每组40例。两组患者均接受PCI治疗,常规组给予常规术后早期康复干预,观察组患者在常规组基础上联合服务全过程整体护理。比较两组患者出院时及出院1、3、6个月抗血小板治疗依从性,术后、术后3个月心功能指标情况,出院1年内心脏不良事件发生情况。结果观察组患者出院时及出院1、3、6个月抗血小板治疗依从性为97.5%、90.0%、80.0%、75.0%,均明显高于常规组的77.5%、60.0%、52.5%、45.0%,差异具有统计学意义(P<0.05)。术后,两组患者左心室射血分数(LVEF)、室壁运动积分指数(WMSI)比较差异无统计学意义(P>0.05);术后3个月,两组患者LVEF、WMSI均优于本组术后,且观察组患者优于对照组,差异具有统计学意义(P<0.05)。观察组患者出院1年内总心脏不良事件发生率为10.0%,显著低于对照组的27.5%,差异具有统计学意义(P<0.05)。结论为接受PCI治疗的急性心肌梗死患者实施服务全过程整体护理,可有效提升患者的抗血小板治疗依从性,同时改善患者的心功能,降低患者心脏不良事件的发生率,改善其预后,是该病症理想的护理模式,值得推广。
Objective To investigate and analyze the influence of overall service holistic nursing on treatment compliance and prognosis of patients with acute myocardial infarction after percutaneous coronary intervention (PCI).Methods A total of 80 patients with acute myocardial infarction were divided by random number table method into conventional group and observation group,with 40 cases in each group.Both groups received PCI therapy.The conventional group also received early rehabilitation intervention after routine operation,and the observation group also received overall service holistic nursing on the basis of conventional group.Comparison were made on compliance with antiplatelet therapy at discharge and 1,3 and 6 months after discharge,cardiac function indexes after operation and 3 months after operation,occurrence of adverse cardiac events within 1 year after discharge between the two groups.Results The observation group had obviously higher compliance with antiplatelet therapy at discharge and 1,3 and 6 months after discharge respectively as 97.5%, 90.0%,80.0% and 75.0% than 77.5%,60.0%,52.5% and 45.0% in conventional group,and the difference was statistically significant (P<0.05).After operation,both groups had no statistically significant difference in left ventricular ejection fraction (LVEF) and wall motion score index (WMSI)(P>0.05).After 3 months after operation, both groups had better LVEF and WMSI than those after operation,and the observation group was better than the control group.Their difference was statistically significant (P<0.05).The observation group had significantly lower incidence of adverse cardiac events within 1 year after discharge as 10.0% than 27.5% in the control group, and the difference was statistically significant (P<0.05).Conclusion Implementation of overall service holistic nursing for patients with acute myocardial infarction treated by PCI can effectively improve the compliance of patients with antiplatelet therapy,improve their cardiac function,reduce the incidence of adverse cardiac events and improve the prognosis.It is an ideal nursing mode for this disease,and it is worth promoting.
作者
李凤云
陈慧
王蔚浩
林海云
张金梅
邢秋燕
LI Feng-yun;CHEN Hui;WANG Wei-hao(Department of Internal Medicine-Cardiovascular,Dongguan Changping Hospital,Dongguan 523574,China)
出处
《中国现代药物应用》
2019年第13期166-168,共3页
Chinese Journal of Modern Drug Application
关键词
服务全过程
整体护理
急性心肌梗死
经皮冠状动脉介入术
治疗依从性
预后
Overall service
Holistic nursing
Acute myocardial infarction
Percutaneous coronary intervention
Treatment compliance
Prognosis
