摘要
目的探讨HEART评分对急诊科急性胸痛患者心血管不良事件预测价值。方法选取2017年3月至2019年3月我院急诊科收治的79例胸痛患者为研究对象,随机将其分为研究组40例和对照组39例,对照组实施常规护理干预,研究组实施基于HEART评分系统的护理干预。随访护理后30 d,比较两组患者心血管不良事件发生率。结果两组预测心血管不良事件发生率比较差异无统计学意义(P>0.05),研究组心肌梗死、心脏骤停、心源性死亡实际发生率明显低于对照组,差异无统计学意义(P>0.05),全因死亡率低于对照组,差异有统计学意义(P<0.05)。结论将基于HEART评分的随访护理干预应用于急诊急性胸痛患者,在病情稳定后实施相应护理,可尽早预测患者心血管不良事件发生,降低出院后不良事件发生率,具有临床应用价值。
Objective To explore the Predictive value of HEART score on cardiovascular adverse events in patients with acute chest pain of emergency department.Methods To select 79 cases of patients with chest pain who were admitted to our emergency department from March 2017 to March 2019 as a study object.They were randomly divided into a study group for 40 cases and a control group for 39 cases.The control group implemented routine nursing interventions,and the study group implemented nursing interventions based on the HEART scoring system.At 30 days after follow-up,the incidence of cardiovascular adverse events was compared between the two groups.Results There was no significant difference in the predicted incidence of cardiovascular adverse events between the two groups(P>0.05).The actual incidence of myocardial infarction,cardiac arrest,and cardiogenic death in the study group were significantly lower than those in the control group,and the difference was not statistically significant(P>0.05).All-cause mortality in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Applying follow-up nursing intervention based on HEART score to patients with acute chest pain in emergency department and implementing corresponding nursing after stable condition,which could predict the incidence of cardiovascular adverse events in patients as early as possible and reduce the incidence of adverse events after discharge.Therefore,it has clinical application value.
出处
《护理实践与研究》
2019年第23期4-6,共3页
Nursing Practice and Research
关键词
HEART评分
急诊科
急性胸痛
心血管不良事件
HEART score
Emergency department
Acute chest pain
Cardiovascular adverse events
