摘要
目的探讨分级护理管理在ST段抬高型心肌梗死(STEMI)患者中的应用效果。方法选取2017年4月~2019年6月我院收治的80例STEMI患者为研究对象,按照随机数字表法分为对照组和观察组,每组各40例。对照组给予常规责任制护理,观察组采取分级护理管理干预,比较两组干预中心绞痛发病情况,统计两组干预后超声心动图指标、血生化指标及纽约心功能(NYHA)变化情况,分析干预后两组疾病自我管理能力及生活质量评分情况。结果干预中观察组每周心绞痛发病次数少于对照组,观察组心绞痛发作持续时间亦短于对照组,差异均有统计学意义(P<0.05),干预后观察组超声心动图指标中左室射血分数(LVEF)水平高于对照组(P<0.05),血生化指标中心房钠尿肽(BPN)水平低于对照组(P<0.05),NYHA评级低于对照组,差异均有统计学意义(P<0.05)。干预后观察组疾病自我管理能力评分高于对照组(P<0.05),生活质量评分高于对照组,差异均有统计学意义(P<0.05)。结论针对急性STEMI实施分级护理管理,有效提高治疗效果,缓解患者临床症状,改善心功能,提高心脏射血能力,减低心肌损伤,同时还对提高患者疾病相关知识,改善生活质量有重要意义。
Objective To explore the application effect of hierarchical nursing management in patients with ST-segment elevation myocardial infarction(STEMI).Methods A total of 80 cases with STEMI admitted to our hospital from April 2017 to June 2019 were selected as the research objects and divided into two groups according to the random number table method,40 cases in each group.The control group received routine responsibility system nursing,while the observation group received hierarchical nursing management intervention.The incidence of angina pectoris was compared.Echocardiography indexes,blood biochemical indexes and changes of New York heart function(NYHA)after the intervention were counted,and the disease self-management ability and quality of life scores of the two groups after the intervention were analyzed.Results During the intervention,the incidence of angina pectoris in the observation group was less than that in the control group,and the duration of angina pectoris in the observation group was also shorter than that in the control group,the differences were statistically significant(P<0.05).After the intervention,the left ventricular ejection fraction(LVEF)level in the echocardiogram index in the observation group was higher than that in the control group(P<0.05),the central atrial natriuretic peptide(BPN)level in the blood biochemical index was lower than that in the control group(P<0.05),and the NYHA rating was lower than that in the control group,the differences were statistically significant(P<0.05).After intervention,the disease self-management ability score in the observation group was higher than that in the control group(P<0.05),and the quality of life score was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion The implementation of hierarchical nursing management for acute STEMI can effectively improve the therapeutic effect,relieve the clinical symptoms of patients,improve cardiac function,improve cardiac ejection capacity and reduce myocardial injury,and is also of great significance for improving the disease-related knowledge of patients and improving the quality of life.
作者
白艳梅
BAI Yan-mei(Department of Cardiology,Shenyang First People's Hospital,Liaoning Province,Shenyang 110041,China)
出处
《中国当代医药》
2020年第9期220-222,226,共4页
China Modern Medicine
关键词
分级护理管理
ST段抬高型
心肌梗死
应用价值
Hierarchical nursing management
ST segment elevation type
Myocardial infarction
Application value
