摘要
目的:探讨风险评估策略下精准护理对冠脉支架植入术后患者心理应激和并发症的影响。方法:选取110例冠脉支架植入术后患者为研究对象,按照护理干预方式不同分为观察组和对照组,每组各55例。对照组患者采取常规护理模式干预;观察组患者在对照组基础上采用风险评估策略下精准护理干预,干预时间均为两个月。比较两组患者干预前、后心理应激状况[斯坦福急性应激反应问卷(SASRQ)评分]、自我管理能力[冠心病自我管理行为量表(CSMS)评分]、生活质量[SF-36生活质量调查表(SF-36)评分]及术后疼痛感知情况[视觉模拟评分法(VAS)评分]、术后6个月内并发症发生情况。结果:干预后,两组患者SASRQ各维度评分及总分均降低(P<0.05),且观察组低于对照组(P<0.05);CSMS各维度评分及SF-36各项目评分均升高(P<0.05),且观察组高于对照组(P<0.05)。干预后,VAS评分逐渐降低(P<0.05),且观察组干预后24、48、72 h均低于对照组(P<0.05)。观察组术后6个月内并发症发生率低于对照组(P<0.05)。结论:风险评估策略下精准护理能有效改善冠脉支架植入术后患者心理应激反应,增强自我管理能力,减轻疼痛感知度,减少并发症发生,提高生活质量。
Objective:To investigate the influence of precision nursing under risk assessment strategy on psychological stress and complications in patients after coronary stent implantation.Methods:110 patients after coronary stent implantation were selected as the research objects, and divided into the observation group and the control group according to different nursing intervention methods, with 55 cases in each group.The patients in control group were given routine nursing model while the patients in observation group adopted precision nursing under risk assessment strategy on the basis of the control group, the intervention time was 2 months.The psychological stress scores [Stanford Acute Stress Reaction Questionnaire(SASRQ)],self-management ability [Coronary Artery Disease Self-Management Scale(CSMS)] and quality of life [Short Form 36 Health Survey Questionnaire(SF-36)],pain perception score [Visual Analogue Scale(VAS)] before and after intervention, and the complications within 6 months after surgery were compared between the two groups.Results:After the intervention, the total SASRQ score of the two groups was reduced compared with that before intervention(P<0.05),and the score of observation group was significantly lower than that of control group(P<0.05).The scores of all dimensions of CSMS and SF-36 items increased in the two groups(P<0.05),and the observation group was higher than the control group(P<0.05).After the intervention, the VAS score gradually decreased(P<0.05),and it was lower in the observation group at 24,48 and 72 h after the intervention than in the control group(P<0.05).The incidence of complications within 6 months after operation in the observation group was lower than that in the control group(P<0.05).Conclusion:Precision nursing under risk assessment strategy can effectively improve the psychological stress response, enhance the self-management ability, relieve the pain perception, prevent the occurrence of complications, and increase the quality of life of patients after coronary stent implantation.
作者
程海丽
CHENG Hai-li(The Second Hospital of Anhui Medical University,Hefei 230000,Anhui,China)
出处
《川北医学院学报》
CAS
2023年第2期285-288,共4页
Journal of North Sichuan Medical College
关键词
风险评估策略
精准护理
冠脉支架植入术
心理应激
Risk assessment strategy
Precision nursing
Coronary stent implantation
Psychological stress
