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急性心肌梗死患者应用协同护理干预的效果分析(1)
http://www.100md.com 2020年1月15日 《中外医学研究》 20202
     【摘要】 目的:分析急性心肌梗死患者应用协同护理干预后的效果。方法:选择2016年1月-2019年1月经笔者所在医院确诊为急性心肌梗死的60例住院患者为研究对象,随机分配为对照组(30例,常规护理模式)及观察组(30例,协同护理模式)。比较两组护理后身体及心理健康情况、护理前后心功能指标及护理后并发症发生率。结果:观察组护理后ADL得分高于对照组,SAS得分低于对照组,差异均有统计学意义(P<0.05);护理前两组射血分数(LVEF)、N末端B型尿钠肽(NT-proBNP)比较差异无统计学意义(P>0.05),护理后观察组LVEF高于对照组,NT-proBNP低于对照组,差异均有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:采用协同护理干预后,患者生活质量提高,心功能得以改善,且并发症发生率降低,值得运用于临床。

    【关键词】 协同护理干预 急性心肌梗死 生活质量 心功能

    doi:10.14033/j.cnki.cfmr.2020.02.044 文献标识码 B 文章编号 1674-6805(2020)02-0-03

    [Abstract] Objective: To analyze the effect of cooperative nursing intervention in patients with acute myocardial infarction. Method: A total of 60 inpatients with acute myocardial infarction diagnosed in our hospital from January 2016 to January 2019 were selected as the research subjects and randomly divided into the control group (30 cases, routine nursing mode) and the observation group (30 cases, collaborative nursing mode). The physical and mental health, cardiac function indexes before and after nursing and the incidence of complications after nursing were compared between the two groups. Result: The ADL score of the observation group was higher than that of the control group, and the SAS score was lower than that of the control group, the differences were statistically significant (P<0.05). There was no difference in ejection fraction (LVEF) and N-terminal B-type natriuretic peptide (NT-proBNP) between the two groups before intervention (P>0.05), after intervention, the LVEF of the observation group was higher than that of the control group, the NT-proBNP value of the observation group was lower than that of the control group, the differences were statistically significant (P<0.05). The incidence of complications in the observation group was lower than that in the control group, the difference was statistically significant (P<0.05). Conclusion: After the cooperative nursing intervention, the quality of life of the patient is improved, the heart function is improved and the complication rate is reduced, and it is worth to use in clinical practice.

    [Key words] Cooperative nursing intervention Acute myocardial infarction Quality of life Heart fraction

    First-author’s address: Yangdong District People’s Hospital of Yangjiang City, Yangjiang 529900, China

    急性心肌梗死(AMI)是臨床上较多见且致死率高的急发性心血管病,主要由冠状动脉狭窄引起心肌发生急性缺血缺氧[1],该病预后情况较差。常规护理模式仅具有普遍性,缺乏了针对性,这对AMI患者的身体恢复、生活质量均没有明显的帮助。对此,有学者提采用协同护理模式干预AMI患者治疗的理念[2]。协同护理模式是以改善患者身心健康,提高患者生活质量为目标的新护理模式。就急性心肌梗死患者应用协同护理干预后的效果,本研究得到的结果如下。, 百拇医药(黄汝兰 陈彩仙 张雪春 张喜珍 茹小静)
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