刘琦 张奇军
[摘要] 意图 讨论综合性护理干涉对冠心病介入医治患者心思状况及日子质量的影响。办法 选取2009 年 1月～2014 年 1月期间在我院行冠心病介入医治的患者60例，将上述患者随机分红干涉组与对照组各30例，对照组患者给予随机对症护理，干涉组于介入手术围术期侧重施行综合性护理干涉办法，比较两组的SAS评分及QOL评分。成果 术后3 d，干涉组和对照组患者的SAS评分均较术前1 d及术后1 d显着下降，且干涉组术后3 d的SAS评分显着低于对照组 （P<0.05）；出院后3个月，干涉组和对照组患者的生理、心思、独立性、社会关系、环境和日子质量总分均较干涉前显着进步，且干涉组显着高于对照组（P<0.05）。定论 围术期施行综合性护理干涉是冠心病患者介入医治进程的重要组成部分，能够缓解患的严峻、焦虑的心思状况，进步手术成功率，进一步进步患者的日子质量。
[关键词] 冠心病；介入医治；综合性；护理干涉；日子质量
[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701（2014）23-0068-04
[Abstract] Objective To investigate the effect and impact on mental state and quality of coronary intervention life of patients of comprehensive nursing intervention. Methods From January 2009 to January 2014 in our hospital， 60 patients with coronary heart disease by coronary intervention were randomly divided into intervention group and the control group， each of 30 patients， the control group were randomly given symptomatic treatment， observation group focused on the implementation of integrated perioperative nursing interventions， the SAS score and QOL score were compared. Results After three days， the intervention group and the control group of SAS scores were lower than that in one day before and after surgery， and the SAS score of intervention group after three days was significantly lower than the control group （P<0.05）； After 3 months of discharge， physiological， psychological， independence， social relationships， environment and quality of life scores in intervention group and the control group were significantly improved than before the intervention， and the intervention group were significantly higher than the control group（P <0.05）. Conclusion Implementation of comprehensive perioperative nursing intervention is an important part of the process of intervention in patients with coronary artery disease， patients can ease tension， anxiety mental state， improve the success rate of surgery and can further improve the quality of life of patients.
[Key words] Coronary heart disease； Interventional therapy； Comprehensive； Nursing interventions； Quality of life
经皮冠状动脉介入（percutaneous coronary intervention，PCI）医治冠心病具有伤口小、见效快、作用显着等长处，现现已广泛应用于临床[1]。但由于冠脉介入术危险高、费用贵、手术后并发症的存在，冠心病患者在手术前后遍及存在着焦虑心思，严峻影响其临床作用和远期预后、日子质量。因而，冠心病介入医治的临床作用不只与医生的操作技能经历密切相关，还与围手术期综合性护理干涉办法的施行密不可分[2]。本研讨旨在讨论综合性护理干涉对冠心病介入医治患者心思状况及日子质量的影响，现报导如下。
1 材料与办法
1.1临床材料
选取2009 年 1月～2014 年 1月期间在我院行冠心病介入医治的患者60例，扫除对β受体阻滞剂、血管严峻素变换酶抑制剂、调脂药物、抗血小板集合药物过敏者，扫除患有恶性肿瘤、严峻肝肾功能不全等疾病及精神异常者。随机将上述患者分红干涉组与对照组各30例，其间干涉组30例，男19 例，女11例，年纪 48～72 岁，均匀（55.2±7.8）岁；单支冠脉病变14例，双支病变12例，三支病变4例。兼并高血压11例，糖尿病8例。对照组 30 例，男20例，女10 例，年纪 46～73 岁，均匀（54.3±6.5）岁。其间单支冠脉病变16例，双支病变9例，三支病变5例。兼并高血压12例，糖尿病5例。两组患者性别、均匀年纪、冠脉病变及兼并高血压、糖尿病等一般材料比较，差异无统计学含义（P>0.05），具有可比性。见表1。endprint
根据您访问的内容，您可能还对以下内容感兴趣，希望对您有帮助：