[1]高姝芳.关键环节超前护理对老年心梗急诊PCI患者术后血流动力学及预后的影响[J].医学信息,2023,36(23):153-156.[doi:10.3969/j.issn.1006-1959.2023.23.039]
　GAO Shu-fang.Effect of Bottleneck Advanced Nursing on Postoperative Hemodynamics and Prognosis in Elderly Patients with Myocardial Infarction Undergoing Emergency PCI[J].Journal of Medical Information,2023,36(23):153-156.[doi:10.3969/j.issn.1006-1959.2023.23.039]
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关键环节超前护理对老年心梗急诊PCI患者术后血流动力学及预后的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年23期
页码:
153-156
栏目:
护理研究
出版日期:
2023-12-01

文章信息/Info

Title:
Effect of Bottleneck Advanced Nursing on Postoperative Hemodynamics and Prognosis in Elderly Patients with Myocardial Infarction Undergoing Emergency PCI
文章编号:
1006-1959（2023）23-0153-04
作者:
高姝芳
（天津市胸科医院心内一科，天津 300222）
Author(s):
GAO Shu-fang
(The First Department of Cardiology,Tianjin Chest Hospital,Tianjin 300222,China)
关键词:
关键环节超前护理; 老年心梗; 急诊PCI; 血流动力学
Keywords:
Bottleneck advanced nursing; Elderly myocardial infarction; Emergency PCI; Hemodynamics
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2023.23.039
文献标志码:
A
摘要:
目的 观察关键环节超前护理对老年心梗急诊PCI患者术后血流动力学及预后的影响。方法 选取2021年2月-2022年2月在我院诊治的74例老年心梗急诊PCI患者为研究对象，采用随机数字表法分为对照组和观察组，各组37例。对照组采用常规护理干预，观察组在对照组基础上给予关键环节超前护理干预，比较两组血流动力学指标（心率、平均动脉压、心输出量）、胸痛缓解时间、住院时间、6 min步行试验距离、并发症发生率、护理满意度及生活质量。结果 观察组干预后平均动脉压小于对照组，心输出量大于对照组（P＜0.05），心率与对照组比较，差异无统计学意义（P＞0.05）；观察组干预后胸痛缓解时间、住院时间均小于对照组，6 min步行试验距离大于对照组（P＜0.05）；观察组并发症发生率（8.11%）低于对照组（21.62%）（P＜0.05）；观察组护理满意度（94.59%）高于对照组（81.08%）（P＜0.05）；两组干预后生活质量水平均高于干预前，且观察组高于对照组（P＜0.05）。结论 给予老年心梗急诊PCI患者关键环节超前护理可改善其术后血流动力学，减轻胸痛，缩短住院时间，增加运动耐力，提高护理满意度，提升生活质量水平，降低并发症发生率，改善患者预后。
Abstract:
Objective To observe the effect of bottleneck advanced nursing on hemodynamics and prognosis in elderly patients with myocardial infarction after emergency PCI.Methods A total of 74 elderly patients with emergency PCI for myocardial infarction who were treated in our hospital from February 2021 to February 2022 were selected as the research objects. They were divided into control group and observation group by random number table method, with 37 patients in each group. The control group was given routine nursing intervention, and the observation group was given advanced nursing intervention in key links on the basis of the control group. The hemodynamic indexes (heart rate, mean arterial pressure, cardiac output), chest pain relief time, hospitalization time, 6 min walking test distance, complication rate, nursing satisfaction and quality of life were compared between the two groups.Results After intervention, the mean arterial pressure in the observation group was lower than that in the control group, and the cardiac output was higher than that in the control group (P<0.05), but there was no significant difference in heart rate between the observation group and the control group (P>0.05). After intervention, the chest pain relief time and hospitalization time in the observation group were less than those in the control group, and the 6 min walking test distance was greater than that in the control group (P<0.05). The incidence of complications in the observation group (8.11%) was lower than that in the control group (21.62%) (P<0.05). The nursing satisfaction of the observation group (94.59%) was higher than that of the control group (81.08%) (P<0.05). The quality of life of the two groups after intervention was higher than that before intervention, and that of the observation group was higher than that of the control group (P<0.05).Conclusion Bottleneck advanced nursing in elderly patients with myocardial infarction undergoing emergency PCI can improve postoperative hemodynamics, reduce chest pain, shorten hospitalization time, increase exercise endurance, improve nursing satisfaction and quality of life, reduce the incidence of complications and improve the prognosis of patients.

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更新日期/Last Update: 1900-01-01