人文关怀护理对冠心病支架植入术后非心脏并发症的影响

目的探讨人文关怀护理对冠心病支架植入术（PCI）后非心脏并发症发生率的影响。方法94例拟行PCI冠心病患者,急诊PCI术除外,随机分为干预组（47例）和对照组（47例）,对照组采用随机健康教育,按PCI术前、术后护理常规进行。护理干预组干预措施包括：a．PCI术前尽可能了解患者的心理状态;b．术前根据需要向患者讲解医学知识;C．训练患者床上排便;d．术中采用分心法及放松训练法转移患者注意力;e．术后拔管前做好解释工作,用分心法转移患者注意力。拔管后密切观察低血压、拔管综合征、出血及血肿、便秘及尿潴留等非心脏并发症的发生。结果干预组：低血压发生率10．64％,拔管综合征发生率12．77％,出血及血肿发生率14．89％,便秘发生率17．02％,尿潴留发生率14．89％。比对照：低血压发生率17．02％,拔管综合征发生率17．24％,出血及血肿发生率29．79％,便秘发生率38．30％,尿潴留发生率38．30％。干预组PCI术后并发症-拔管综合征、出血及血肿、便秘及尿潴留比对照组明显减少（P〈0．05）。结论在PCI术前及术后确当的人文关怀护理可减少PCI术后拔管综合征、出血及血肿、便秘及尿潴留并发症的发生。

The effect of the humanity concerned nursing on the non-hearted complication after stent implantation in coronary artery disease

Objective To explore the effect of the humanity concerned nursing on the emergent ratio of the non-hearted complication after stent implantation in coronary artery disease(PCI). Methods 94 patients with coronary artery disease prepared to PCI had devided into interventional group and control group randomly(47 cases in each group). Probabilistic healthy instruction, preoperative care and postoperative care for PCI had been performed routinely in control group. The interventional measures in interventional group included the following items: getting the message of mental state from the patients, explaining the medical knowledge according to preoperative requirement for patients, training the defecation for the patients on the bed, diverting the patients' attention during the operation precedure by distraction and relaxed training, doing the best interpretation and diverting the patients' attention before postoperative extubate. The emergence of non-hearted complication had been observed after extubate, which includes hypotension, syndrome of extubate, bleeding, haematoma, constipation and uroschesis. Results The emergence of syndrome of extubate, bleeding, haematoma, constipation and uroschesis had been decreased significantly after PCI(P<0.05).Conclusion The correct humanity concerned preoperative care and postoperative care can decreased the emergence of syndrome of extubate, bleeding, haematoma, constipation and uroschesis-complication after PCI.