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综合护理干预在急性心肌梗死患者急救中的应用
引用本文:谢先红,曾晓琼,刘彬,伍春岚.综合护理干预在急性心肌梗死患者急救中的应用[J].实用临床医药杂志,2017,21(6).
作者姓名:谢先红  曾晓琼  刘彬  伍春岚
作者单位:四川省成都市第七人民医院急诊科,四川成都,610021
摘    要:目的探讨综合护理干预在急性心肌梗死患者急救中的应用效果。方法收集100例急性心肌梗死患者随机分为2组,对照组患者给予常规护理,实验组患者则加施综合护理干预,比较2组患者出院前心绞痛程度、干预前后生活质量、心理状态、不良心脏事件发生率与家属护理满意度。结果实验组患者躯体活动受限程度、心绞痛稳定状态、心绞痛发作状态、治疗满意程度与疾病认知程度评分组间比较均显著性高于对照组;干预后生理机能、生理职能、躯体疼痛、社会功能、情感职能、精力、精神健康与一般健康状况评分组间比较均显著性高于对照组;焦虑与抑郁评分组间比较均显著性低于对照组;总体不良心脏事件发生率显著性低于对照组;家属满意度显著性优于对照组,2组比较差异有统计学意义(P0.05)。结论综合护理干预在急性心肌梗死患者急救中的应用效果显著,可提高家属满意度,借鉴意义重大。

关 键 词:综合护理  急性心肌梗死  心绞痛  满意度

Effect of comprehensive nursing intervention in first aid of patients with acute myocardial infarction
XIE Xianhong,ZENG Xiaoqiong,LIU Bin,WU Chunlan.Effect of comprehensive nursing intervention in first aid of patients with acute myocardial infarction[J].Journal of Clinical Medicine in Practice,2017,21(6).
Authors:XIE Xianhong  ZENG Xiaoqiong  LIU Bin  WU Chunlan
Abstract:Objective To explore the effect of comprehensive nursing intervention in patients with acute myocardial infarction (AMI).Methods A total of 100 patients with acute myocardial infarction were randomly divided into two groups.The patients in the control group were given routine nursing and the patients in the experimental group were given comprehensive nursing intervention.Angina severity,quality of life,psychological status,incidence of adverse cardiac events and family care satisfaction before and after intervention were compared.Results Compared with the control group,the degree of physical activity limitation,angina pectoris stabilized status,angina pectoris attack status,treatment satisfaction and disease cognition score of the experimental group were significantly higher than that of the control group.After the intervention,the physiological function,physiological function,social function,emotional function,energy,mental health and general health status scores were significantly higher than the control group;Anxiety and depression scores were significantly lower than the control group;The overall incidence of adverse cardiac events was significantly lower (P < 0.01).Conclusion The comprehensive nursing intervention has a significant effect in the first aid of acute myocardial infarction patients,which can improve the satisfaction of the family members.
Keywords:comprehensive care  acute myocardial infarction  angina  satisfaction
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