早期护理干预对急诊经皮冠状动脉介入术患者焦虑状态及主动脉内球囊反搏泵治疗并发症的影响

目的 探讨早期护理干预对急诊经皮冠状动脉介入术（PCI）患者焦虑状态与主动脉内球囊反搏泵（IABP）治疗并发症的影响.方法 回顾性分析76例接受急诊PCI与IABP泵治疗患者的一般资料,按照是否接受针对性的护理干预分为两组,对照组（38例）患者接受常规护理,观察组（38例）患者早期接受针对性行为与心理护理.干预前后采用焦虑自评量表（SAS）比较两组患者的焦虑情况,评价IABP泵治疗后并发症发生情况及治疗依从性.结果 干预后观察组患者SAS得分为（41.62±4.51）分,对照组得分为（50.68 ±4.83）分,两组比较差异有统计学意义（t=8.451,P＜0.05）；观察组患者并发症发生率（18.4％）明显低于对照组（55.3％）,两组比较差异有统计学意义（x2=11.083,P＜0.05）；在治疗完全依从率方面,观察组患者为76.3％,对照组为42.1％,两组比较差异有统计学意义（Z=1.969,P＜0.05）.结论 早期护理干预能够缓解PCI患者术后的焦虑情绪,减少并发症的发生,提高患者治疗依从性.

Effect of early nursing intervention on anxiety state and postoperative complications for intra-aortic ballon pump among patients who received percutaneous coronary intervention in the emergency

Objective To explore the effect of early nursing intervention on anxiety state and postoperative complications for intra-aortic balloon pump （IABP） to the patients who received percutaneous coronary intervention （PCI） in the emergency.Methods We retrospectively analyzed the clinical data of 76 patients who received PCI and IABP treatment in our hospital from 2009-2012.Thirty-eight cases received regular nursing in the control group while the other 38 cases received early nursing intervention in the experimental group.Self-rating anxiety scale （SAS） was employed to evaluate the difference on anxiety state of the patients in the two groups before and after interference.The incidences of postoperative complications and the compliance of the treatment were compared between the two groups.Results After the nursing intervention,the score of SAS was （41.62 ± 4.51） in the experimental group,and （50.68 ± 4.83） in the control group,and the difference was statistically significant （t =8.451,P ＜ 0.05）.The incidence of postoperative complication was 18.4％ in the experimental group,and lower （55.3％） than the control group,and the difference was statistically significant （x2 =11.083,P ＜ 0.05）.The compliance of the treatment was 76.3％ in the experimental group,and 42.1％ in the control group,and the difference was statistically significant （Z =1.969,P ＜ 0.05）.Conclusions Early nursing intervention can not only obviously alleviate the incidence and degree of anxiety but decrease the incidences of postoperative complications and strengthen the compliance of treatment of the patients.