循证护理在急性ST段抬高心肌梗死行直接PCI术中常见问题的应用

目的:探讨循证护理的运用对急性ST段抬高心肌梗死患者直接PCI术中常见不良状况的影响。方法:急性ST段抬高心肌梗死并行直接PCI的患者,389例予以常规护理作为对照组;398例患者运用循证护理作为观察组,提出护理问题,针对问题查阅相关文献,制定护理方案,并对实施效果进行分析。结果:观察组的恐惧、胸痛、恶性心律失常、低血压及对比剂反应的发生率均低于对照组,差异有显著性(P0.05)。结论:对急性ST段抬高心肌梗死行直接PCI的患者进行循证护理,可有效减少患者常见不良状况的发生,提高临床护理质量。

The application of evidence based nursing care in acute ST segment elevation myocardial infarction undergoing primary percutaneous coronary intervention

Objective ： To investigate the impact of the application of evidence based nursing care on common adverse circumstance in patients with acute ST segment elevation myocardial infarction （STEM1） undergoing primary percutaneous coronary intervention （PCI）. Methods： 787 patients with STEMI undergoing primary PCI were involved. 389 cases treated by conventional nursing care in control group and 398 cases treated by evidence based nursing care in observe group. Proposed question of nursing care, searched the relative documents, provided proper plan of nursing care. The efficacy of the two groups were analized. Results： The incidence of fear, chest pain, malignant arrhythmia, hypotension, reaction of contrast agent in observe group were lower than in control group, significantly （ P 〈 0.05 ）. Conclusion ： The application of evidence based nursing care in patients with STEMI undergoing primary PCI could effective reduce the incidence of common adverse circumstance,and improve the quality of clinical nrusting care.