护理干预对急性心肌梗死患者PCI术前后生活质量的影响

目的分析护理干预对急性心肌梗死（AMI）患者经皮冠状动脉介入治疗（PCI）手术前后生活质量的影响。方法将十堰市东风公司茅箭医院收治的120例AMI患者随机分为2组，即观察组60例，对照组60例。行PCI术治疗前后，对照组患者行常规护理措施，观察组患者在常规护理的基础上行系统化的护理干预措施，包括术前心理护理、健康宣教、基础准备；术后并发症护理包括功能康复及指导、社会支持。于2组患者入院时，行PCI术前1d及行PCI术后7～10d，采用生活质量综合评定量表（GQOLI-74）对2组患者的生活质量进行评估。同时，观察并统计2组患者术后心绞痛的发作次数、术后并发症的发生率及住院时间。结果、入院时，2组患者在平均躯体功能、社会功能、心理功能、物质生活状态4个维度得分比较上，差异无统计学意义（P〉0．05）；PCI术前1d及PCI术后7—10d，观察组患者4个维度得分均高于对照组（P〈0．01）。同时，观察组患者的术后平均心绞痛发作次数低于对照组，平均住院时间短于对照组（P〈0．01）。结论AMI患者行PCI术治疗前后，采取有效的护理干预能有效提高患者的生活质量。

Influence of nursing intervention on quality of life in patients with acute myocardial infarction undergoing PCI before and after operationInfluence of nursing intervention on quality of life in patients with acute myocardial infarction undergoing PCI before and after operation

Objective] To analyze the influence of nursing intervention on quality of life in patients with acute myocardial infarction （AMI） undergoing percutaneous coronary intervention （PCI） before and after operation. Methods] 120 AMI patients in Maojian Hospital of Donfeng Motor Corporation in Shiyan City were randomly divided into the observation group （ 60 cases } and the control group （60 cases）. The control group was given the routine nursing measures before and after operation. On the basis of routine nursing care, the observation group received the systematic nursing intervention measures, and the preoperative nursing included psychological nursing, health education and basic preparation, while the postoperative complications nursing included rehabilitation and guidance, as well as social support. The quality of life of two groups was evaluated by the Generic Quality of Life Inventory （ GQOLI-74 ） at admission, one day before operation, and 7-10 days after operation. At the same time, frequency of angina pectoris attack after operation, the incidence rate of postoperative complications, and hospitalization time of two groups were observed and analyzed. Results] On admission, there were no statistically significant differences in scores of four dimensions （including average physical function, social function, psychological function and physical life state } between two groups （ P 〉 0.05 ）. One day before operation and 7-10 days after operation, the scores of four dimensions in the observation group were higher than those in the control group （ P 〈 0.01 ）. The average frequency of angina pectoris attack after operation in the observation group was lower than that in the control group, and the average hospitalization time in the observation group was shorter than that in the control group （ P 〈 0.01 ）. Conclusion] Before and after PCI surgery, the nursing intervention can effectively improve the quality of life in AMI patients.