协同护理模式对经桡冠状动脉介入术后桡动脉闭塞的影响

目的 探讨协同护理模式对经桡冠状动脉介入患者术后发生桡动脉闭塞和患者及家属对护理满意度的影响。 方法 回顾性分析2015年9月—2016年12月芜湖市第一人民医院经桡冠状动脉介入术84例患者的临床资料,按其接受护理模式的差异分为观察组和对照组,其中接受协同护理模式服务的患者为观察组(42例),接受常规护理模式服务的患者为对照组(42例),观察2组患者经桡冠状动脉介入术后桡动脉闭塞的发生率,问卷调查患者及家属对护理满意度,计数资料的比较采用χ2检验,比较2组患者经桡冠状动脉介入术后桡动脉闭塞发生率及护理满意度的差异。 结果 接受协同护理模式服务的观察组患者经桡冠状动脉介入术后桡动脉闭塞发生率为2.4%(1例),护理满意度为100.0%(42例);接受常规护理模式服务的对照组患者经桡冠状动脉介入术后桡动脉闭塞发生率为19.1%(8例),护理满意度为85.7%(36例)。2组患者经桡冠状动脉介入术后桡动脉闭塞发生率及护理满意度的差异均具有统计学意义(P<0.05)。 结论 协同护理模式能有效降低对经桡冠状动脉介入患者术后桡动脉闭塞的发生率,同时提高患者及家属对治疗和护理的满意度,明显改善医护患之间的沟通协作能力,使患者受益。 

Effect of collaborative nursing model on radial artery occlusion after trans-radial percutaneous coronary intervention

Objective To explore the effect of collaborative nursing model on radial artery occlusion after trans-radial percutaneous coronary intervention and patient and their family satisfaction. Methods The clinical data of 84 consecutive patients undergoing trans-radial percutaneous coronary intervention in our hospital between September, 2015 and December, 2016 were retrospectively analyzed.Forty-two cases in the observation group received the cooperative nursing model, while 42 cases in the control group received the routine nursing model.The incidence of radial artery occlusion after surgery was recorded.The patient and their family satisfaction questionnaire surveys were carried out.The occurrence of radial artery occlusion and nursing satisfaction were compared between the two groups by χ2test. Results The incidence of radial artery occlusion after trans-radial coronary intervention in the observation group was 2.4% (1 case) and the nursing satisfaction was 100% (42 cases);while those in the control group was 19.1% (8 cases) and 85.7% (36 cases).There was significant difference in the incidence of radial artery occlusion and nursing satisfaction between the two groups (P <0.05). Conclusion Collaborative nursing model can significantly reduce the incidence of radial artery occlusion after trans-radial coronary intervention, and effectively increased patient compliance with treatment and care satisfaction, significantly improve the ability of communication between doctors and patients.