综合护理干预联合常规护理在心脏搭桥术后患者中的效果

摘要

目的 探讨综合护理干预联合常规护理在心脏搭桥术后患者中的护理效果及对预后的影响.方法 选择2014年11月～2016年12月新疆医科大学第一附属医院重症医学科收治的心脏搭桥术患者80例,采用随机数字表法将其分为对照组(40例)和观察组(40例).对照组给予常规护理方法,观察组在对照组的基础上联合应用综合护理干预.采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)对两组护理前后心理情况进行评估,采用SF-36生活质量量表对两组患者护理前后生活质量进行评定,比较两组并发症发生情况.结果 护理前两组患者HAMA、HAMD评分比较,差异无统计学意义(P＞0.05),护理后两组HAMA、HAMD评分显著低于护理前,观察组降低更加显著,差异均有统计学意义(均P＜ 0.05);护理前两组SF-36生活质量评分比较,差异无统计学意义(P＞0.05),护理后两组SF-36生活质量评分均高于护理前,观察组增加更显著,差异均有统计学意义(均P＜0.05);观察组术后并发症发生率(10.00％)低于对照组(17.50％),差异有统计学意义(P＜0.05).结论 常规护理联合综合护理干预用于心脏搭桥术患者的效果较好,能明显改善患者预后,值得推广应用.%Objective To investigate the effect of comprehensive nursing intervention combined with routine nursing care in patients with artery coronary bypass grafting and its influence on prognosis.Methods From November 2014 to December 2016,80 patients with artery coronary bypass grafting in the First Affiliated Hospital of Xinjiang Medical University were divided into control group (40 cases) and observation group (40 cases) by random number table.The control group received routine nursing care,while the observation group received comprehensive nursing intervention based on the control group.Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD) were used to evaluate the psychological conditions of the two groups before and after nursing.Short form 36-item health survey (SF-36) was used to evaluate the quality of life in the two groups before and after nursing.The complications between the two groups were compared.Results Before nursing,there were no statistically significant differences of the scores of HAMA and HAMD between the two groups (P ＞ 0.05).After nursing,the scores of HAMA and HAMD were lower than those before nursing,and the observation group was reduced more significantly (all P ＜ 0.05).Before nursing,there were no statistically significant differences of the scores of SF-36 between the two groups (P ＞ 0.05),after nursing,the scores of SF-36 in the two groups were all higher than those before nursing,and the observation group was increased more significantly (all P ＜ 0.05).The incidence of postoperative complications in the observation group (10.00％) was lower than that of control group (17.50％),with statistically significant difference (P ＜ 0.05).Conclusion The effect of comprehensive nursing intervention combined with routine nursing care in patients with artery coronary bypass grafting is better,which can improve the prognosis of patients signficantly,and it is worthy of popularization and application.