目的：评估预见性干预对心血管重症患者的作用。方法选取湖北江汉油田总医院于2013年6月~2014年6月期间接收的95例心血管重症患者为研究对象，心血管疾病类型：急性心肌梗死、心力衰竭、心律失常及心绞痛，将所选患者分为试验组（n=48）和对照组（n=47），其中对照组患者采用常规护理干预，试验组患者在常规护理干预的基础上增加预见性干预，预见性干预是指护理人员在对患者病情进行全面综合分析的基础上进行的前瞻性及预防性干预措施，对比分析3个月后，两组心血管重症患者在不同护理干预下的心血管事件并发症发生率及护理满意度。结果试验组患者平均年龄为（66.2±10.4）岁，男性23例，前壁心梗10例，下壁心梗4例，心力衰竭12例，心律失常10例，心绞痛12例；对照组患者平均年龄（67.3±10.6）岁，男性24例，其中前壁心梗5例，下壁心梗患者5例，心绞痛患者15例，心律失常患者9例，心力衰竭患者13例。两组男性比例、年龄、疾病类型及用药史方面对比差异无统计学意义（P＞0.05）。两组患者在临床护理中均出现了不同程度的并发症，其中试验组患者的并发症（1例急性肺水肿、1例猝死、2例窦性停搏）发生率（8.33%）显著低于对照组（38.30%），47例对照组患者中发生7例猝死，差异具有统计学意义（P＜0.05），试验组患者的护理满意度（97.9%）也明显高于对照组（83.0%），差异具有统计学意义（P＜0.05）。结论预见性护理干预能够显著改善心血管重症患者心血管事件及相关并发症发生率，对心血管患者的临床治疗起到了良好的辅助作用，值得临床推广应用。%Objective To review the effect of predictive intervention in patients with severe cardiovascular diseases. Methods The patients (n=95) with severe cardiovascular diseases [acute myocardial infarction (AMI), heart failure (HF), arrhythmia and angina pectoris (AP)] were chosen from Jun. 2013 to Jun. 2014, and then divided into test group (n=48) and control group (n=47). The control group was given common routine nursing intervention, and test group was additionally given predictive intervention. The predictive intervention indicated that prospective and preventive interventional measures based on comprehensive analysis on patients’ conditions. The incidence of cardiovascular events and degree of satisfaction to nursing service were compared and analyzed between 2 groups after intervention for 3 m. Results In test group, the average age was (66.2±10.4) and there were 23 male patients. There were 10 cases of anterior myocardial infarction, 4 of inferior myocardial infarction, 12 of HF, 10 of arrhythmia and 12 of AP. In control group, the average age was (67.3±10.6) and there were 24 male patients. There were 5 cases of anterior myocardial infarction, 5 of inferior myocardial infarction, 15 of AP, 9 of arrhythmia and 13 of HF. The difference in male patient percentage, age, disease types and medication history had no statistical significance (P>0.05). There were complications occurred in varying degrees in 2 groups, and the incidence of complications was 8.33% in test group (1 case of acute pulmonary edema, 1 of sudden death and 2 of sinus arrest) and 38.30% in control group, and there were 7 cases of sudden death from 47 cases in control group (P<0.05). The ratio of patients satisfied to nursing service was 97.9% in test group and 83.0% in control group (P<0.05). Conclusion Predictive nursing intervention can significantly reduce the incidence of cardiovascular events and complications and plays a good supporting role in clinical treatment in patients with severe cardiovascular diseases, which is worth clinical promoting.
展开▼
