术前护理干预对冠脉支架植入术患者的影响大学学位论文.doc

中央电大护理学专业 本科生毕业科研论文 题目：术前护理干预对冠脉支架植入术患者的影响 学 生： 朱 元 红 指导老师： 梁 蓓 蓓 2012年11月17日 术前护理干预对冠状动脉支架植入术患者的影响 [摘 要] 目的：方法：选冠脉支架植入术患者，采针对性的护理结果：观察组患者发生低血压、、腰部疼痛和明显P0.05）。结论：对支架植入术的患者，进行有针对性的综合护理干预，增加术后患者的舒适度，有效的减少术后并发症的发生，提高患者的生活质量。 [关键词] 冠脉支架植入术护理干预Effects of preoperative nursing intervention upon coronary artery stent implantation ( PCI ) patients [Abstract] Purpose: Discuss effects of preoperative nursing intervention upon coronary artery stent implantation (PCI) patients. Method: Research 86 cases of coronary artery stent implantation ( PCI ) patients in our hospital from May 2011 to May 2012. 43 cases as the observation group were operated by niche targeting nursing intervention and health guidance, and the other 43 cases as the control group were done by conventional method. Score two groups by Self-rating Anxiety Scale (SAS) and observe two groups’ heart rate, blood pressure changes and postoperative complications. Result: After nursing intervention, the observation group’s SAS values were obviously lower than the control group’s (p0.05), the observation group’s heart rate and Systolic blood pressure were significantly lower than the control group’s (p0.05), the complication possibility of hypotension, abdominal distention, waist ache, dysuria, etc. were obviously lower than that of the control group (P0.05). Conclusion: Comprehensive niche targeting nursing intervention upon the coronary artery stent implantation ( PCI ) patients can increase patients’ comfort degree after operation, reduce possibilities of postoperative complications and improve their life quality. [Keywords] Coronary artery stent implantation; Preoperative; Nursing intervention; 前 言 冠状动脉支架术是一种有效的冠心病的治疗方法具有成功率高、、性高等优点但各种导管、血管鞘、抗凝药的应用，患者术后卧床制动还需大量饮水以利造影剂排出及手术费用相对较高等原因会因 1.1研究对象 选1天进清淡不油腻的饮食，手术当天术前5 h禁止饮食，术前排空尿液，按医嘱给予药物有利于手术顺利进行。并向患者讲解PCI术中的配合要点，解释术中配合的重要性。 1.3 评价指标 1.3.1采用Zung焦虑自评量表（SAS）[5]对两组患者在护理干预前（术前48h）和护理干预后（术前2h）心理状