老年心肌梗死患者施行优质护理服务对预后作用探讨.docVIP

老年心肌梗死患者施行优质护理服务对预后作用探讨 　　【摘要】 目的 探讨老年心肌梗死患者施行优质护理服务对预后的作用。方法 78例老年心肌梗死患者， 按照入院时间不同分为对照组和干预组， 各39例。对照组患者给予常规护理；干预组患者给予优质护理服务。观察并比较两组疼痛情况、并发症发生率及住院时间。结果 干预组并发症发生率为10.3%， 低于对照组的33.3%， 差异具有统计学意义（χ2=6.0926， P=0.01360.05）。干预组护理后视觉模拟评分法（VAS）评分为（2.2±0.4）分、住院时间为（6.3±0.6）d；对照组护理后VAS评分为（2.9±0.5）分、住院时间为（8.3±1.0）d。干预组VAS评分低于对照组， 住院时间短于对照组， 差异均具有统计学意义（t=6.8271、10.7101， P=0.0000、0.00000.05）。结论 老年心肌梗死患者施行优质护理服务可有效预防并发症， 减轻疼痛， 缩短住院时间， 改善预后， 值得在临床中积极使用和推广。 　　【关键词】 优质护理服务；预后；老年心肌梗死 　　DOI：10.14163/j.cnki.11-5547/r.2017.04.073 　　【Abstract】 Objective To investigate effect by high quality nursing service for prognosis in senile myocardial infarction patients. Methods A total of 78 senile myocardial infarction patients were divided by their admission time into control group and intervention group， with 39 cases in each group. The control group received conventional nursing， and the intervention group received high quality nursing service. Observation and comparison were made on pain condition， incidence of complications and hospital stay time between the two groups. Results The intervention group had lower incidence of complications as 10.3% than 33.3% in the control group， and their difference had statistical significance （χ2=6.0926， P=0.01360.05）. The intervention group had visual analogue scale （VAS） score after nursing as （2.2±0.4） points and hospital stay time as （6.3±0.6） d. The control group had VAS score after nursing as （2.9±0.5） points and hospital stay time as （8.3±1.0） d. The intervention group had lower VAS score and shorter hospital stay time than the control group， and their differences all had statistical significance （t=6.8271， 10.7101， P=0.0000， 0.00000.05）. Conclusion Implement of high quality nursing service for senile myocardial infarction patients can effectively prevent complications， relieve pain， shorten hospital stay time and improve prognosis. This method is worth actively clinical application and promotion. 　　【Key words】 High quality nursing service； Prog