舒适护理在冠心病患者择期介入治疗中应用.docVIP

舒适护理在冠心病患者择期介入治疗中应用 　　[摘要] 目的:观察舒适护理在冠心病患者择期介入治疗中的效果。方法:将70例患者随机分为舒适组和对照组各35例,对照组给予常规护理,舒适组住院全程给予舒适护理,并对效果进行比较。结果:两组患者焦虑评分及患者满意度比较有显著性差异(P0.05),且舒适组并发症发生率明显低于对照组(P0.05)。结论:对冠脉介入治疗患者应用舒适护理,可使患者以最佳的状态配合手术治疗与护理,以提高护理服务质量及患者对护理工作的满意度。 　　[关键词] 舒适护理;介入治疗;冠心病 　　[中图分类号] R473.6[文献标识码]C [文章编号]1673-7210(2010)05(b)-099-02 　　 　　Application of comfortable nursing care in coronary artery elective intervention therapy 　　FAN Yulan,LI Jian ,YU Quanzhen, ZHU Yushan, ZHOU Xu 　　(Cardiovascular Internal Medicine,the Peoples Hospital of Jiangyou City,Sichuan Province, Jiangyou 621700,China) 　　[Abstract] Objective: To observe the effectiveness of comfortable nursing care in coronary artery elective intervention therapy. Methods: 80 patients were divided into comfortable group(n=35)and control group(n=35)at random. Routine nursing care was given in the control group,while comfortable nursing care was applied in the duration of hospitalization in the experiment group,and effectiveness of two groups were evaluated. Results: The significant difference was found in the comparison of anxiety and satisfaction between the two groups(P0.05). More ever, the complications were much lower in the comfortable group than that in the control group(P0.05).Conclusion: Comfortable nursing care in coronary artery intervention therapy can have in optimal state,so as to improve the quality of nursing care and patients satisfaction. 　　[Key words] Comfortable nursing care; Intervention therapy; Coronary heart disease 　　 　　笔者对我院冠心病择期行冠脉介入治疗患者给予舒适护理,并与常规护理组进行比较,效果满意,现报道如下: 　　1资料与方法 　　1.1一般资料 　　选择2007年9月～2009年9月我科择期行冠脉介入治疗患者共70例,其中,男54例,女16例,年龄37～69岁,平均(53.6±13.5)岁。文化程度:大专及以上29例,中专或高中21例,初中及以下20例。随机分为舒适护理组(舒适组)和常规护理组(对照组)各35例,两组性别、年龄、心肌梗死发生部位、病情病程等方面比较无显著性差异(P0.05)。 　　1.2方法 　　对照组仅给予传统常规护理,术前通知患者手术时间、进行一般准备,舒适组患者在此基础上实施舒适护理。 　　1.3观察指标 　　观察两组患者入院后出现穿刺部位出血、尿潴留、迷走神经反射、失眠等并发症的病例,采用Zung编制的焦虑自评量表,以SAS评分比较两组焦虑水平。并自行设计调查表,于出院时对两组患者进行满足度调查问卷,由专人指导填写。 　　1.4统计学处理 　　所得资料使用SPSS13.0统计软件进行分析,计量资料采用(x±s)表示,采用t检验