预见性护理程序在冠心病患者护理中应用分析.docVIP

预见性护理程序在冠心病患者护理中应用分析 　　[摘要] 目的 分析预见性护理程序在冠心病患者护理中的应用效果。方法 方便抽取该院收治的64例冠心病患者（2016年1―12月），分为常规组与实验组两组，对常规组采取一般护理模式，对实验组采取预见性护理程序，对比两组的跌倒发生情况、护理依从性、心肌梗死与心绞痛恶化情?r。结果 实验组患者无跌倒人数占比（90.63%）明显高于常规组（62.50%）（P0.05）；实验组与常规组护理依从性分别为93.75%与78.13%，比较差异有统计学意义（P0.05）；实验组的心肌梗死发生率（3.13%）明显低于常规组（21.88%），心绞痛恶化率（3.13%）明显低于常规组（31.25%）（P0.05）。结论对冠心病患者采取预见性护理程序有利于提高护理质量，降低跌倒发生率，值得实践推广。 　　[关键词] 冠心病；预见性护理程序；应用 　　[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742（2017）09（b）-0139-03 　　[Abstract] Objective This paper tries to analyze the application of predictive care programs in patients with coronary heart disease. Methods 64 cases of patients with coronary heart disease admitted in this hospital from January to December 2016 were conveniently selected and divided into the routine group and the experimental group， the routine group took general nursing mode， the experimental group adopted predictive nursing process， and then the fall occurrence， treatment compliance， deterioration of myocardial infarction and angina pectoris of the two groups were compared. Results The proportion of no falling down was 90.63% in the experimental group， significantly higher than that in the conventional group of 62.50%（P0.05）； the treatment compliance in the experimental group was 93.75% and that in the routine group was 78.13%， and the difference was significant（P0.05）. The incidence of myocardial infarction was 3.13% in the experimental group， significantly lower than the routine group of 21.88%， and the incidence of angina was 3.13%， significantly lower than the routine group of 31.25%（P0.05）. Conclusion The predictive nursing procedure for patients with coronary heart disease is beneficial to improve nursing quality and reduce the incidence of falls. So it is worth clinical promotion in practice. 　　[Key words] Coronary heart disease； Predictive care procedures； Application 　　冠心病在临床上较为常见，属于一类心血管疾病，以心绞痛等作为常见的临床表现，分析其发病原因是由于冠状动脉血管出现动脉粥样硬化病变引发的血管腔狭窄或者阻塞现象，进而导致心肌缺血、缺氧、坏死等引发的心脏疾病，若不及时进行积极干预，将可能引发猝死情况，威胁到了患者的生命安全[1-2