摘要
目的 评价循证护理在心脏急诊介入手术患者围术期的应用价值.方法 选取2012年11月至2013年10月207例在北京安贞医院急诊科行心脏介入手术的ST段抬高型心肌梗死（STEMI）患者,按随机数字表法分为对照组和观察组,对照组采用常规护理方法,观察组采用循证护理方法.分别比较2组患者术前及术后的血压、心率、呼吸频率、并发症发生率及患者满意率.结果 2组患者术前血压、心率、呼吸频率差异均无统计学意义（P＞0.05）;观察组患者术后收缩压、舒张压、心率、呼吸频率均低于对照组[（122±10） mmHg（1mmHg=0.133 kPa）比（127±12） mmHg,（70 ±6）mmHg比（82 ±8）mmHg,（94±6）次/min比（102±7）次/min,（15.3±3.1）次/min比（18.1±2.7）次/min,均P＜0.05];并发症发生率低于对照组[2.9％ （3/103）比14.4％ （15/104）,P＜0.05],患者满意率优于对照组[99.1％ （102/103）比90.4％（94/104）,P＜0.05].结论 对心脏介入手术患者,在围术期采用循证护理方法可有效改善患者状态,提高护理质量.
Objective To evaluate the value of peri-operative evidence-based nursing （EBN） for primary percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction. Methods A total of 207 patients with ST elevation myocardial infarction receiving emergent percutaneous coronary intervention were randomized into regular nursing （RN） group and EBN group. The blood pressure, heart rate, breath rate, incidence of complications and satisfaction rate of the patients were compared between the two groups. Results The blood pressure, heart rate and breath rate in the two groups before intervention were not significantly diftbrent （ all P 〉 0.05 ）. The systolic blood pressure, diastolic blood pressure heart rate and breath rate in EBN group [（122 ± 10） mmHg, （70 ±6） mmHg, （94 ±6） times/min and （15. 3 ± 3. 1 ） times/mini were significantly improved compared to those in RN group [ （ 127 ± 12 ） mmHg, （82 ± 8） mmHg, （ 102 ±7） times/rain and （ 18.1 ±2.7） times/rain, all P 〈0.05] after intervention. The incidence of complications was lower in EBN group than that in RN group [ 2.9% （3/103） vs 14.4% （ 15/ 104） , P 〈 0.05 1. Patient satisfaction was better in EBN group than that in RN group [ 99. 1% （ 102/103 ） vs 90.4% （94/104） , P 〈 0.05 ]. Conclusion Peri-operative EBN may improve the conditions of the patients and the quality of care in patients of ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention.
出处
《中国医药》
2015年第4期596-598,共3页
China Medicine
关键词
循证护理
ST段抬高心肌梗死
心脏介入
围术期
应用评价
Evidence-based nursing
ST elevation myocardial infarction
Percutaneous coronary intervention
Peri-operation
Evaluation
