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早期人文关怀住院模式在急性心肌梗死择期介入治疗患者护理中的应用

丁英 王静 杨琴燕

实用临床医药杂志2017,Vol.21Issue(14):12-15,26,5.
实用临床医药杂志2017,Vol.21Issue(14):12-15,26,5.DOI:10.7619/jcmp.201714004

早期人文关怀住院模式在急性心肌梗死择期介入治疗患者护理中的应用

Application of early humanistic care hospitalization mode in nursing of patients with acute myocardial infarction treated by elective interventional therapy

丁英 1王静 1杨琴燕1

作者信息

  • 1. 江苏省无锡市锡山人民医院 东南大学附属中大医院无锡分院 心内科, 江苏 无锡, 214000
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摘要

Abstract

Objective To explore the application value of early humanistic care hospitalization mode in nursing of patients with acute myocardial infarction (AMI) treated by elective interventional therapy.Methods A total of 140 patients with AMI treated by elective percutaneous coronary intervention (PCI) in our hospital from November 2015 to December 2016 were enrolled in the study, and were randomly divided into observation group and control group, with 70 cases in each group.The control group was given routine nursing during hospitalization, and the observation group was given early humanistic care.The success rate of PCI, incidence of complications and recurrence rate of myocardial infarction were compared between the two groups.The left ventricular ejection fraction (LVEF), heart rate (HR) and serum creatine kinase isoenzyme (CK-MB) were determined.The emotion and degree of angina pectoris in the two groups were evaluated by the Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS) and Seattle Angina Questionnaire (SAQ), and nursing satisfaction were compared between the two groups.Results The success rate of PCI was significantly higher in the observation group than the control group.The incidence of postoperative complications and the recurrence rate of myocardial infarction were significantly lower in the observation group than the control group (P<0.05).After nursing, LVEF in the observation group was higher while HR and CK-MB level were significantly lower than those in the control group (P<0.05).After nursing, the SAS score and SDS score of the observation group were lower than that of the control group, and the SAQ score was higher than that of the control group (P<0.05).The nursing satisfaction of the observation group was higher than that of the control group (P<0.05).Conclusion The application of early humanistic care hospitalization mode in nursing of patients with AMI treated by elective PCI can significantly improve the success rate of PCI and nursing satisfaction, enhance laboratory indicators and emotion, relieve the degree of angina pectoris, and reduce the recurrence rate and incidence of complications.

关键词

早期人文关怀住院模式/急性心肌梗死/介入治疗/护理

Key words

early humanistic care hospitalization mode/acute myocardial infarction/interventional therapy/nursing

分类

医药卫生

引用本文复制引用

丁英,王静,杨琴燕..早期人文关怀住院模式在急性心肌梗死择期介入治疗患者护理中的应用[J].实用临床医药杂志,2017,21(14):12-15,26,5.

基金项目

江苏省自然科学基金项目(SBK201122365) (SBK201122365)

实用临床医药杂志

1672-2353

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