摘要
目的探讨基于根本原因分析法(RCA)的预警性护理对冠心病药物洗脱支架植入术后再狭窄发生率的影响。方法选取2019年5月-2020年6月在本院收治的冠心病药物洗脱支架植入术后患者91例,将其随机分为研究组(45例)与对照组(46例)。对照组实施常规护理,研究组在常规护理的基础上实施基于RCA的预警性护理,护理时间均为1年。对比两组护理前后对再狭窄预防的认知情况;对比两组护理期间对再狭窄的预防依从性、再狭窄发生率和护理满意度。结果两组护理后对再狭窄危险因素、再狭窄发生过程、再狭窄预防措施方面的认知评分均高于护理前(P<0.05),且护理后研究组上述评分均高于对照组(P<0.05);两组护理期间对再狭窄的预防依从性分布差异有统计学意义(P<0.05),且研究组优良率高于对照组(P<0.05);研究组护理期间再狭窄发生率低于对照组(P<0.05);两组护理满意度分布差异有统计学意义(P<0.05),且研究组总满意率高于对照组(P<0.05)。结论基于RCA的预警性护理可提高患者对冠心病药物洗脱支架植入术后再狭窄预防的认知情况,改善依从性,降低再狭窄率,并且还可提高满意度。
Objective To explore the effect of early warning nursing based on root cause analysis(RCA)on the incidence of restenosis after drug-eluting stent implantation in coronary heart disease.Methods 91 patients with coronary heart disease after drug-eluting stent implantation in our hospital from May 2019 to June 2020 were selected and randomly divided into study group(45cases)and control group(46 cases).The control group received routine nursing,while the study group received RCA based early warning nursing on the basis of routine nursing.The nursing time was 1 year.The cognition of restenosis prevention before and after nursing were compared between the two groups.The compliance of restenosis prevention,the incidence of restenosis and nursing satisfaction during the nursing period were compared between the two groups.Results The cognitive scores of restenosis risk factors,restenosis process and restenosis prevention measures of the two groups after nursing were higher than those before nursing(P<0.05),and the above scores of the study group after nursing were higher than those of the control group(P<0.05).There was significant difference in the distribution of prevention compliance of restenosis between the two groups(P<0.05),and the excellent and good rate of the study group was higher than that of the control group(P<0.05).During the nursing period,the incidence of restenosis in the study group was lower than that in the control group(P<0.05).There was significant difference in the distribution of nursing satisfaction between the two groups(P<0.05),and the total satisfaction rate of the study group was higher than that of the control group(P<0.05).Conclusion RCA based early warning nursing can improve the cognition of patients on the prevention of restenosis after drug-eluting stent implantation,improve the compliance,reduce the rate of restenosis,and improve the satisfaction.
作者
陈盼盼
杨建涛
CHEN Panpan;YANG Jiantao(Department of Cardiovascular Medicine of the second ward,The First Affiliated Hospital of Henan University,Kaifeng,475001,Henan,China)
出处
《新疆医学》
2022年第10期1215-1219,共5页
Xinjiang Medical Journal
基金
开封市科技发展计划(项目编号:1503115)
关键词
根本原因分析法
预警性护理
冠心病
药物洗脱支架植入术
再狭窄
Root cause analysis method
Early warning nursing
Coronary heart disease
Drug eluting stent implantation
Restenosis
