摘要
目的:探究中医情志护理对老年患者急诊行PTCA术耐受性及应激水平的影响。方法:选取我院心内科收治的急性心肌梗死施行急诊PTCA术患者74例,采用随机数字表将患者随机分为两组,即每组37例,其中对照组给予常规西医护理,实验组则在对照组的护理基础上配合使用中医情志护理。护理结束后,检测临床总有效率,对比护理前后患者耐受性和应激水平的改善情况。结果:实验组患者护理后总有效率为89.19%,对照组患者护理后总有效率为75.68%,两组患者临床症状均有所改善,但实验组的总有效率明显优于对照组,差异有统计学意义(P<0.05);实验组患者在术中20 min和手术后1 d与手术前6 h相比,心率和血压情况变化不明显,差异无统计学意义(P>0.05);对照组患者在术中20 min和手术后1 d与手术前6 h相比,心率、收缩压和舒张压水平均有所提高,差异有统计学意义(P<0.05);护理后两组患者肌肉均有紧张状态的发生,实验组患者重度肌肉紧张情况人数低于对照组(29.72%/45.95%),差异有统计学意义(P<0.05),说明实验组患者在手术过程中状态平稳,对照组患者在手术过程中有应激反应的发生。结论:通过在手术前后用积极向上的言语与患者进行沟通,帮助患者学会自我情志调节等中医情志护理方法,使患者心情愉悦,以减少患者烦躁、焦虑的不良情绪,可达到脏腑、经络阴阳平和、气血调和的作用,从而能够减轻临床症状,提高护理总有效率,增加老年患者对急诊行PTCA术的耐受性,明显降低患者应激水平,提高患者治疗配合度,为护理急诊行PTCA术的老年患者首选方法,临床上值得应用推广。
Objective ： To explore the effect of TCM emotional nursing in elderly patients with emergency PTCA operation of tolerance and stress level. Methods ： Selection of 74 cases AMI patients admitted in our hospital cardiovascular department to perform the emergency PTCA, with random number table were randomly divided into two groups, namely each group of 37 people, control group was given conventional Western medicine treatment, the experimental group in the control group on the basis of nursing treatment combined with the TCM emotional nursing. After nursing, tested clinical total effective rate, compared before and after nursing patients with tolerance and stress levels. Results ： After treatment, clinical total effective rate of the experimental group patients was 89.19%, control group was 75.68%, the experimental group total effective rate was significantly higher than the control group, difference was statistically significant （P〈0.05）; Compared with the preoperative 6 h, experimental group heart rate and blood pressure change was not obvious in operation 20 rain and 1 d after surgery, there was no statistically significant difference （ P〉0.05 ）; Compared with the preoperative 6 h, control group heart rate and blood pressure change was obvious in operation 20 min and 1 d after surgery, the difference was statistically significant （ P0.05 ）; Nursing after two groups of patients with muscle tensions were occurred, the experimental group with severe muscle tension condition number was lower than the control group （ 29.72%/45.95% ）, the difference was statistically signific.ant （P〈0.05）, showed that the experimental group patients in stable condition in the process of operation, the control group patients had stress reaction during surgery. Conclusion ： Through using positive words to communicate with patients before and after surgery, help patients to learn modern society of self regulation of TCM emotional nursing, make the patient happy, in order to reduce the bad mood. The stress
出处
《辽宁中医药大学学报》
CAS
2017年第6期216-219,共4页
Journal of Liaoning University of Traditional Chinese Medicine
关键词
中医情志护理
PTCA术
耐受性
应激性
临床疗效
TCM emotional nursing
PTCA operation
tolerance
stress level
clinical curative effect
