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急性冠脉综合征患者介入治疗术前术中风险评估及预见性护理措施 被引量:4

Preoperative Risk Assessment and Predictive Nursing Measures for Patients with Acute Coronary Syndrome After Interventional Therapy
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摘要 目的对接受预见性护理的急性冠脉综合征患者在术前术中安全性的评估。方法选取2014年1月—2018年1月广西钦州市第一人民医院收治并进行治疗的320例急性冠脉综合征患者进行研究,按数字表法随机分为对照组(n=160)和研究组(n=160),其中对照组急性冠脉综合征患者采用常规的护理措施,研究组急性冠脉综合征患者依据以往介入手术室中较为普遍的术前术中风险制定预见性护理措施。对照比较两组患者护理质量与术前术中风险事件的出现次数,进一步讨论预见性护理中所存在的问题。结果研究组在安全管理、基础护理等方面护理质量得分均高于对照组(P<0.05),研究组患者护理风险事件出现次数及比例均低于对照组(P<0.05)。结论对急性冠脉综合征患者进行术前术中(后)的预见性护理措施可以提升患者的护理质量,减少护理事件发生的次数,值得在临床应用上进一步的推广。 Objective To evaluate the preoperative and operative safety of patients with acute coronary syndrome(ACS)receiving predictive care. Methods 320 patients with acute coronary syndrome treated in the hospital from January,2014 to January,2018 were randomly divided into control group(n=160)and study group(n=160). In the control group, the patients with acute coronary syndrome were given routine nursing measures, and the patients in the study group were given predictive nursing measures according to the common preoperative risk in the interventional operating room. Comparison of nursing quality and preoperative operation and duing operation risk events times was done between two groups to the discuss the problems in predictive nursing. Results The scores of nursing quality in safety management and basic nursing in the study group were higher than those in the control group(P<0.05), and the frequency and proportion of nursing risk events in the study group were lower than those in the control group(P<0.05). Con? clusion It is concluded that the preoperative(postoperative)prescient nursing measures for patients with acute coronary syndrome can improve the quality of nursing care and reduce the frequency of nursing events. It is worth further popularizing in clinical application.
作者 林祖华 陈璇 LIN Zu-hua;CHEN Xuan(Department of Interventional Diagnosis and Treatment,Qinzhou First People’s Hospital,Qinzhou,Guangxi,535300,China)
出处 《黑龙江医学》 2019年第6期680-681,683,共3页 Heilongjiang Medical Journal
关键词 急性冠脉综合征 风险评估 预见性护理措施 Acute coronary syndrome Risk assessment Predictive nursing measure
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