摘要
目的探讨早期康复护理对冠心病血运重建术患者术后并发症及护理满意度的影响。方法本研究选取2016年1月-2018年1月沈阳市某医院收治的90例冠心病患者为研究对象,采用随机数字表法将患者分为对照组和研究组,每组45例。给予对照组患者常规护理;研究组患者在对照组护理基础上进行术后早期康复护理。出院时比较2组患者不良反应发生情况及护理满意度;比较2组患者干预前及出院时康复状态量表(MRSS)评分。结果研究组患者不良反应发生率为15.5%,低于对照组的31.2%,差异有统计学意义(P<0.05)。出院时,研究组患者MRSS中目前症状、活动能力、社交能力及依赖程度评分分别为(5.88±2.63)分、(7.15±1.62)分、(7.23±1.89)分及(7.64±1.91)分,低于对照组的(6.00±1.57)分、(7.72±1.40)分、(7.71±1.58)分及(8.18±2.08)分,差异均有统计学意义(P<0.05)。研究组患者护理总满意度为100.0%,高于对照组的88.9%,差异均有统计学意义(P<0.05)。结论对接受血运重建术的冠心病患者实施早期康复护理,能有效降低患者不良反应发生率,改善患者预后,增进护患关系,提高护理满意度,值得临床推广。
Objective To explore the effect of early rehabilitation care on postoperative complications and nursing satisfaction in coronary heart disease patients undergoing revascularization.Methods A total of 90 patients with coronary heart disease admitted to a hospital in Shenyang from January 2016 to January 2018 were selected for this study.The patients were divided into a control group and a study group using a random number table,with 45 patients in each group.Patients in the control group were given routine nursing care;patients in the study group were given early postoperative rehabilitation care on the basis of nursing care in the control group;the incidence of adverse reactions and nursing satisfaction were compared between the two groups at discharge,and the Morningside rehabilitation status scale(MRSS)scores were compared between the two groups before intervention and at discharge.Results The incidence of adverse reactions in the study group was 15.5%,which was lower than that of 31.2%in the control group,and the difference was statistically significant(P<0.05).At the time of discharge,the study group's scores in current symptoms,mobility,social skills and dependence in the MRSS were(5.88±2.63),(7.15±1.62),(7.23±1.89),and(7.64±1.91),respectively,which were lower than those of(6.00±1.57),(7.72±1.40),(7.71±1.58),and(8.18±2.08)in the control group,and all differences were statistically significant(P<0.05).The overall satisfaction with care in the study group was 100.0%,which was higher than that of 88.9%in the control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of early rehabilitation care for coronary heart disease patients undergoing revascularization can effectively reduce the incidence of adverse reactions,improve patient prognosis,enhance the nurse-patient relationship and improve satisfaction with care,hence it is worthy of clinical promotion.
作者
张宇波
伊兴旺
Zhang Yubo;Yi Xingwang(Cardiovascular Department,Second Affiliated Hospital of Shenyang Medical College,Shenyang 110035,China;Outpatient Department at the Cadet School,General Hospital of Northern Theater Command,Shenyang 110867,China)
出处
《保健医学研究与实践》
2020年第5期71-73,86,共4页
Health Medicine Research and Practice
关键词
冠心病
血运重建术
早期康复护理
心理健康
生活质量
心血管事件
Coronary heart disease
Hemodynamics reconstruction
Early rehabilitation care
Mental health
Quality of life
Cardiovascular events
