摘要
目的研究心理护理联合对症护理干预对急性肺栓塞患者溶栓护理效果的影响。方法选取2017年1月-2022年3月在我院诊治的50例急性肺栓塞患者为研究对象,均给予溶栓治疗,采用随机数字表法分为对照组和观察组,各25例。对照组给予常规护理,观察组在对照组基础上实施心理护理联合对症护理干预,比较两组临床症状评分、心理状态指标评分、护理满意度、腿围以及并发症发生率。结果观察组咳嗽、憋喘、胸闷、咳痰评分均低于对照组(P<0.05);观察组干预后焦虑、抑郁评分均低于对照组(P<0.05);观察组护理满意度为92.00%,高于对照组的80.00%(P<0.05);两组干预后腿围均小于干预前,且观察组小于对照组(P<0.05);观察组并发症发生率为8.00%,低于对照组的20.00%(P<0.05)。结论心理护理联合对症护理干预可促进急性肺栓塞患者溶栓护理效果,提高患者护理满意度,降低并发症发生率,减轻临床症状,改善患者不良情绪,具有确切的临床护理效果,值得临床应用。
Objective To study the effect of psychological nursing combined with symptomatic nursing intervention on thrombolytic nursing effect in patients with acute pulmonary embolism.Methods A total of 50 patients with acute pulmonary embolism diagnosed and treated in our hospital from January 2017 to March 2022 were selected as the research objects.All patients were given thrombolytic therapy.They were divided into control group and observation group by random number table method,with 25 patients in each group.The control group was given routine nursing,and the observation group was given psychological nursing combined with symptomatic nursing intervention on the basis of the control group.The clinical symptom score,psychological state index score,nursing satisfaction,leg circumference and complication rate were compared between the two groups.Results The scores of cough,asthma,chest tightness and sputum in the observation group were lower than those in the control group(P<0.05).The scores of anxiety and depression in the observation group were lower than those in the control group(P<0.05).The nursing satisfaction of the observation group was 92.00%,which was higher than 80.00%of the control group(P<0.05).The leg circumference of the two groups after intervention was smaller than that before intervention,and that of the observation group was smaller than that of the control group(P<0.05).The incidence of complications in the observation group was 8.00%,which was lower than 20.00%in the control group(P<0.05).Conclusion Psychological nursing combined with symptomatic nursing intervention can promote the thrombolytic nursing effect of patients with acute pulmonary embolism,improve their nursing satisfaction,reduce the incidence of complications,reduce clinical symptoms,and improve patients'bad mood.It has definite clinical nursing effect and is worthy of clinical application.
作者
王雅君
WANG Ya-jun(RICU of Tianjin Chest Hospital,Tianjin 300000,China)
出处
《医学信息》
2024年第7期148-151,共4页
Journal of Medical Information
关键词
心理护理
对症护理
急性肺栓塞
Psychological nursing
Symptomatic nursing
Acute pulmonary embolism
