[1]王 静,周云英.急性心肌梗死急诊PCI术后护理风险预警模型的构建与应用[J].介入放射学杂志,2021,30(02):196-200.
 WANG Jing,ZHOU Yunying..The establishment of nursing risk early warning model for acute myocardial infarction after emergency percutaneous coronary intervention and its clinical application[J].journal interventional radiology,2021,30(02):196-200.
点击复制

急性心肌梗死急诊PCI术后护理风险预警模型的构建与应用()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
30
期数:
2021年02
页码:
196-200
栏目:
护理论坛
出版日期:
2021-02-25

文章信息/Info

Title:
The establishment of nursing risk early warning model for acute myocardial infarction after emergency percutaneous coronary intervention and its clinical application
作者:
王 静 周云英
Author(s):
WANG Jing ZHOU Yunying.
Section of Coronary Care Unit, First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi Province 330066, China
关键词:
【关键词】 急性心肌梗死 急诊PCI术 护理风险 护理满意度
文献标志码:
A
摘要:
【摘要】 目的 构建急性心肌梗死(AMI)急诊冠状动脉介入治疗(PCI)护理风险预警模型,评估应用临床护理工作的效果。 方法 在循证护理的基础上文献回顾,结合急诊PCI术的临床观察重点,初步构建护理风险事件为猝死发生、出血危险、深静脉血栓形成、非计划性拔管四种类型,制订护理评估量表并实施相应的预防策略,匹配专科的护理内涵。选择2018年1月至2020年2月诊断为AMI行急诊PCI术的80例患者,随机分为对照组(40例)和观察组(40例)。对照组常规进行心电监护、血流动力学监测等病情观察,备好急救设备与药品及健康教育等模式进行护理。观察组通过评估量表进行相应的危险分层并落实干预措施,比较两组患者护理风险事件发生率、患者平均住院天数、护理满意度变化。结果 观察组患者猝死发生、出血危险、深静脉血栓形成、非计划性拔管例数明显减少,两组比较差异有统计学意义(P<0.05),观察组患者平均住院天数明显缩短,护理满意度大大提升,两组比较差异有统计学差异(P<0.01)。结论 急诊PCI术后护理风险预警模型的建立可靠性高,不仅规范急诊PCI术后护理量化评估指标,同时减少心脏重症患者护理风险事件发生,缩短患者平均住院天数,提高护理满意度。

参考文献/References:

[1] Davies A, Scott A. Acute coronary syndromes[A]. Starting to Read ECGs[M]. London: Springer, 2015: 141-169.
[2] 郭 浩,齐 茗. 高危急性冠脉综合征患者PCI术后不良心血管事件发生的影响因素[J]. 解放军预防医学杂志, 2019, 11:59- 60
[3] 杨利娇,王 虹,丁振江,等. 急性心肌梗死患者GRACE评分与实验室指标的相关性[J]. 临床心血管病杂志, 2017, 33:142-146
[4] 陈 煌,邓小玲,李秋燕,等. 住院患者非计划性拔管风险评估体系的构建[J]. 护理研究, 2019, 7:2404-2409
[5] Hostler DC,Marx ES,Moores LK,et al. Valdation of the interational medical prevevtion registry on venous thromboembolism bleeding risk sore[J]. Chest, 2016, 149:372-379
[6] 叶绍东,李 琳,王斯佳,等. GRACE评分对75岁以上急性ST段抬高型心肌梗死患者直接经皮冠状动脉介入治疗预后分析[J]. 中国循环杂志, 2017, 32:1163-1166
[7] 阳秀春,莫 伟, 向 华,等. 标准化沟模式在介入科病房的应用[J]. 介入放射学杂志, 2019, 28:296-297
[8] 逢 锦,柏晓玲,楼 婷,等. 基于安全核查的急诊PCI术前护理现状调查分析[J]. 介入放射学杂志, 2018, 27:486-488

相似文献/References:

[1]孟庆娜,李国庆,白晓冬. 急性心肌梗死介入治疗术中恶心呕吐的护理[J].介入放射学杂志,2011,(11):913.
 MENG Qing-na,LI Guo-qing,BAI Xiao-dong..The nursing care of nausea and vomiting occurred in interventional treatment for acute myocardial infarction[J].journal interventional radiology,2011,(02):913.
[2]徐翠荣,李国宏,陈 泳,等. 临床路径在急性心肌梗死介入治疗整体护理中的应用[J].介入放射学杂志,2012,(12):1046.
 XU Cui? rong,LI Guo? hong,CHEN Yong,et al. The application of clinical nursing path in holistic nursing care for patients with acute myocardial infarction treated with emergency percutaneous coronary intervention[J].journal interventional radiology,2012,(02):1046.
[3]彭育红,汝磊生,王冬梅,等.国产无聚合物紫杉醇微孔载药支架与雷帕霉素涂层支架对比治疗急性心肌梗死[J].介入放射学杂志,2013,(06):458.
 PENG Yu? hong,RU Lei? sheng,WANG Dong? mei,et al. Domestic polymer- free paclitaxel- eluting stent and polymer-based rapamycin- eluting stent for the treatment of acute myocardial infarction: a comparison study[J].journal interventional radiology,2013,(02):458.
[4]周 陵,谢渡江,董 静,等. 介入治疗急性心肌梗死合并室间隔穿孔六例[J].介入放射学杂志,2014,(01):62.
 ZHOU Ling,XIE Du? jiang,DONG Jing,et al.Interventional therapy for acute myocardial infarction associated with postinfarction ventricular septal rupture: report of 6 cases[J].journal interventional radiology,2014,(02):62.
[5]林晓圳,罗承锋,熊龙根. 症状发作至球囊扩张时间对急性ST段抬高心肌梗死患者预后的影响[J].介入放射学杂志,2014,(02):153.
 LIN Xiao? zhen,LUO Cheng? feng,XIONG Long? gen.. Influence of symptom?蛳 onset?蛳 to?蛳 balloon time on clinical prognosis in patients with acute ST?蛳 segment elevation myocardial infarction[J].journal interventional radiology,2014,(02):153.
[6]张文俐,朱政斌,杜 润,等.急性心肌梗死患者药物洗脱支架植入后光学相干层析成像研究[J].介入放射学杂志,2015,(04):287.
 ZHANG Wen li,ZHU Zheng bin,DU Run,et al.Assessment of vascular healing with optical coherence tomography in patients with acute myocardial infarction after receiving drug eluting stent implantation[J].journal interventional radiology,2015,(02):287.
[7]章 伟,阚 通,陈 亮,等.心肌梗死后室间隔穿孔临床特点及经导管封堵治疗预后分析[J].介入放射学杂志,2016,(02):102.
 ZHANG Wei,KAN Tong,CHEN Liang,et al.Clinical characteristics of post- infarction ventricular septal defect and prognosis analysis of trans- catheter closure therapy[J].journal interventional radiology,2016,(02):102.
[8]胡林婕,张 勤,徐 冰,等.两种输液方式在急性心肌梗死急诊介入治疗术中补液效果 [J].介入放射学杂志,2019,28(10):996.
 HU Linjie,ZHANG Qin,XU Bin,et al.The fluid infusion effect of two intravenous infusion methods in emergency interventional therapy for acute myocardial infarction[J].journal interventional radiology,2019,28(02):996.

备注/Memo

备注/Memo:
(收稿日期:2020-03-02)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2021-02-22