首页|患者参与式决策结合早期心脏康复护理对急诊PCI术后患者风险感知及心脏康复的影响

患者参与式决策结合早期心脏康复护理对急诊PCI术后患者风险感知及心脏康复的影响

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目的 探究患者参与式决策结合早期心脏康复护理对急诊经皮冠状动脉介入治疗(PCI)术后患者风险感知及心脏康复的影响.方法 选择2022年2月至2023年2月我院收治的176例急性心肌梗死行急诊PCI术患者为研究对象,以随机数字表法将其分为对照组和观察组,每组88例.对照组急诊PCI术后接受常规护理,观察组在对照组基础上加施患者参与式决策结合早期心脏康复护理.比较两组的干预效果.结果 干预后,观察组的社会心理风险、身体诊疗风险、经济风险评分低于对照组(P<0.05).干预后,观察组的心输出量(CO)低于对照组,左心室射血分数(LVEF)高于对照组(P<0.05).干预后,观察组的决策冲突量表(DCS)评分低于对照组,纽卡斯尔护理服务满意度量表(NSNS)评分高于对照组(P<0.05).结论 患者参与式决策结合早期心脏康复护理用于急诊PCI术后护理中可降低患者风险感知及决策冲突,有助于提升护理满意度及心脏康复效果,值得推广.
Effects of patient participatory decision-making combined with early cardiac rehabilitation nursing on risk perception and cardiac rehabilitation of patients after emergency PCI
Objective To explore the effects of patient participatory decision-making combined with early cardiac rehabilitation nursing on risk perception and cardiac rehabilitation of patients after emergency percutaneous coronary intervention(PCI).Methods A total of 176 patients with acute myocardial infarction who underwent emergency PCI in our hospital from February 2022 to February 2023 were selected as the research objects.The patients were divided into control group and observation group by random number table method,with 88 cases in each group.The control group received routine nursing after emergency PCI,and the observation group received patient participatory decision-making combined with early cardiac rehabilitation nursing on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of social psychological risk,physical diagnosis and treatment risk and economic risk in the observation group were lower than those in the control group(P<0.05).After intervention,the cardiac output(CO)of the observation group was lower than that of the control group,and the left ventricular ejection fraction(LVEF)was higher than that of the control group(P<0.05).After intervention,the Decision Conflict Scale(DCS)score of the observation group was lower than that of the control group,and the Newcastle Satisfaction with Nursing Scale(NSNS)score was higher than that of the control group(P<0.05).Conclusion Patient participatory decision-making combined with early cardiac rehabilitation nursing for emergency PCI postoperative nursing can reduce patients'risk perception and decision-making conflict,help to improve nursing satisfaction and cardiac rehabilitation effect,which is worthy of promotion.

patient participatory decision-makingearly cardiac rehabilitation nursingpercutaneous coronary interventionrisk perceptioncardiac rehabilitation

陈转红、杨晓蓉、武冬、赵雪云、陈慧

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陕西省人民医院急诊内科,陕西西安,710068

患者参与式决策 早期心脏康复护理 经皮冠状动脉介入治疗 风险感知 心脏康复

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(28)