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风险评估策略护理在冠脉支架植入术患者中的应用

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目的 研究风险评估策略护理在冠脉支架植入术患者中的应用效果.方法 选取2019 年 12 月~2023 年 1 月我院收治的 88 例冠脉支架植入术患者,根据随机数字表法将其分为对照组和研究组,每组各44 例.对照组行常规护理,研究组行风险评估策略护理,观察两组患者入院次日、出院前日心理状态,术后24 h、72 h疼痛情况及围术期并发症发生情况.结果 入院次日,两组患者焦虑抑郁量表(hospital anxiety and depression scale,HADS)各维度评分及总评分对比无显著差异(P>0.05);出院前日,两组患者HADS各维度评分及总评分均有下降(P<0.05),研究组HADS焦虑维度评分为(12.20±2.61)分、抑郁维度评分为(12.15±2.48)分,总评分为(24.35±3.45)分,低于对照组的(13.49±2.58)分、(13.48±2.60)分、(26.97±4.12)分(P<0.05).术后 24 h,两组患者六点行为评分法(the 6-point behavioral rating scale,BRS-6)评分对比无显著差异(P>0.05);术后72 h,两组患者BRS-6 评分均有下降(P<0.05),研究组BRS-6 评分为(2.10±0.69)分,低于对照组的(2.46±0.71)分(P<0.05).研究组患者围术期未发生出血、血栓栓塞等并发症,而对照组发生率为13.64%(P<0.05).结论 风险评估策略护理可有效改善冠脉支架植入术患者心理状态,降低术后疼痛程度,从而降低围术期并发症发生风险.
Application of Risk Assessment Strategy Nursing in Patients Undergoing Coronary Stent Implantation
Objective:To study the effect of risk assessment strategy nursing in patients undergoing coronary stent implantation.Methods:A total of 88 patients undergoing coronary stent implantation in our hospital from December 2019 to January 2023 were selected,and were randomly divided into a control group and a study group,with 44 cases in each group.The control group received routine nursing,while the study group received risk assessment strategy nursing.The psychological state on the next day after admission and the day before discharge,along with pain levels at 24 h and 72 h after operation,and the incidence of perioperative complications were observed.Results:On the next day after ad-mission,there was no significant difference in the scores of all dimensions and total scores of the hospital anxiety and de-pression scale(HADS)between the two groups(P>0.05).On the day before discharge,HADS scores on all dimensions and total scores decreased in both groups(P<0.05).The HADS scores of the study group was(12.20±2.61)for anxiety dimen-sion and(12.15±2.48)for depression dimension with a total score of(24.35±3.45),which were lower than those of the con-trol group(13.49±2.58),(13.48±2.60),and(26.97±4.12),respectively(P<0.05).At 24 h after operation,there was no sig-nificant difference in the 6-point behavioral rating scale(BRS-6)between the two groups(P>0.05).At 72 h after opera-tion,BRS-6 scores decreased in both groups(P<0.05),the BRS-6 score of the study group was(2.10±0.69),which was lower than that of the control group(2.46±0.71)(P<0.05).There were no perioperative complications such as bleeding and thromboembolism in the study group,while the incidence was 13.64%in the control group(P<0.05).Conclusion:Risk assessment strategy nursing can effectively improve the psychological state of patients undergoing coronary stent implan-tation,reduce postoperative pain,and lower the risk of perioperative complications.

risk assessment strategycoronary stent implantationpsychological statepain levelperioperative complications

吴青芳、柯小云、刘江、郑丽娟

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335000 江西鹰潭,鹰潭市人民医院

风险评估策略 冠脉支架植入术 心理状态 疼痛程度 围术期并发症

2024

透析与人工器官
天津市泌尿外科研究所 中国生物医学工程学会人工器官分会

透析与人工器官

影响因子:0.809
ISSN:1005-0809
年,卷(期):2024.35(2)
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