临床护理路径在冠状动脉粥样硬化性心脏病患者中的应用效果
Clinical application value of clinical nursing pathway in coronary atherosclerotic heart disease
杨福群 1王易璇2
作者信息
- 1. 250022 山东省济南市,山东省第二人民医院
- 2. 山东省妇幼保健院
- 折叠
摘要
目的 探讨临床护理路径在冠状动脉粥样硬化性心脏病患者中的应用效果.方法 选取2020年1月-2021年 12 月医院收治的 96 例冠状动脉粥样硬化性心脏病患者作为研究对象,根据组间基线资料均衡可比原则分为观察组和对照组,每组各 48 例.对照组采取常规护理干预,观察组实施临床护理路径干预,比较两组患者的护理效果.结果 护理干预后,观察组患者护理总满意度为 95.83%,高于对照组的 75.00%,差异有统计学意义(P<0.05).护理干预前,两组患者左室射血分数、左室短轴缩短率、脉博输出量、心输出量等心功能指标差异均无统计学意义(P>0.05);干预后,两组患者各项心功能指标均升高,但观察组患者各项心功能指标均高于对照组,差异均有统计学意义(P<0.05).实施临床护理路径干预的观察组患者不良反应总发生率为4.17%,低于对照组的27.08%,组间差异有统计学意义(P<0.05).结论 采用临床护理路径对冠状动脉粥样硬化性心脏病患者进行护理干预,可以有效改善心功能,明显提高护理满意度,降低不良反应发生率.
Abstract
Objective To investigate the effect of clinical nursing pathway on patients with coronary atherosclerotic heart disease.Methods A total of 96 patients with coronary atherosclerotic heart disease admitted to the hospital from January 2020 to December 2021 were selected as the study objects,and were divided into observation group and control group according to the principle of balanced and comparable baseline data between groups,with 48 cases in each group.The control group was treated with routine nursing intervention,the observation group was treated with clinical nursing pathway intervention,and the nursing effect of the two groups was compared.Results After nursing intervention,the total nursing satisfaction of patients in observation group was 95.83%,higher than that in control group(75.00%),the difference was statistically significant(P<0.05).Before nursing intervention,there were no significant differences in left ventricular ejection fraction,left ventricular short axis shortening rate,pulse output,cardiac output and other cardiac function indexes between 2 groups(P>0.05).After intervention,all cardiac function indexes in 2 groups were increased,but all cardiac function indexes in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).The total incidence of adverse reactions in the observation group was 4.17%,lower than 27.08%in the control group,and the difference between groups was statistically significant(P<0.05).Conclusion Nursing intervention in patients with coronary atherosclerotic heart disease can effectively improve cardiac function,significantly improve nursing satisfaction,and reduce the incidence of adverse reactions.
关键词
临床护理路径/冠心病/满意度Key words
Clinical nursing pathway/Coronary heart disease/Stisfaction引用本文复制引用
出版年
2024
NETL
NSTL
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