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目的探讨术前综合护理干预对冠心病患者经皮冠状动脉介入(PCI)术后并发症的影响。方法选取龙岩市第一医院2015年1月—2016年6月收治的行PCI术治疗的冠心病患者104例,随机分为对照组和观察组,各52例。对照组患者术前采用常规护理干预,观察组患者在常规护理基础上给予综合性护理干预。比较两组患者并发症发生情况及干预前后焦虑自评量表(SAS)评分。结果两组患者术后心律失常、创口出血发生率比较,差异无统计学意义(P>0.05);观察组患者排尿困难、腰酸背痛、低血压、烦躁、失眠发生率低于对照组(P<0.05)。干预前,两组患者SAS评分比较,差异无统计学意义(P>0.05);干预后,观察组患者SAS评分低于对照组(P<0.05)。结论采用综合性护理干预可有效降低冠心病行PCI术后患者并发症发生率,改善焦虑症状。
Objective To investigate the effect of preoperative comprehensive nursing intervention on the postoperative complications of patients with coronary heart disease undergoing percutaneous coronary intervention (PCI). Methods A total of 104 patients with coronary heart disease undergoing PCI from January 2015 to June 2016 in Longyan First Hospital were randomly divided into control group and observation group, with 52 cases in each group. Patients in the control group were given routine nursing interventions before operation, and patients in the observation group were given comprehensive nursing interventions on the basis of routine nursing. The incidence of complications and anxiety self-rating scale (SAS) before and after intervention were compared between the two groups. Results There was no significant difference in the incidence of arrhythmia and wound bleeding between the two groups (P> 0.05). The incidences of dysuria, back pain, hypotension, irritability and insomnia in the observation group were lower than those in the control group <0.05). Before the intervention, there was no significant difference in SAS score between the two groups (P> 0.05). After the intervention, SAS score of the observation group was lower than that of the control group (P <0.05). Conclusion Comprehensive nursing intervention can effectively reduce the incidence of postoperative complications in patients with coronary artery disease and improve anxiety symptoms.