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目的探讨老年心肌梗死患者施行优质护理服务对预后的作用。方法 78例老年心肌梗死患者,按照人院时间不同分为对照组和干预组,各39例。对照组患者给予常规护理;干预组患者给予优质护理服务。观察并比较两组疼痛情况、并发症发生率及住院时间。结果干预组并发症发生率为10.3%,低于对照组的33.3%,差异具有统计学意义(χ~2=6.0926,P=0.0136<0.05)。干预组护理后视觉模拟评分法(VAS)评分为(2.2±0.4)分、住院时间为(6.3±0.6)d;对照组护理后VAS评分为(2.9±0.5)分、住院时间为(8.3±1.0)d。干预组VAS评分低于对照组,住院时间短于对照组,差异均具有统计学意义(t=6.8271、10.7101,P=0.0000、0.0000<0.05)。结论老年心肌梗死患者施行优质护理服务可有效预防并发症,减轻疼痛,缩短住院时间,改善预后,值得在临床中积极使用和推广。
Objective To investigate the effect of quality nursing service on prognosis in elderly patients with myocardial infarction. Methods A total of 78 elderly patients with myocardial infarction were divided into control group and intervention group according to different hospitalization time, 39 cases in each group. Patients in the control group were given routine care; patients in the intervention group were given quality care services. Observe and compare the two groups of pain, complications and hospitalization time. Results The incidence of complications was 10.3% in the intervention group, which was lower than 33.3% in the control group (χ ~ 2 = 6.0926, P = 0.0136 <0.05). The score of visual analog scale (VAS) in the intervention group was (2.2 ± 0.4) points and the hospitalization time was (6.3 ± 0.6) days. The VAS score of the control group was (2.9 ± 0.5) points and the hospitalization time was (8.3 ± 1.0) d. The score of VAS in the intervention group was lower than that of the control group, and the length of stay in the intervention group was shorter than that of the control group. The differences were statistically significant (t = 6.8271,10.7101, P = 0.0000,0.0000 <0.05). Conclusion The elderly patients with myocardial infarction in the implementation of quality care services can effectively prevent complications, reduce pain, reduce hospital stay and improve prognosis, it is worth actively in clinical use and promotion.