范杜娜
【摘 要】目的:探討優(yōu)質(zhì)護(hù)理對(duì)應(yīng)用PICCO監(jiān)測(cè)儀的急性心肌梗死合并心衰患者臨床效果。方法:選取64例PICCO監(jiān)測(cè)儀的急性心肌梗死合并心衰患者,按就診先后分為對(duì)照組(常規(guī)護(hù)理)與觀察組(優(yōu)質(zhì)護(hù)理),對(duì)比康復(fù)效果。結(jié)果:觀察組住院時(shí)間、臥床時(shí)間均短于對(duì)照組,心絞痛發(fā)作次數(shù)少于對(duì)照組,左心室射血分?jǐn)?shù)高于對(duì)照組,差異顯著(P<0.05)。結(jié)論:優(yōu)質(zhì)護(hù)理對(duì)應(yīng)用PICCO監(jiān)測(cè)儀的急性心肌梗死合并心衰患者效果顯著,可推廣。
【關(guān)鍵詞】?jī)?yōu)質(zhì)護(hù)理;PICCO監(jiān)測(cè)儀;急性心肌梗死;心衰
Abstract:Objective To explore the clinical effect of high-quality nursing on patients with acute myocardial infarction complicated with heart failure using PICCO monitor.Methods: 64 patients with acute myocardial infarction complicated with heart failure were divided into control group (routine nursing) and observation group (high quality nursing) according to their visiting order,and the rehabilitation effect was compared.Result: The hospitalization time and bedridden time of the observation group were shorter than those of the control group,the number of angina attacks was less than that of the control group,and the left ventricular ejection fraction was higher than that of the control group (P < 0.05).Conclusion: The effect of high quality nursing on patients with acute myocardial infarction complicated with heart failure using PICCO monitor is remarkable and can be popularized.
Key words: High-quality nursing; PICCO monitor; Acute myocardial infarction; Heart failure
【中圖分類號(hào)】R443【文獻(xiàn)標(biāo)識(shí)碼】A【文章編號(hào)】1005-0019(2019)21-0-01
急性心肌梗死容易合并心衰,使得患者生命安全受到威脅。脈搏指數(shù)連續(xù)心輸出量監(jiān)測(cè)(PICCO)儀可有效監(jiān)測(cè)患者血流動(dòng)力學(xué),在此過程中采取合理護(hù)理可促進(jìn)患者康復(fù)[1]。選取64例急性心肌梗死合并心衰患者,探討優(yōu)質(zhì)護(hù)理效果。
1 資料與方法
1.1 一般資料 選取64例PICCO監(jiān)測(cè)儀的急性心肌梗死合并心衰患者,按就診順序分成觀察組與對(duì)照組,每組32例。對(duì)照組男18例,女14例;年齡63-82歲,平均(75.69±1.52)歲。觀察組男17例,女15例,年,64-81歲,平均(76.39±1.20)歲。兩組患者資料無明顯差異(P>0.05)。
1.2 方法 患者均常規(guī)使用PICCO監(jiān)測(cè),對(duì)照組采取常規(guī)護(hù)理,加強(qiáng)監(jiān)測(cè)。觀察組在對(duì)照組基礎(chǔ)上實(shí)施優(yōu)質(zhì)護(hù)理,包括:①心理護(hù)理:講解疾病知識(shí)、PICCO監(jiān)測(cè)目的等,針對(duì)性實(shí)施心理疏導(dǎo),消除患者不良情緒。②穿刺點(diǎn)護(hù)理:穿刺后第1d予以無菌紗布敷料固定,預(yù)防穿刺點(diǎn)滲血、腫脹等,如大量滲血可予以沙袋壓迫股動(dòng)脈。③導(dǎo)管護(hù)理:確保導(dǎo)管通暢、無彎曲等,及時(shí)清洗導(dǎo)管中血液,并加強(qiáng)監(jiān)測(cè),預(yù)防堵塞、彎曲等。
1.3 觀察指標(biāo) 觀察兩組住院時(shí)間、臥床時(shí)間、心絞痛發(fā)作次數(shù)、左心室射血分?jǐn)?shù)。
1.4 統(tǒng)計(jì)學(xué)方法 數(shù)據(jù)均經(jīng)SPSS20.0處理分析,計(jì)數(shù)資料經(jīng)x2驗(yàn)證,計(jì)量資料經(jīng)t驗(yàn)證,若P<0.05說明差異顯著。
2 結(jié)果
觀察組住院時(shí)間、臥床時(shí)間均短于對(duì)照組,心絞痛發(fā)作次數(shù)少于對(duì)照組,左心室射血分?jǐn)?shù)高于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。見表1。
3 討論
PICCO監(jiān)測(cè)儀可有效監(jiān)測(cè)血流動(dòng)力學(xué)變化,在此過程中采取合理護(hù)理干預(yù)可使得心肌梗死合并心衰患者得到更為有效的監(jiān)護(hù)。經(jīng)研究可知,觀察組住院時(shí)間、臥床時(shí)間縮短,心絞痛發(fā)作次數(shù)減少,左心室射血分?jǐn)?shù)下降。由此表明,優(yōu)質(zhì)護(hù)理可促進(jìn)患者康復(fù),改善預(yù)后。通過優(yōu)質(zhì)的心理護(hù)理、穿刺點(diǎn)護(hù)理、導(dǎo)管護(hù)理等,可改善患者不良情緒,預(yù)防不良反應(yīng),使得患者更為快速的康復(fù)[2]。
總之,優(yōu)質(zhì)護(hù)理對(duì)應(yīng)用PICCO監(jiān)測(cè)儀的急性心肌梗死合并心衰患者臨床效果顯著,可推廣使用。
參考文獻(xiàn)
王興萍,郭俊艷,朱航,等.PICCO在急性心肌梗死合并心功能不全患者中的應(yīng)用及護(hù)理[J].國際護(hù)理學(xué)雜志,2014,33(3):698-700.
張小娟,李小花.急性心肌梗死合并心力衰竭患者的臨床護(hù)理.河北醫(yī)藥,2016,38(20):3188-3190.