中医情志护理干预老年患者行急诊经皮冠状动脉腔内成形术效果研究
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R248;R542.2+2

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Effect Study on Chinese Medicine Emotional Nursing in Intervening Senile Patients Undergoing Emergency Percutaneous Transluminal Coronary Angioplasty
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    摘要:

    目的:观察中医情志护理干预老年患者行急诊经皮冠状动脉腔内成形术(PTCA) 的效果。方法:选取行急诊PTCA术的54例老年急性心肌梗死患者,根据随机数字表法分为2组各27例,对照组采用常规护理,观察组采用中医情志护理干预。对比2 组手术前后心理状况、心率、血压、术后早期活动时间、住院时间及步行试验情况。结果:2 组术前SDS 评分、SAS 评分、心率、收缩压及舒张压比较,差异无统计学意义(P>0.05)。术后24 h,观察组的SDS评分及SAS评分均较对照组下降,差异有统计学意义(P<0.05)。术中20 min及术后24 h,观察组的心率、收缩压及舒张压均较对照组有明显改善,差异有统计学意义(P<0.05)。术后,观察组开始床上活动时间、下床活动时间及住院时间均较对照组缩短(P<0.05),而术后第6 天步行6 min、出院前1 天步行12 min 距离均较对照组增加,差异有统计学意义(P<0.05)。结论:中医情志护理干预老年患者行急诊PTCA术中的效果显著,可有效缓解患者不良情绪,保持术中心率、血压的稳定,还能提高患者运动能力,缩短住院时间。

    Abstract:

    Abstract: Objective: To observe the effect of Chinese medicine emotional nursing on intervening senile patients undergoing emergency percutaneous transluminal coronary angioplasty(PTCA). Methods:A total of 54 cases of senile patients undergoing emergency PTCA with acute myocardial infarction were selected and divided into two groups according to the random number table method,27 cases in each group. The control group was given routine nursing,and the observation group was given Chinese medicine emotional nursing intervention. The psychological status,the heart rate,blood pressure,early activity time after surgery,as well as the hospitalization time and condition of walking test before and after surgery were compared between the two groups. Results:Before surgery,when compared the scores of Self- rating Depression Scale (SDS) and Self-rating Anxiety Scale(SAS),the heart rate,systolic pressure and diastolic pressure between the two groups,there was no significance in the difference(P>0.05). At the 24th hour after surgery, the scores of SDS and SAS in the observation group were decreased when compared with those in the control group,the difference being significant(P<0.05). During the 20 minutes of surgery and at the 24th hour after surgery,the heart rate,systolic pressure and diastolic pressure in the observation group were more significantly improved when compared with those in the control group,the difference being significant(P<0.05). After surgery,the starting time of on-bed activity and off-bed activity,and the hospitalization time in the observation group were shorter than those in the control group(P<0.05). The 6-minute walking distance on the 6th day after surgery and 12- minute walking distance on the day before discharge were more than those in the control group,the difference being significant(P<0.05). Conclusion: Chinese medicine emotional nursing has significant curative effect in intervening senile patients undergoing emergency percutaneous transluminal coronary angioplasty, which can effectively relieve their bad mood, maintain the stability of the heart rate and blood pressure during surgery, enhance their sports ability,as well as shorten the hospitalization time.

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郑兰珍,何静,陈俐.中医情志护理干预老年患者行急诊经皮冠状动脉腔内成形术效果研究[J].新中医,2020,52(12):170-173

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  • 在线发布日期: 2020-06-15
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