摘要
目的:探讨预见性健康管理护理策略应用于ST段抬高型心肌梗死(STEMI)患者,对其经皮冠状动脉介入治疗术(PCI)术后风险防控的效果。方法:选取2022年1月至2024年6月在驻马店市中心医院诊治的206例STEMI患者,采用区组随机法,分为对照组(n=103,常规干预)和研究组(n=103,预见性健康管理护理策略干预),比较两组临床指标、心理状态、术后并发症、术后1个月内的主要的心脏血管不良事件(MACE)、生活质量。结果:和对照组比,研究组卧床和住院时间更短,住院费用更少(P<0.05)。两组干预后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分和干预前相比降低(P<0.05),研究组干预后SAS、SDS评分和对照组相比更低(P<0.05)。研究组下肢静脉血栓、便秘、穿刺部位出血、心律失常发生率(1.94%、1.94%、4.85%、1.94%)和对照组(17.48%、20.39%、22.33%、17.48%)相比更低(P<0.05)。研究组总发生率1.94%和对照组11.65%相比更低(P<0.05)。两组干预后中国心血管病人生活质量评定问卷(CQQC)各维度评分和干预前相比升高(P<0.05),研究组干预后CQQC各维度评分和对照组相比更高(P<0.05)。结论:预见性健康管理护理策略应用于STEMI患者,可促进患者更快康复,缓解焦虑和抑郁情绪,降低并发症和总MACE,提升生活质量。
Objective:To explore the effect of applying predictive health management nursing strategies to patients with ST-segment elevation myocardial infarction(STEMI)in preventing and controlling risks after percutaneous coronary intervention(PCI).Methods:206 STEMI patients diagnosed and treated at Zhumadian Central Hospital from January 2022 to June 2024 were selected.They were divided into a control group(n=103,receiving routine intervention)and a study group(n=103,receiving predictive health management nursing strategy intervention)using block randomization.Clinical indicators,psychological states,postoperative complications,major adverse cardiovascular events(MACE)within one month after surgery and quality of life were compared between the two groups.Results:Compared with the control group,the study group had shorter bed rest and hospitalization times and lower hospitalization costs(P<0.05).The scores of the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)in both groups decreased after intervention compared to before(P<0.05),and the study group had lower SAS and SDS scores than the control group after intervention(P<0.05).The incidence rates of lower extremity venous thrombosis,constipation,bleeding at the puncture site and arrhythmia in the study group(1.94%,1.94%,4.85%,1.94%)were lower than those in the control group(17.48%,20.39%,22.33%,17.48%)(P<0.05).The total incidence rate in the study group 1.94%was lower than that in the control group 11.65%(P<0.05).The scores of each dimension of the Chinese Questionnaire of Quality of Life in Cardiac Patients(CQQC)in both groups increased after intervention compared to before,and the study group had higher CQQC scores than the control group after intervention(P<0.05).Conclusion:Application of predictive health management nursing strategies to STEMI patients can promote faster rehabilitation,alleviate anxiety and depression,reduce complications and the overall MACE,and improve quality of life.
作者
张玲娜
张皓皓
侯颖慧
ZHANG Lingna;ZHANG Haohao;HOU Yinghui(Department of Cardiovascular Critical Care Medicine,Zhumadian Central Hospital,Zhumadian 463000,China)
出处
《黑龙江医药科学》
2025年第9期88-91,共4页
Heilongjiang Medicine and Pharmacy
关键词
ST段抬高型心肌梗死
经皮冠状动脉介入
预见性健康管理
ST-segment elevation myocardial infarction
percutaneous coronary intervention
predictive health management
