孙党红 戴莉 朱玲 许婷婷 刘晴

[摘要] 目的 探讨预见性护理干预对不稳定型心绞痛患者的影响。 方法 整群选取2012年5月—2014年11月该院接收治疗的不稳定型心绞痛患者183例作为研究分析对象，将此183例患者按入院单双号分为对照组和实验组，对照组91例，实验组92例。两组患者治疗过程中采用不同的护理方式，给予对照组91例患者常规护理方式，给予实验组92例患者预见性护理方式，将两组患者对护理的满意度、治疗有效率以及血糖血压正常率、发展为心肌梗死的几率进行比较。 结果 治疗后，实验组92例患者的满意度、治疗有效率、血糖正常率、血压正常率、心肌梗死发生率分别为98.91%、100%、94.57%、85.87%、2.17%。对照组91例患者的满意度、治疗有效率、血糖正常率、血压正常率、心肌梗死发生率分别为86.81%、92.31%、75.82%、68.13%、12.08%，两组数据比较差异有统计学意义（P<0.05）。 结论 不定型心绞痛患者采取预见性护理干预的方式不仅可提高患者治疗有效率和患者满意度，改善患者治疗后血糖血压的正常率，同时可降低心肌梗死发生率，具有一定临床应用价值。

[关键词] 预见性护理干预；不定型；心绞痛；有效率；护理

[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-0742（2015）10（a）-0173-03

Application Effect of Predictive Nursing Intervention on Patients with Unstable Angina Pectoris

SUN Dang-hong， DAI Li， ZHU Ling， XU Ting-ting， LIU Qing

Department of Cardiology， The People's Hospital of Northern Jiangsu Affiliated to Clinical Medical College of Yangzhou University， Yangzhou， Jiangsu Province， 225001 China

[Abstract] Objective To explore the effect of predictive nursing intervention on patients with unstable angina pectoris. Methods 183 cases with unstable angina pectoris admitted in our hospital from May 2012 to November 2014 were selected as the subjects and divided into the control group（91 cases） and the experimental group（92 cases） in accordance with the even or odd admission number of the patients. Two groups were given different nursing mode. Patients in the control group were given the conventional nursing， and those in the experimental group were given the predictive nursing. The level of nursing satisfaction， treatment efficiency， normal rate of blood glucose and blood pressure， and the development rate of myocardial infarction were compared between the two groups. Results After the treatment， the level of patient satisfaction， treatment efficiency， blood glucose normal rate， blood pressure normal rate and incidence of myocardial infarction in the experimental group was 98.91%， 100%， 94.57%， 85.87%， 2.17%， respectively， and that in the control group was 86.81%， 92.31%， 75.82%， 68.13%， 12.08%， respectively， the differences between the two groups were statistically significant（P<0.05）. Conclusion For patients with unstable angina pectoris， predictive nursing intervention can improve the treatment efficiency and level of patient satisfaction， increase the normal rate of blood glucose and blood pressure as well as reduce the incidence of myocardial infarction with certain clinical application value.

[Key words] Predictive nursing intervention； Not stereotypes； Angina pectoris； Efficiency； Nursing

不定型心绞痛临床症状属于急性心肌梗死和稳定型心绞痛之间，主要有劳力性心绞痛、初发心绞痛、静息心绞痛等[1]。此疾病可发展至稳定型心绞痛，但也很容易发展至急性心肌梗死，严重者会猝死[2]。因此患者在治疗过程中，不仅有效的诊治方案显得尤为重要，同时治疗过程中的护理方式也显得尤为重要，患者对护理是否满意可直接或间接影响到患者的治疗效果。患者治疗过程中，在常规的护理基础上给予患者预见性护理方式，对患者的治疗效果、患者满意度以及治疗后的并发症等方面都有很大的提高，该研究整群选取该院2012年5月—2014年11月期间接收治疗的183例不稳定型心绞痛患者作为研究分析对象，分析研究预见性护理对此疾病的护理效果，现报道如下。……