丁丹丹 高俊霞 贺可心 秦净

[摘要] 目的 探討延续护理对急性心肌梗死冠脉介入治疗患者的临床效果。 方法 选择2014年6月～2015年4月间我院收治的急性心肌梗死且行冠状动脉介入手术治疗成功患者90例为研究对象，采用随机数字表法分为研究组和对照组，每组45例。其中对照组采取常规护理干预模式，研究组则在此基础上给予延续性护理措施，观察两组患者的临床护理效果。 结果 经延续护理干预后，研究组患者中非致死性心肌梗死2例（4.4%），再次血运重建3例（6.7%），死亡患者仅有1例（2.2%），与对照组比较明显减少，差异有统计学意义（P<0.05）；干预后，研究组患者中对延续护理持满意态度的有30例，一般满意11例，护理满意度为91.1%，显著高于对照组的66.7%，差异有统计学意义（P<0.05）；经随访调查发现，研究组患者的饮食、运动、用药、复查等护理依从性显著高于对照组，差异有统计学意义（P<0.05）。 结论 对急性心肌梗死冠脉介入治疗患者实施延续性护理，不仅能有效降低不良反应的发生率，而且还提升患者的护理满意度，提高患者的生活质量，可在临床中进行推广。

[关键词] 急性心肌梗死；冠脉介入治疗；延续护理

[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701（2018）15-0146-03

Study on the application of extended care on coronary intervention therapy in patients with acute myocardial infarction

DING Dandan GAO Junxia HE Kexin QIN Jing

Hongqi Hospital Affiliated to Mudanjiang Medical University，Mudanjiang 157000，China

[Abstract] Objective To investigate the clinical effectiveness of extended care on coronary intervention therapy in patients with acute myocardial infarction. Methods 90 patients with acute myocardial infarction who had been through coronary intervention therapy successfully in our hospital from June 2014 to April 2015 were divided into study group and control group with 45 patients in each according random number table. Patients in control group were treated with routine nursing care intervention while patients in study group were treated with additional extended care. Clinical effectiveness of nursing care in two groups were observed. Results After the intervention of extended care， there were 2 cases with nonfatal myocardial infarction（4.4%）， 3 patients undergoing revascularization for a second time（6.7%） and one death（2.2%） in study group， which were significantly fewer than those in control group，the difference was statistically significant（P<0.05）. 30 cases were satisfied with extended care and 11 cases were somewhat satisfied in study group after intervention. The satisfactory rate in study group was 91.1%， which was significantly higher than those in control group（66.7%），the difference was statistically significant（P<0.05）. According to the results of follow-up visit， nursing compliance of diet， exercise， medication and review in patients of study group was better than that in control group，the differences were statistically significant（P<0.05）. Conclusion Extended care on coronary intervention therapy in patients with acute myocardial infarction could reduce the incidence of adverse reaction， improve the satisfactory rate of nursing care and improve patients quality of life. It was worth promotion.

[Key words] Acute myocardial infarction；Coronary intervention therapy；Extended care

急性心肌梗死主要是由于冠状动脉发生急性、持续性的缺血缺氧而引起的心肌坏死。临床上有剧烈且持久的胸骨后疼痛，休息后依然不能得到缓解，伴有心肌酶活性增高和进行性心电图变化，同时可并发心律失常、休克或心力衰竭等临床症状，对患者的生命造成严重威胁[1]。目前临床上针对急性心肌梗死患者主要采取动脉介入治疗术等方法，并同时给予患者常规护理治疗，但护理疗效并不明显，患者术后恢复情况不佳。本文主要研究对急性心肌梗死冠脉介入治疗患者的延续护理的临床效果，现报道如下。

1 资料与方法

1.1 一般资料

选择2014年6月～2015年4月间我院收治的罹患心肌梗死且行冠状动脉介入手术治疗成功患者90例为研究对象，采用随机数字表法分为研究组和对照组，每组45例。……