郑礼帆　甘海波

【摘要】 目的：探究精細化护理与临床护理路径在心血管介入导管室围手术期护理中的应用。方法：本次研究对象为笔者所在医院心血管介入手术患者587例，研究时间为2018年8月-2019年9月。采用抽签法将其分为参照组（293例）与研究组（294例）。参照组给予常规护理，研究组给予精细化护理与临床护理路径。比较两组并发症发生情况、心理状态、生活质量、护理满意度。结果：研究组并发症发生率低于参照组，差异有统计学意义（P<0.05）。护理后研究组HAMA评分、HAMD评分均明显低于参照组，差异有统计学意义（P<0.05）。研究组护理后生活质量评分优于参照组，差异有统计学意义（P<0.05）。研究组护理总满意度高于参照组，差异有统计学意义（P<0.05）。结论：对心血管介入手术患者实施精细化护理与临床护理路径，有助于降低术后并发症发生率，改善焦躁、抑郁等负性情绪，改善生活质量，提高患者满意度，护理效果显著，可在临床推广及使用。

【关键词】 精细化护理 临床护理路径 心血管介入导管室

doi：10.14033/j.cnki.cfmr.2020.18.035 文献标识码 B 文章编号 1674-6805（2020）18-00-03

Application of Fine Nursing and Clinical Nursing Pathway in Perioperative Nursing of Cardiovascular Interventional Catheterization Room/ZHENG Lifan， GAN Haibo. //Chinese and Foreign Medical Research， 2020， 18（18）： -84

[Abstract] Objective： To explore the application of fine nursing and clinical nursing pathway in perioperative nursing of cardiovascular interventional catheterization room. Method： The subjects of this study were 587 patients with cardiovascular interventional surgery in our hospital from August 2018 to September 2019. They were divided into the reference group （293 cases） and the study group （294 cases） by lottery. The reference group was given routine nursing， the study group was given fine nursing and clinical nursing pathway. The occurrence of complication， psychological state， quality of life and nursing satisfaction were compared between the two groups. Result： The complication rate of the study group was lower than that of the reference group， and the difference was statistically significant （P<0.05）. After nursing， HAMA score and HAMD score in the study group were significantly lower than those in the reference group， the differences were statistically significant （P<0.05）. After nursing， the quality of life in the study group was better than that in the reference group， the difference was statistically significant （P<0.05）. The total nursing satisfaction in the study group was higher than that in the reference group， and the difference was statistically significant （P<0.05）. Conclusion： The implementation of fine nursing and clinical nursing pathway for patients with cardiovascular interventional surgery is conducive to reduce the incidence of postoperative complications， improve anxiety， depression and other negative emotions， improve the quality of life， improve the satisfaction of patients， the nursing effect is significant， which can be promoted and used in clinical practice.

[Key words] Fine nursing Clinical nursing pathway Cardiovascular interventional catheterization room

First-authors address： Huidong County Peoples Hospital， Huidong 516300， China

心血管介入治疗患者的病情严重，且手术难度大，同时该类疾病患者多伴随焦躁、抑郁等负性情绪，在手术过程中极易出现生理应激反应，对手术效果产生影响。因此，在心血管介入手术患者的手术过程中应当加强护理干预[1]。精细化护理与临床护理路径属于新型护理手段，其中精细化护理强调护理细节，给予患者全面、细致的护理干预，临床护理路径表示在不同阶段实施针对性护理干预，以便促进患者康复。大量临床实践表明，心血管介入治疗患者实施精细化护理与临床护理路径，有助于促进恢复，预防并发症，对患者具有重要意义[2-3]。基于此，本文将选取笔者所在医院近1年（2018年8月-2019年9月）587例患者为研究对象，探究精细化护理与临床护理路径在心血管介入导管室围手术期护理中的应用，现报道如下。

1 资料与方法

1.1 一般资料

本次研究对象为笔者所在医院心血管介入手术患者587例，研究时间为2018年8月-2019年9月，纳入标准：资料齐全;认知正常;需行心血管介入手术。……