冠心病心絞痛患者進(jìn)行護(hù)理干預(yù)的臨床效果及對(duì)護(hù)理質(zhì)量影響研究

　　摘   要：目的  探討在冠心病心絞痛患者臨床護(hù)理中應(yīng)用臨床護(hù)理路徑的干預(yù)效果，評(píng)價(jià)其對(duì)護(hù)理質(zhì)量的影響作用。方法  選擇丹東市第一社會(huì)福利院于2015年1月～2016年12月收治入院的78例冠心病心絞痛患者，將其隨機(jī)分為觀察組與對(duì)照組，各39例，對(duì)照組給予常規(guī)護(hù)理，觀察組實(shí)施臨床護(hù)理路徑護(hù)理，觀察兩組臨床效果與護(hù)理滿意度。結(jié)果  觀察組治療總有效率94.87%，高于對(duì)照組69.23%，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）;觀察組護(hù)理滿意度100.00%，高于對(duì)照組76.92%，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論  臨床護(hù)理路徑對(duì)提升治療效果與患者滿意度效果顯著，對(duì)促進(jìn)冠心病心絞痛臨床護(hù)理質(zhì)量的持續(xù)改進(jìn)和提升具有積極意義。
　　關(guān)鍵詞：冠心病;心絞痛;臨床護(hù)理路徑
　　中圖分類號(hào)：R473.5                                 文獻(xiàn)標(biāo)識(shí)碼：A                                 DOI：10.3969/j.issn.1006-1959.2018.05.068
　　文章編號(hào)：1006-1959（2018）05-0182-02
　　Clinical Effect of Nursing Intervention in Patients with Angina Pectoris of Coronary Heart Disease and its Influence on Nursing Quality
　　ZHANG Xu
　　（No.2 Department of Medical Treatment，No.1 Social Welfare Institute，Dandong 118000，Liaoning，China）
　　Abstract：Objective  To explore the effect of clinical nursing path in the clinical nursing of patients with angina pectoris of coronary heart disease.Methods  78 patients with angina pectoris of coronary heart disease admitted to hospital from January 2015 to December 2016 were randomly divided into observation group and control group，39 cases of each case.The control group was given routine nursing，and the observation group carried out clinical nursing path nursing，and observed the clinical effect and nursing satisfaction of the two groups.Results  The total effective rate of the observation group was 94.87%，which was higher than that of the control group 69.23%，the difference was statistically significant（P<0.05），the nursing satisfaction of the observation group was 100.00%， which was higher than that of the control group 76.92%，the difference was statistically significant（P<0.05）.Conclusion  Clinical nursing pathway has significant effect on improving treatment effect and patient satisfaction，and has positive significance for promoting continuous improvement and improvement of clinical nursing quality of coronary heart disease and angina pectoris.
　　Key words：Coronary heart disease;Angina pectoris;Clinical nursing pathway
　　心絞痛是冠心病的常見(jiàn)類型，是由冠狀動(dòng)脈粥樣硬化所致管腔狹窄、堵塞及動(dòng)脈痙攣引起的一種心肌缺血癥狀，是造成冠心病患者猝死的重要原因之一[1]。冠心病心絞痛一經(jīng)確診需盡早接受規(guī)范、合理的內(nèi)科綜合治療，并配合科學(xué)的護(hù)理干預(yù)措施以保證治療效果，改善預(yù)后。為探討臨床護(hù)理路徑在冠心病心絞痛臨床護(hù)理中的應(yīng)用效果，我院選擇78例冠心病心絞痛患者作為研究對(duì)象，現(xiàn)報(bào)告如下。
　　1資料與方法
　　1.1一般資料  選擇丹東市第一社會(huì)福利院于2015年1月～2016年12月收治入院的78例冠心病心絞痛患者，本次研究經(jīng)過(guò)醫(yī)院倫理委員會(huì)批準(zhǔn)，患者及家屬知情同意本次研究，符合冠心病心絞痛臨床診斷標(biāo)準(zhǔn)，排除其他原因所致心絞痛及合并嚴(yán)重肝腎功能障礙者。將其隨機(jī)分為觀察組與對(duì)照組，各39例。觀察組男性23例，女性16例，年齡40～77歲，平均年齡（55.28±4.19）歲，病程1～13年，平均病程（7.59±2.43）年，穩(wěn)定型心絞痛27例，不穩(wěn)定型心絞痛12例;對(duì)照組男性21例，女性18例，年齡42～80歲，平均年齡（56.30±5.02）歲，病程2～15年，平均病程（8.11±2.65）年，穩(wěn)定型心絞痛25例，不穩(wěn)定型心絞痛14例。兩組患者的性別、年齡、病程、病理分型等一般資料對(duì)比，差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05），具有可比性。

相關(guān)熱詞搜索：護(hù)理 心絞痛 冠心病 干預(yù) 臨床