杨丽, 张媛媛, 张荣. 以追踪方法学为指导的护理干预对急性心肌梗死合并心衰病人乐观倾向及并发症发生率的影响[J]. 蚌埠医科大学学报, 2021, 46(7): 982-987. DOI: 10.13898/j.cnki.issn.1000-2200.2021.07.036
    引用本文: 杨丽, 张媛媛, 张荣. 以追踪方法学为指导的护理干预对急性心肌梗死合并心衰病人乐观倾向及并发症发生率的影响[J]. 蚌埠医科大学学报, 2021, 46(7): 982-987. DOI: 10.13898/j.cnki.issn.1000-2200.2021.07.036
    YANG Li, ZHANG Yuan-yuan, ZHANG Rong. Effect of nursing intervention guided by tracer methodology on optimism tendency and complication rate of patients with acute myocardial infarction complicated with heart failure[J]. Journal of Bengbu Medical University, 2021, 46(7): 982-987. DOI: 10.13898/j.cnki.issn.1000-2200.2021.07.036
    Citation: YANG Li, ZHANG Yuan-yuan, ZHANG Rong. Effect of nursing intervention guided by tracer methodology on optimism tendency and complication rate of patients with acute myocardial infarction complicated with heart failure[J]. Journal of Bengbu Medical University, 2021, 46(7): 982-987. DOI: 10.13898/j.cnki.issn.1000-2200.2021.07.036

    以追踪方法学为指导的护理干预对急性心肌梗死合并心衰病人乐观倾向及并发症发生率的影响

    Effect of nursing intervention guided by tracer methodology on optimism tendency and complication rate of patients with acute myocardial infarction complicated with heart failure

    • 摘要:
      目的探讨以追踪方法学为指导的护理干预对急性心肌梗死(AMI)合并心力衰竭(HF)病人乐观倾向及并发症发生率的影响。
      方法选取80例AMI合并HF病人,根据入院顺序分为实验组和对照组,各40例。2组均行经皮冠脉介入术,对照组给予常规护理,实验组在对照组基础上给予以追踪方法学为指导的护理干预,连续干预1个月。比较2组桡动脉穿刺后并发症、护理满意度及干预前后乐观倾向(LOT-R)评分、创伤后成长(PTGI)评分、自护能力(ESCA)评分、健康行为(HPLPⅡ)评分。
      结果实验组桡动脉穿刺后并发症总发生率为5.00%,低于对照组的20.00%(χ2=4.11,P < 0.05)。干预1个月后,2组LOT-R评分、PTGI评分、ESCA评分、HPLPⅡ评分均明显高于干预前(P < 0.01),且实验组各项评分均明显高于对照组(P < 0.01)。实验组护理总满意度高于对照组(P < 0.05)。
      结论以追踪方法学为指导的护理干预应用于AMI合并HF病人,有利于减少桡动脉穿刺后并发症,提高乐观倾向,促进创伤后成长,增强自护能力,主动采纳健康行为,提升护理满意度。

       

      Abstract:
      ObjectiveTo explore the effect of nursing intervention guided by tracer? methodology on optimism tendency and complication rate of patients with acute myocardial infarction (AMI) complicated with heart failure (HF).
      MethodsEighty patients with AMI complicated with HF were divided into experimental group and control group (40 cases in each group).Both groups underwent percutaneous coronary intervention, the control group was given routine nursing, and the experimental group was given nursing intervention guided by tracer methodology on the basis of the control group for a consecutive one month.The complications after radial artery puncture, nursing satisfaction, and the life orientation test-revised (LOT-R) score, post-traumatic growth inventory (PTGI) score, exercise of self-care agency scale (ESCA) score and health promoting lifestyle profile (HPLP Ⅱ) score before and after intervention were compared between the two groups.
      ResultsThe total incidence of complications after radial artery puncture in the experimental group was 5.00%, which was lower than that (20.00%) in the control group (χ2=4.11, P < 0.05).One month after the intervention, the scores of LOT-R, PTGI, ESCA and HPLP Ⅱ in the two groups were significantly higher than those before the intervention (P < 0.01), and which in experimental group were significantly higher than those in control group (P < 0.01).The total satisfaction rate of nursing in experimental group was higher than that in control group (P < 0.05).
      ConclusionsThe application of nursing intervention guided by tracer methodology in patients with AMI complicated with HF is helpful to reduce the complications after radial artery puncture, improve optimism tendency, promote post-traumatic growth, enhance self-care ability, urge to adopt healthy behavior actively, and improve nursing satisfaction.

       

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