Effect of prospective nursing intervention on constipation prevention in patients with acute myocardialinfarction in intensive care unit of cardiology department
心内科重症监护室急性心肌梗死保守治疗患者实施前瞻性护理干预对便秘预防效果

摘要

目的 探析心内科重症监护室急性心肌梗死保守治疗患者实施前瞻性护理干预对便秘预防的效果。方法 从2020年6月-2021年6月时间段在我院心内科重症监护室进行保守治疗的急性心肌梗死患者中随机抽取50例参加研究，用双盲法分为两组，一组为研究组（n＝25），一组为对比组（n＝25）。对比组接受普通护理干预，研究组接受普通护理干预联合前瞻性护理干预，比较两组患者干预前后的心功能指标（左室射血分数、左室收缩末期直径、每搏输出量）水平和干预后的便秘出现情况、平均排便时长。结果 两组患者干预前的心功能指标水平均不存在明显差异（P＞0.05），两组患者干预后的心功能指标水平均改善，其中研究组左室射血分数和每搏输出量高于对比组，左室收缩末期直径低于对比组，存在明显差异（P＜0.05）；研究组的便秘出现率低于对比组，平均排便时长短于对比组，均存在明显差异（P＜0.05）。结论 心内科重症监护室急性心肌梗死保守治疗患者实施前瞻性护理干预对便秘的预防效果良好，且有助于改善心功能指标水平，能够推动病情往好的方向发展。

Abstract

Objective To explore the effect of prospective nursing intervention on the prevention of constipation in patients with acute myocardial infarction in the intensive care unit of cardiology department.
Methods: From June 2020 to June 2021, 50 patients with acute myocardial infarction who received conservative treatment in the intensive care unit of Cardiology Department of our hospital were randomly selected to participate in the study, and they were divided into two groups by double-blind method. Study group (n=25) and one group as comparison group (n=25). The control group received general nursing intervention, and the research group received general nursing intervention combined with prospective nursing intervention. The cardiac function indicators (left ventricular ejection fraction, left ventricular end-systolic diameter, stroke volume) before and after intervention were compared between the two groups and the intervention. The occurrence of constipation afterward and the average defecation duration.
Results: There was no significant difference in the levels of cardiac function indexes between the two groups before the intervention (P>0.05). The cardiac function indexes of the two groups were improved after the intervention. The left ventricular ejection fraction and stroke volume in the study group were higher. In the control group, the left ventricular end-systolic diameter was lower than that of the control group, and there was a significant difference (P<0.05). ).
Conclusion  : Prospective nursing intervention for patients with acute myocardial infarction conservatively treated in the cardiology intensive care unit has a good effect on the prevention of constipation, and helps to improve the level of cardiac function indicators, which can promote the development of the disease in a better direction.