To evaluate the clinical effect of predictive nursing in elderly patients with severe coronary heart disease andmyocardial infarction
评价预见性护理在老年重症冠心病心肌梗死患者中的临床效果

摘要

目的 探究评价预见性护理在老年重症冠心病心肌梗死患者中的临床效果。方法 选取于2020年1月至2021年1月在我院老年重症冠心病心肌梗死的100名患者作为研究对象，随机将其分成参照组和实验组，在不同护理模式下对比护理有效率、生活质量情况、并发症发生率及患者的心理特征。结果 实验组患者通过评价预见性干预模式的护理有效率为98.00%，显著高于参照组患者通过常规护理干预后的护理有效率84.00%，两组研究对象在躯体情况、睡眠情况、生活质量及生活能力各维度的得分均较干预前提高，且经评价性预见性护理干预后实验组得分均显著高于参照组，实验组的并发症发生率为16.00%（8/50），远低于参照组中患者并发症发生率56%（28/50），实验组患者受评价预见性护理干预后的心理状态较参照组受常规护理后的评分低。结论 评价预见性护理在老年重症冠心病心肌梗死患者治疗中可以有效减少并发症发生率，对提升治疗有效率具有极高的促进作用。

Abstract

Objective: To evaluate the clinical effect of predictable nursing in elderly patients with severe coronary heart disease and myocardial infarction.
Methods: 100 patients with severe Cinfarction in our hospital from January 2020 to January 2021 were selected and randomly divided into reference and experimental groups to compare nursing efficiency, quality of life, complication rate and psychological characteristics of patients under different nursing models.
Results: The nursing efficiency of patients was 98.00%, It was significantly higher than the reference group at 84.00% care efficiency after usual care intervention, The scores of physical condition, sleep condition, quality of life and life ability were improved compared with those before the intervention, Moreover, the scores of the experimental group were significantly higher than those of the reference group, The complication rate in the experimental group was 16.00% (8 in 50), Far lower than the 56% (28 / 50) of patients in the reference group, The psychological status of the patients in the experimental group after the evaluated predictive nursing intervention was lower than that of the reference group.
Conclusion  : It can effectively reduce the complication rate and improve the efficiency of the treatment.