80例急性心肌梗死介入治疗围手术期护理

论文编号:HL218 论文字数:16318,页数:25

论文题目：80例急性心肌梗死介入治疗围手术期护理

摘　要
目的   目的探讨临床路径在急性心肌梗死（AMI）经皮冠状动脉介入(PCI)治疗中的应用效果。
方法  本研究收集我院心血管科2008.1～2009.1收治的80例急性心肌梗死患者，所有患者均行冠心病介入治疗（PCI）。对照组患者采用PCI常规治疗护理方法,实验组患者采用临床路径方法进行治疗护理,即根据PCI患者病情制订临床护理路径图,由经过统一培训的责任护士从入院到出院全程负责,有计划、有组织地对患者实施治疗及健康指导和护理。
结果 结果与对照组比较,实验组的平均住院天数及费用明显减少,患者对护理工作的满意度及健康知识掌握率明显提高(均P<0.05)。
结论  应用临床路径对PCI患者实施围手术期规范、优质、周到、细致的护理,可提高临床治疗护理质量,提高护理人员的健康教育技巧,激励患者参与治疗的积极性,即可缩短平均住院日,减少医疗费用,增加患者满意度,缓解医护人员与患者的关系。又可减少并发症的发生，促进机体顺利康复，是手术成功的重要保证。关键词：心肌梗死；血管成形术；临床路径；护理
论文类型：调研报告

Title: 80 cases of acute myocardial infarction interventional therapy perioperative care

Abstract

Methods
of this study was to collect my Section 2008.1～2009.1 cardiovascular hospital admitted 80 patients with acute myocardial infarction patients, all patients underwent percutaneous coronary intervention (PCI). The control group were treated with PCI routine treatment and care methods, the experimental group were treated with clinical pathway approach to treatment and care that, according to PCI in patients with disease development of clinical care and the road map, from the responsibility of training through a unified nurses from admission to discharge full responsibility for planned, organization of the implementation of the treatment to patients and health guidance and care.
Results
Results Compared with control group, experimental group, the average number of hospitalization days and costs significantly reduced, patient satisfaction with nursing and health knowledge to master the rate increased significantly (all P <0.05).
Conclusion
The implementation of clinical path to PCI in patients with perioperative specification, high-quality, thoughtful, meticulous care, can improve clinical quality of care, improve health education, nursing skills, encourage active patient participation in treatment can shorten the average length of stay, to reduce medical costs, increase patient satisfaction, ease the relationship between health care workers and patients. And reduce the incidence of complications and promote the successful rehabilitation of the body, is an important guarantee for success of the operation.

Key words: myocardial infarction，angioplasty，clinical path，Nursing
目  录

1 绪论 1
 1.1背景和意义……………………………………………………………………1
 1.2研究目的及目标……………………………………………………………………1
 1.3关键词和定义……………………………………………………………………… 1
2研究设计 4
2.1研究对象 4
2.2一般资料 4
 2.3研究方法…………………………………………………………………………4
 2.4研究步骤…………………………………………………………………………4
 2.5统计学方法…………………………………………………………………………5
3 讨论 9
4结论 13
致    谢 14
参考文献 15
附    录 17