Clinical evaluation of full interventional nursing for acute coronary stent implantation and its influenceon anxiety and depression
全程介入护理对急性冠状动脉内支架植入术的临床及对焦虑、抑郁情绪的影响评价

摘要

目的 接受冠状动脉内支架植入术治疗的患者于围术期开展全程介入护理，对改善患者焦虑、抑郁情绪以及提升护理质量、提高患者满意度和临床安全性的价值探究。方法 此次研究共计收录病例样本数为80例，均为2021.10-2022.10期间在我院接受治疗的冠心病患者，样本入组后均给予冠状动脉内支架植入术治疗，同时行规范性分组，通过开展不同的围术期护理方案进行此次对比分析，分别为对照组（常规护理）、观察组（全程介入护理）。统计组间负面情绪及安全性的差异性，同时分析对护理质量及患者满意度的影响。结果 就护理措施实施前后组间负面情绪开展评测工作，护理前组间差异并不明显，开展后两组评分值虽均有所降低，但均以观察组评分参数更优，P＜0.05。就组间护理质量及护理安全展开评分工作，结果显示观察组在手术室仪器设备管理、消毒隔离、器械准备、护士配合技能以及护理安全各项评分参数值更高，P＜0.05。观察组纳入样本从宣教、态度、服务、操作及环境方面对护理措施的满意度评分更高，P＜0.05。统计两组临床不良事件发生情况，观察组统计值为7.50%，该参数值显著低于对照组统计值25.00%，P＜0.05。结论 接受冠状动脉内支架植入术治疗的患者于围术期开展全程介入护理，对改善患者焦虑、抑郁情绪以及提升护理质量、提高患者满意度和临床安全性的价值显著。

Abstract

Objective To explore the value of perioperative whole-course interventional nursing for patients receiving coronary stent implantation to improve patients' anxiety and depression, improve nursing quality, improve patient satisfaction and clinical safety.
Methods A total of 80 sample cases were included in this study, all of which were patients with coronary heart disease who received treatment in our hospital between 2021.10 and 2022.10. After the samples were enrolled, they were treated with intra-coronary stent implantation, and normative grouping was performed at the same time. The comparative analysis was carried out through different perioperative nursing programs. They were control group (routine nursing) and observation group (whole-course interventional nursing). The differences in negative emotions and safety between the groups were analyzed, and the effects on quality of care and patient satisfaction were analyzed.
Results The negative emotions were evaluated before and after the implementation of nursing measures. There was no significant difference between the two groups before and after the implementation of nursing measures. Although the scoring values of the two groups were decreased, the scoring parameters of the observation group were better, P < 0.05. The score of nursing quality and nursing safety between groups showed that the scores of instruments and equipment management, disinfection and isolation, equipment preparation, nurse coordination skills and nursing safety in the operating room were higher in the observation group (P < 0.05). The included samples in the observation group had higher satisfaction scores on nursing measures from the aspects of education, attitude, service, operation and environment (P < 0.05). The occurrence of clinical adverse events in the two groups was analyzed, and the statistical value in the observation group was 7.50%, which was significantly lower than the statistical value in the control group of 25.00%, P < 0.05.
Conclusion   Perioperative interventional nursing for patients receiving coronary stent implantation is of significant value in improving patients' anxiety, depression, nursing quality, patient satisfaction and clinical safety.