Analysis of nursing effect of nursing intervention based on APACHE Ⅱ on emergency patients with severe coronary atherosclerotic heart disease
基于APACHE Ⅱ的护理干预对急诊重症冠状动脉粥样硬化性心脏病患者护理效果分析

摘要

目的 分析基于急性生理与慢性健康评分Ⅱ（APACHE Ⅱ）的护理干预在急诊重症冠状动脉粥样硬化性心脏病（CHD）患者中的应用效果。方法 选取我院2023年1月至2024年12月期间收治的86例重症CHD患者为研究对象。根据护理方案的不同，将患者分为对照组和观察组。对照组接受急诊重症常规护理，观察组在此基础上实施基于APACHE Ⅱ评分的护理干预。结果 观察组APACHE Ⅱ评分明显低于对照组，住院时间更短，并发症总发生率低于对照组，护理满意度评分高于对照组，差异均有统计学意义（P<0.05）。结论 于APACHE Ⅱ评分的护理干预可改善急诊重症CHD患者的病情程度，缩短住院时间，降低并发症风险。

Abstract

Objective To analyze the effect of nursing intervention based on the acute physiology and chronic health score Ⅱ (APACHE Ⅱ) in emergency patients with severe coronary atherosclerotic heart disease (CHD).
Methods 86 severe CHD patients admitted to our hospital from January 2023 to December 2024 were selected as the research subjects. According to different nursing plans, patients are divided into a control group and an observation group. The control group received routine emergency critical care, while the observation group implemented nursing interventions based on APACHE II score on this basis.
Results The APACHE II score of the observation group was significantly lower than that of the control group, the hospitalization time was shorter, the total incidence of complications was lower than that of the control group, and the nursing satisfaction score was higher than that of the control group, with statistically significant differences (P<0.05).
Conclusion   Nursing interventions based on APACHE II score can improve the severity of emergency severe CHD patients, shorten hospitalization time, and reduce the risk of complications.