Application experience of anticipatory nursing in the nursing of patients with hypotension caused by inferior right ventricular myocardial infarction
预见性护理在下壁右室心肌梗死低血压患者护理中的应用体会

摘要

目的 预见性护理在下壁右室心肌梗死低血压患者护理中的应用体会。方法 本次研究采用回顾性分析法，采集本院心脏重症监护室（CCU）病房2024年1月-2026年5月收入的下壁右室心肌梗死低血压患者信息，分析患者接受预见性护理后护理结果。结果 经过护理后，患者的收缩压、舒张压、血氧饱和度指标显著提升，心率显著提升，对比护理前差异显著，结果有统计学意义（P＜0.05）。护理后，患者的左心室射血分数显著提升、左心室舒张末期内径显著下降，各指标对比护理前差异显著，结果有统计学意义（P＜0.05）。患者临床并发症发生率为10.00%，无低血压复发、心源性休克、晕厥等严重不良事件，护理后3d均恢复正常。结论 预见性护理措施可结合下壁右室心肌梗死低血压患者体征，预判护理风险，结合护理经验和文献规避护理隐患，有利于CCU病房患者稳定体征，预防严重心血管不良事件发生，可推广。

Abstract

Objective To explore the application of predictive nursing in the care of patients with hypotension in right ventricular myocardial infarction.
Methods This study used a retrospective analysis method to collect information on patients with lower wall right ventricular myocardial infarction and hypotension who were admitted to the Cardiac Care Unit (CCU) ward of our hospital from January 2024 to May 2026. The nursing outcomes of patients who received anticipatory nursing were analyzed.
Results After nursing, the patient’s systolic blood pressure, diastolic blood pressure, and blood oxygen saturation indicators significantly increased, and the heart rate significantly increased. The difference was significant compared with before nursing, and the results were statistically significant (P<0.05). After nursing, the patient’s left ventricular ejection fraction significantly increased and the left ventricular end diastolic diameter significantly decreased, with significant differences in various indicators compared to before nursing, and the results were statistically significant (P<0.05). The incidence of clinical complications in patients was 10.00%, and there were no serious adverse events such as hypotension recurrence, cardiogenic shock, syncope, etc. After 3 days of nursing care, all patients returned to normal.
Conclusion   Proactive nursing measures can be combined with the physical signs of patients with lower wall right ventricular myocardial infarction and hypotension to predict nursing risks. By combining nursing experience and literature to avoid nursing hazards, it is beneficial for CCU ward patients to stabilize their physical signs and prevent serious cardiovascular adverse events, which can be promoted.