Abstract:

Objective　To explore the effect of refined nursing care combined with clinical nursing pathways for patients undergoing interventional procedures for cardiovascular diseases. Methods　Eighty five patients with cardiovascular diseases who underwent interventional procedures at Fuwai Central China Cardiovascular Hospital between February 2021 and February 2022 were selected for this study. They were divided into a control group (43 cases) in ward A and a study group (42 cases) in ward B according to the wards they stayed. There were 25 males and 18 females in the control group; they were 40-75 (58.47±6.49) years old. There were 28 males and 14 females in the study group; they were 40-73 (57.62±6.40) years old. The control group took routine nursing interventions; in addition, the study group took refined care and clinical nursing pathway intervention. The intervention effects, psychological status, and incidences of postoperative complications were compared between the two groups. t and χ² tests were applied. Results　The nursing satisfaction rate of the study group was higher than that of the control group [95.24% (40/42) vs. 74.42% (32/43)], with a statistical difference (χ²=5.59, P<0.05). The hospitalization time of the study group was shorter than that of the control group [(9.58±1.92) d vs. (12.31±2.46) d], with a statistical difference (t=5.70, P<0.05). After the intervention, the scores of Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) of the study group were lower than those of the control group [(39.47±4.39) vs. (42.15±4.68) and (40.35±4.48) vs. (43.56±4.84)], with statistical differences (t=2.72 and 3.17; both P<0.05). The incidence of complications in the study group was lower than that in the control group [2.38% (1/42) vs. 18.60% (8/43)], with a statistical difference (χ²=4.32, P<0.05). Conclusion　Refined nursing care combined with clinical nursing pathways for patients undergoing interventional surgery for cardiovascular diseases can obviously improve their psychological status and reduce postoperative complications, and has good clinical nursing effect.

Key words:

Cardiovascular diseases, Interventional procedures, Clinical care pathways, Refined care, Psychological status

摘要：

目的　探究精细化护理结合临床护理路径对心血管疾病介入手术患者的应用效果。方法　选取2021年2月至2022年2月在阜外华中心血管病医院行介入手术的心血管疾病患者85例作为研究对象，根据患者入住病房分组，入住A病房的为对照组（43例），入住B病房的为研究组（42例）。对照组男性25例，女性18例，年龄40～75（58.47±6.49）岁，予以常规护理干预；研究组男性28例，女性14例，年龄为40～73（57.62±6.40）岁，在常规护理基础上增加精细化护理结合临床护理路径干预。比较两组干预效果、心理状态及术后并发症发生情况。统计学方法采用t检验和χ²检验。结果　研究组护理满意度高于对照组［95.24%（40/42）比74.42%（32/43）］，住院时间短于对照组［（9.58±1.92）d比（12.31±2.46）d］，差异均有统计学意义（χ²=5.59、t=5.70，均P<0.05）。干预后，研究组焦虑自评量表（SAS）、抑郁自评量表（SDS）评分均低于对照组［（39.47±4.39）分比（42.15±4.68）分、（40.35±4.48）分比（43.56±4.84）分］，差异均有统计学意义（t=2.72、3.17，均P<0.05）。研究组术后并发症发生率低于对照组［2.38%（1/42）比18.60%（8/43）］，差异有统计学意义（χ²=4.32，P<0.05）。结论　对心血管疾病介入手术患者应用精细化护理结合临床护理路径可改善患者心理状态，减少术后并发症，临床护理效果较好。

关键词:

心血管疾病, 介入手术, 临床护理路径, 精细化护理, 心理状态