Abstract:Objective To explore the application effect of cluster intervention in patients with acute coronary syndrome. Methods A total of 80 patients with acute coronary syndrome admitted to Jiangsu Provincial People’s Hospital from January to December 2019 were selected. They were divided into control group and observation group by random number table method, with 40 cases in each group. Routine nursing intervention was used in the control group, while the observation group was treated with cluster intervention on the basis of the control group. Left ventricular ejection fraction (LVEF), left ventricular end diastolic diameter (LVEDD), left ventricular posterior wall thickness in diastole (LVPWd), cardiac function indexes and quality of life scores, and nursing intervention satisfaction were compared between the two groups. Results After intervention, LVEF in both groups was higher than before intervention, and LVEF in the observation group was higher than the control group; LVEDD and LVPWd in both groups were lower than before intervention, and the observation group was lower than the control group (P < 0.05). The scores of physical function, physiological function, psychological function, and social function in both groups were higher than before intervention, and the observation group was higher than the control group (P < 0.05). The satisfaction of nursing intervention in the observation group was higher than that in the control group (P < 0.05). Conclusion The application of cluster intervention in patients with acute coronary syndrome can improve the cardiac function of patients, improve the quality of life and nursing intervention satisfaction.
张敏 马玉娇▲ 陶婧 王玉婷 张玉 杜瑶. 集束化干预在急性冠状动脉综合征患者中的应用效果[J]. 中国医药导报, 2021, 18(24): 167-170.
ZHANG Min MA Yujiao▲ TAO Jing WANG Yuting ZHANG Yu DU Yao. Application effect of cluster intervention in patients with acute coronary syndrome. 中国医药导报, 2021, 18(24): 167-170.
[1] Hasan R,Lindarto D,Siregar G,et al. The Effect of Salam Leaf (Syzygium polyanthum [Wight] Walp.) Extract on Inflammation in Rat Model of Acute Coronary Syndrome [J]. Open Access Macedonian J Med Sci,2020,8(A):374-377.
[2] Fabbri A,Bachetti C,Ottani F,et al. Rapid rule-out of suspected acute coronary syndrome in the Emergency Department by high-sensitivity cardiac troponin T levels at presentation [J]. Int Emergency Med,2019,20(3):1025-1029.
[3] 赵明中,杜明远,朱天刚,等.糖尿病和/或脑卒中对急性冠状动脉综合征患者介入治疗术后长期预后的影响[J].中华全科医师杂志,2020,19(4):334-339.
[4] 刘青译,刘莉摘.女性急性冠状动脉综合征患者的特征,治疗和结局的时间趋势分析[J].中华高血压杂志,2020, 15(2):197.
[5] Wells S,Kerr A,Eadie S,et al. Development and validation of a cardiovascular risk score for patients in the community after acute coronary syndrome [J]. Heart,2019,96(9):708-713.
[6] Christenson R,Azzazy H. Biochemical markers of the acute coronary syndromes [J]. Clinical Chemistry,2020,23(8):8-12.
[7] 尉驰,袁平年,郭文怡.急性冠状动脉综合征患者经皮冠状动脉介入治疗术后6个月内再入院危险因素分析[J].中国心血管杂志,2019,24(3):20-24.
[9] 胡大一.急性冠状动脉综合征[M].北京:人民卫生出版社,2001.
[10] 李颖,袁学华,刘蕊,等.时间-知识-逻辑三维护理干预在NSTE-ACS救治中的应用[J].中国煤炭工业医学杂志,2019,22(3):332-336.
[11] 孙庆芬,于莉,段秀琴,等.集束化干预预防恶性血液病患者医院感染的效果[J].中国感染控制杂志,2020,19(2):45-50.
[12] 骆艳妮,王春亚,李金娜,等.集束化干预措施在ICU病房应用呼吸机进行机械通气患者中的应用效果[J].中国医药导报,2019,16(10):173-176.
[13] 张侠,刘丽侠.集束化干预策略在中青年急性心肌梗死患者的应用效果及对患者用药依从性的影响[J].医学临床研究,2020,26(3):455-457.
[14] 徐红燕. 集束化护理策略干预应用于腹腔镜胃癌围术期中对术后康复,生活质量及并发症的影响[J].国际护理学杂志,2019,38(16):2621-2624.
[15] 张金丽,周秀月,周优雅.集束化护理干预对脑卒中患者生活质量的影响分析[J].浙江临床医学,2019,30(6):858-860.
[16] 蔡洪,尹莉莉,王翊,等.基于失效模式与效应分析的急性冠状动脉综合征患者急救护理流程风险管控的研究[J].中华现代护理杂志,2019,25(6):737-742.
[17] 顾琴.急诊绿色通道路径对老年急性冠状动脉综合征病人急救效率,护理满意度的影响[J].全科护理,2020,18(9):91-93.
[18] 王晓蕾.优化急诊护理路径对急性冠状动脉综合征患者的影响[J].齐鲁护理杂志,2018,24(13):114-116.
[19] 徐华.优化急诊护理流程对急性冠状动脉综合征患者急救效率与生存质量的影响[J].护理实践与研究,2016, 13(22):111-113.
[20] 朱焕林.优化急诊护理路径对急性冠状动脉综合征患者的影响分析[J].中国冶金工业医学杂志,2020,37(1):38-39.
[21] 裴依菲,尹娟,张宇航.血栓弹力图在急性冠状动脉综合征患者PCI术后抗血小板治疗中的应用[J].临床心身疾病杂志,2020,26(3):45-47.
[22] 王艳芳.急性冠状动脉综合征PCI绿色通道中急救护理路径的应用效果[J].深圳中西医结合杂志,2016,26(3):159-161.
[23] 王春霞,钱茜.基于时机理论的家庭护理干预对急性冠状动脉综合征患者负性情绪和生活质量的影响[J].中华现代护理杂志,2018,24(25):3034-3039.
[24] 周月,蒋运兰,李玲锐,等.影响急性冠状动脉综合征病人就诊延迟的心理因素研究进展[J].护理研究,2019, 33(15):78-80.
[25] 陈红雨,曹利佳,吴林.经皮冠状动脉介入治疗术前心理干预对急性冠状动脉综合征患者精神压力、应对方式的影响及并发抑郁症的相关因素分析[J].中国实用护理杂志,2019,35(26):2017-2021.
[26] 骆艳妮,王春亚,李金娜,等.集束化干预措施在ICU病房应用呼吸机进行机械通气患者中的应用效果[J].中国医药导报,2019,16(10):173-176.
[27] 李冬梅,黄石群,彭瑞娟,等.多学科多部门集束化干预在促进PICC临床应用中的研究[J].中国医学创新,2019, 16(12):116-120.