Objective:To explore the effect of clinical nursing path model in the perioperative period of interventional therapy for pa -tients with acute myocardial infarction ( AMI) .Methods:100 patients with AMI were randomly divided into the control group and the experi-mental group ,50 cases in each group .The control group was given routine nursing care ,while the experimental group was applied the clini-cal nursing path model .The psychological problems ,disease related parameters and complications were compared between the two groups . Results:After the intervention ,the experimental group′s incidence of those events ,including fear of surgery ,fear of pain ,fear of worry about danger,questioned the operation effect ,fear of sequelae and restenosis was significantly lower than those in the control group (P<0.01). The experimental group′s mean arterial pressure(MAP)level was significantly lower than that in the control group (P<0.01).The experi-mental group′s cardiac output(CO),stroke volume(SV),stroke volume index(SI)were significantly higher than those in control group (P<0.01),and the experimental group′s incidence of arrhythmia,backache,constipation,insomnia was significantly lower than that of the control group(P<0.01,P<0.05).Conclusion:Application of clinical nursing pathway model in perioperative period of interventional therapy in AMI patients can significantly reduce psychological problems ,stabilize blood flow indexes ,restore cardiac function ,reduce com-plications of myocardial infarction and interventional therapy ,therefore improving prognosis and playing a clinical auxiliary role .%目的:探讨临床护理路径模式在急性心肌梗死(AMI)患者介入治疗围术期中的应用效果.方法:将100例AMI患者随机分为对照组和实验组各50例,对照组给予常规护理,实验组则施加临床护理路径模式;比较两组心理问题、疾病相关参数和并发症发生情况.结果:干预后,实验组惧怕手术、惧怕疼痛、担心术中危险、质疑手术效果、担心后遗症与担心再狭窄发生率均显著性低于对照组(P<0.01),平均动脉压(MAP)水平著性低于对照组(P<0.01),心输出量(CO)、每搏输出量(SV)、每搏指数(SI)水平显著性高于对照组(P<0.01);实验组心律失常、腰酸背痛、便秘、失眠发生率均显著性低于对照组(P<0.01,P<0.05).结论:在AMI患者介入治疗围术期中应用临床护理路径模式,可明显减轻患者心理问题,稳定血流学指标,恢复心脏功能,减少心肌梗死与介入治疗并发症,从而改善预后,起到临床辅助作用.
展开▼
