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SMART护理原则预防老年患者经桡动脉行冠脉造影后发生迟发性术肢血肿的价值
荣淑静,刘海霞,祁小红,杨婷婷,吴伟欣
0
(哈尔滨医科大学附属第二医院心内科)
摘要:
【摘要】 目的 探讨SMART护理原则对预防老年患者经桡动脉行冠脉造影后发生迟发性术肢血肿的价值。方法 选择2013年8月~2017年1月来院诊治的急性冠脉综合征患者120例作为研究对象,根据随机信封抽签原则分为观察组与对照组各60例,两组都给予经桡动脉径路冠状动脉介入术治疗,对照组在围手术期给予常规护理;观察组在对照组护理的基础上给予SMART护理原则干预,两组护理观察时间为1个月。结果 观察组与对照组的迟发性术肢血肿发生率分别为17%和133%,观察组明显低于对照组(P<005)。观察组护理后遵医嘱用药、自我监测、运动管理以及饮食管理的评分分别是(1235±209)分、(2184±283)分、(1152±198)分和(1543±237)分,而对照组的评分分别是(974±179)分、(1749±221)分、(824±174)分和(1321±214)分,观察组评分均明显高于对照组(P<005)。观察组护理满意度(100%)明显高于对照组(883%)(P<005)。两组护理后的疼痛评分分别为(212±038)分和(272±045)分,都明显低于护理前的(488±052)分和(481±051)分(P<005),且观察组评分明显低于对照组(P<005)。结论 SMART护理原则能有效预防老年患者经桡动脉行冠脉造影后发生迟发性术肢血肿的发生,提高自我护理能力,缓解疼痛,改善护患关系。
关键词:  SMART护理原则  老年人  桡动脉  冠脉造影  迟发性术肢血肿
DOI:
基金项目:黑龙江省卫生厅科研课题(2012-637)
The values of SMART nursing principles to prevent the occurrence of delayed postoperative limb hematoma after transradial coronary angiography in elderly patients
RONG Shujing,LIU Haixia,QI Xiaohong,YANG Tingting,WU Weixin
(Department of Cardiovascular Medicine, The Second Affiliated Hospital of Harbin Medical University)
Abstract:
【Abstract】 Objective To explore the values of SMART nursing principles in preventing the occurrence of delayed hematoma after coronary angiography in elderly patients. Methods From August 2013 to January 2017, 120 patients with acute coronary syndrome in our hospital were selected as the research objects. All the patients were divided into observation group(60 cases) and control group(60 cases), accordeding to the random lottery envelopes randomly. All the patients were treated by transradial approach coronary intervention. The control group was given the perioperative routine care. The observation group was given the SMART nursing principles intervention based on the control group. The nursing of two groups was observed for 1 month. Results The incidence of Delayed Limb hematoma in the observation group and the control group were 17% and 133%, respectively. The observation group was significantly lower than that of the control group (P<005). The observation group after the nursing of prescribed medication, self monitoring, motion management and diet management score were 1235±209, 2184±283, 1152±198 and 1543±237, while the control group scores were 974±179, 1749±221, 824±174 and 1321±214 (P<005). The satisfaction degree of the observation group and the control group was 100% and 883%, respectively. The satisfaction of the observation group was significantly higher than that of the control group (P<005). The pain scores in the observation group and control group after nursing were 212±038 point and 272±045 point, which were significantly lower than those before treatment (P<005), The pain scores of observation group were significantly lower than that of the control group (P<005). Conclusion The SMART nursing principles can prevent the occurrence of delayed postoperative limb hematoma after transradial coronary angiography in elderly patients, improve selfcare ability, relieve pain and improve nurse patient relationship.
Key words:  SMART nursing principles  Elderly  Radial artery  Coronary angiography  Delayed limb hematoma

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