以Autar风险评估表为基础的预见性护理在冠心病经皮冠状动脉介入术后患者中的应用效果

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摘要目的探讨以Autar 风险评估表为基础的预见性护理在冠心病经皮冠状动脉介入术（PCI）后患者中的应用效果。方法选取2019年9月至2021年9月于南昌市第三医院行PCI 手术治疗的80 例冠心病患者为研究对象，使用随机数字表法分为对照组与观察组，各40 例。对照组予以常规护理，观察组在对照组的基础上联合以Autar风险评估表为基础的预见性护理。比较两组术后的深静脉血栓形成（DVT）发生率，观察两组干预前后的凝血指标[凝血酶原时间（PT）、凝血活酶时间（APTT）、凝血酶受体（Tr）、纤维蛋白原（Fbg）]，使用生活质量综合评定问卷（GQOLI-74）对两组干预前后的生活质量进行评估，采取自拟《护理满意度调查问卷》评估两组的护理满意度。结果观察组的DVT 发生率为5.00%，低于对照组的25.00%，差异有统计学意义（P＜0.05）；观察组的护理总满意度高于对照组，差异有统计学意义（P＜0.05）。干预前，两组的PT、APTT、Tr 及Fbg 水平比较，差异无统计学意义（P＞0.05）；两组干预后的PT、APTT 及Fbg 水平均高于干预前，Tr 水平低于干预前，差异有统计学意义（P＜0.05）。观察组干预后的PT、APTT 及Fbg 水平均高于对照组，Tr 水平低于对照组，差异有统计学意义（P＜0.05）。两组干预前的躯体功能、心理功能、生活功能、社会功能评分比较，差异无统计学意义（P＞0.05）；观察组干预后的躯体功能、心理功能、生活功能、社会功能评分均高于对照组，差异有统计学意义（P＜0.05）。结论以Autar 风险评估表为基础的预见性护理可明显降低冠心病PCI 术后患者的DVT 发生率，能够改善其凝血指标，提升其生活质量。

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	熊丽娜

关键词 ： Autar 风险评估表, 预见性护理, 冠心病, 经皮冠状动脉介入术, 深静脉血栓

Abstract：Objective To investigate the application effect of predictive nursing based on the Autar risk assessment scale in patients with coronary heart disease after percutaneous coronary intervention (PCI).Methods A total of 80 patients with coronary heart disease who underwent PCI in Nanchang Third Hospital from September 2019 to September 2021 were selected as research objects.They were divided into the control group and the observation group according to random number table method,with 40 cases in each group.The control group received routine nursing,and the observation group received predictive nursing based on the Autar risk assessment scale.The incidence of postoperative deep venous thrombosis (DVT) was compared between the two groups,and the coagulation indexes (prothrombin time[PT],activated partial thromboplastin time [APTT],thrombin receptor [Tr],fibrinogen [Fbg]) before and after the intervention of the two groups were observed.The quality of life of the two groups before and after the intervention was evaluated by generic quality of life inventory 74(GQOLI-74),and the self-made Nursing Satisfaction Questionnaire was used to evaluate the nursing satisfaction of the two groups.Results The incidence of DVT in the observation group was 5.00%,which was lower than 25.00% in the control group,the difference was statistically significant (P＜0.05).The total satisfaction of nursing in the observation group was higher than that in the control group,the difference was statistically significant (P＜0.05).Before intervention,there were no significant differences in the levels of PT,APTT,Tr and Fbg between the two groups (P＞0.05).The levels of PT,APTT and Fbg in the two groups after intervention were higher than those before intervention,and the level of Tr in the two groups after intervention was lower than that before intervention,the differences were statistically significant(P＜0.05).After the intervention,the levels of PT,APTT and Fbg in the observation group were higher than those in the control group,and the level of Tr in the observation group was lower than that in the control group,the differences were statistically significant (P＜0.05).There were no significant differences in the scores of physical function,psychological function,life function and social function between the two groups before intervention (P＞0.05).After the intervention,the scores of physical function,psychological function,life function and social function in the observation group were higher than those in the control group,the differences were statistically significant (P＜0.05).Conclusion Predictive nursing based on the Autar risk assessment scale can significantly reduce the incidence of DVT of patients with coronary heart disease after PCI,and improve coagulation indicators and quality of life

Key words： Autar risk assessment scale Predictive nursing Coronary heart disease Percutaneous coronary intervention Deep venous thrombosis

基金资助:江西省卫生健康委科技项目（202211534）。

引用本文:

熊丽娜. 以Autar风险评估表为基础的预见性护理在冠心病经皮冠状动脉介入术后患者中的应用效果[J]. 中国当代医药, 2022, 29(17): 181-184.
XIONG Lina. Application effect of predictive nursing based on the Autar risk assessment scale in patients with coronary heart disease after percutaneous coronary intervention. 中国当代医药, 2022, 29(17): 181-184.

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https://www.dangdaiyiyao.com/CN/ 或 https://www.dangdaiyiyao.com/CN/Y2022/V29/I17/181

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