|
|
|
| Application effect of predictive nursing based on the Autar risk assessment scale in patients with coronary heart disease after percutaneous coronary intervention |
| XIONG Lina |
| Operating Room,Nanchang Third Hospital |
|
|
|
|
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
|
|
|
|
|
|
| [1] |
徐蕾，谷沫丽，王翠，等.抗血栓泵在预防老年冠心病经皮冠状动脉介入术后患者下肢深静脉血栓中的应用[J].解放军护理杂志，2016，33（20）：51-52.
|
| [2] |
许鹏，陈敏.冠心病患者经皮冠状动脉介入术后深静脉血栓形成的危险因素分析[J].血栓与止血学，2020，26（5）：774-776.
|
| [3] |
赵婷.冠心病经皮冠状动脉介入术后患者下肢深静脉血栓形成的预防性护理[J].血栓与止血学，2020，26（1）：136-137.
|
| [4] |
Autar R.Nursing assessment of clients at risk of deep vein thrombosis （DVT）：the Autar DVT scale[J].J Adv Nurs，1996，23（4）：763-770.
|
| [5] |
Autar R.Evidence for the prevention of venous thromboembolism[J].Br J Nurs，2006，15（18）：980-986.
|
| [6] |
中华医学会心血管病学分会介入心脏病学组，中华医学会心血管病学分会动脉粥样硬化与冠心病学组，中国医师协会心血管内科医师分会血栓防治专业委员会，等.稳定性冠心病诊断与治疗指南[J].中华心血管病杂志，2018，46（9）：680-694.
|
| [7] |
Raskob G，Wendelboe AM.Global public awareness of venous thromboembolism：reply[J].J Thromb Haemost，2016，14（5）：1111-1112.
|
| [8] |
张作记.行为医学量表手册[M].北京：中华医学电子音像出版社，2005：83-89.
|
| [9] |
杨健慧，张小燕，谢萍，等.集束化护理对脑出血患者术后深静脉血栓形成凝血指标、护理满意度的影响[J].贵州医药，2020，44（4）：643-644.
|
| [10] |
朱家佳，高宜川，王赵洋，等.血栓弹力图与常规凝血指标对腰椎术后下肢深静脉血栓形成的预测价值[J].华中科技大学学报（医学版），2021，50（3）：347-353.
|
| [11] |
张亚，李琳，孟嘉，等.骨科大手术术前Autar 评分联合D-二聚体值在深静脉血栓形成风险评估中的应用研究[J].护理学报，2018，25（5）：12-14.
|
| [12] |
沈英，邬役心，冯蔚.Autar 量表风险评估预防脑卒中后深静脉血栓形成的效果观察[J].现代临床护理，2019，18（1）：33-37.
|
| [13] |
陈晓洁，汪永坚，俞菁菁，等.Autar 量表在预防乳腺癌术后并发下肢深静脉血栓形成应用的效果观察[J].护理研究，2016，30（19）：2414-2415.
|
| [14] |
穆芬，常军亚.预防性护理联合Autar 风险评估对髋部骨折术后患者深静脉血栓发生率的影响[J].血栓与止血学，2021，27（3）：489-491.
|
| [15] |
张成欢，刘云.Autar 血栓风险评估量表评估骨科关节置换患者深静脉血栓形成风险的研究[J].医学研究生学报，2017，30（9）：968-972.
|
|
|
|
