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基于 EuroSCORE 的预测性护理在 PCI 围手术期的应用。

Application of Predictive Nursing Based on EuroSCORE in Perioperative Period of PCI.

出版信息

Altern Ther Health Med. 2024 Jan;30(1):51-57.

Abstract

OBJECTIVE

Investigating the value of predictive care in the perioperative period of PCI is important because it directly affects patients' postoperative recovery and prognostic outcomes. To investigate the application value of predictive nursing based on the European system for cardiac operative risk evaluation (EuroSCORE) in the perioperative period of percutaneous coronary intervention (PCI).

METHODS

A total of 138 patients with coronary heart disease who underwent PCI in the hospital from January 2021 to December 2022 were selected as the study subjects. They were divided into the control group (from January 2021 to December 2021, n=69) and the observation group (from January 2022 to December 2022, n=69) according to the time of admission. The control group received routine nursing intervention, while the observation group received predictive nursing based on EuroSCORE. Implementation of EuroSCORE-based predictive care in the observation group includes EuroSCORE assessment, risk stratification, development of personalized care plans, clinical monitoring, medication management, rehabilitation and lifestyle advice, regular communication, and documentation and evaluation. All patients were followed up for 6 months. The situation of hospitalization, cardiac function, quality of life, and the incidence of adverse events were compared between the two groups.

RESULTS

The monitoring time, bed rest time, and total hospital stay of the observation group were shorter than those of the control group (P < .05). After the intervention, left ventricular ejection fraction (LVEF) in the observation group was higher than that in the control group, and left ventricular end-diastolic diameter (LVEDD) and left ventricular end-systolic diameter (LVESD) were smaller than those in the control group (P < .05). After the intervention, the scores for symptoms, physical function, satisfaction, and adverse reactions in the quality of life scale of the observation group after PCI were higher than those of the control group (P < .05). The incidence of adverse events in the observation group during follow-up was lower than that in the control group (P < .05).

CONCLUSION

Predictive nursing based on EuroSCORE can shorten patients' hospital stay undergoing PCI, improve their cardiac function and quality of life, and reduce adverse cardiovascular events. EuroSCORE-based predictive care is critical to PCI patient care and outcomes. It allows for personalized care planning, reduces the risk of complications, improves quality of life, reduces medical burden, and is expected to provide more comprehensive and personalized care and improve the quality of care and outcomes. Future research directions include optimizing the implementation of predictive care in different PCI patient groups, exploring long-term care effects, economic benefit analysis, and patient satisfaction research.

摘要

目的

研究预测性护理在经皮冠状动脉介入治疗(PCI)围手术期的价值非常重要,因为它直接影响患者术后恢复和预后结果。探讨基于欧洲心脏手术风险评估系统(EuroSCORE)的预测性护理在经皮冠状动脉介入治疗(PCI)围手术期的应用价值。

方法

选取 2021 年 1 月至 2022 年 12 月在我院行 PCI 的冠心病患者 138 例为研究对象,根据入院时间分为对照组(2021 年 1 月至 12 月,n=69)和观察组(2022 年 1 月至 12 月,n=69)。对照组给予常规护理干预,观察组给予基于 EuroSCORE 的预测性护理。观察组基于 EuroSCORE 的预测性护理实施包括 EuroSCORE 评估、风险分层、制定个性化护理计划、临床监测、药物管理、康复和生活方式建议、定期沟通以及文档记录和评估。所有患者均随访 6 个月。比较两组患者住院情况、心功能、生活质量及不良事件发生情况。

结果

观察组的监测时间、卧床时间及总住院时间均短于对照组(P<0.05)。干预后观察组左心室射血分数(LVEF)高于对照组,左心室舒张末期内径(LVEDD)及左心室收缩末期内径(LVESD)均小于对照组(P<0.05)。干预后观察组 PCI 后生活质量量表症状、躯体功能、满意度及不良反应评分均高于对照组(P<0.05)。观察组随访期间不良事件发生率低于对照组(P<0.05)。

结论

基于 EuroSCORE 的预测性护理可缩短 PCI 患者的住院时间,改善心功能和生活质量,降低不良心血管事件发生风险。基于 EuroSCORE 的预测性护理对 PCI 患者护理及结局至关重要。它可以实现个性化护理计划,降低并发症风险,提高生活质量,减轻医疗负担,并有望提供更全面、个性化的护理,提高护理质量和结局。未来研究方向包括优化不同 PCI 患者群体中预测性护理的实施,探索长期护理效果、经济效益分析和患者满意度研究。

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