责任制整体护理在ACS患者急救中的应用

邓明玉　谭梅桂

【摘要】 目的：探讨责任制整体护理在急性冠脉综合征（Acute coronary syndrome，ACS）患者急救中的应用效果。方法：选取2016年6月-2017年12月本院接收的32例ACS患者，按照入院先后顺序将其分为对照组与观察组，各16例。对照组采用传统护理，观察组实施责任制整体护理，比较两组干预前后的临床相关指标（TC、TG、LVEF、LVEDD）、住院期间心血管事件发生情况以及满意度。结果：干预后，两组TC、TG、LVEF、LVEDD均较治疗前改善，且观察组TC、TG均低于对照组，LVEF高于对照组，比较差异均有统计学意义（P<0.05）;观察组住院期间心血管事件发生率为6.25%，低于对照组的31.25%（P<0.05）;观察组总满意度为100%，高于对照组的75.00%（P<0.05）。结论：实施责任制整体护理在ACS患者急救中应用效果显著，患者病情得到明显好转，心血管事件发生率大大降低，满意度也有所提高。

【关键词】 责任制; 整体护理; 急性冠脉综合征; 急救

The Application of Responsible Holistic Nursing in the First Aid of ACS Patients/DENG Mingyu，TAN Meigui.//Medical Innovation of China，2019，16（06）：101-104

【Abstract】 Objective：To explore the effect of responsibility system holistic nursing in the first aid of patients with acute coronary syndrome（ACS）.Method：A total of 32 patients with ACS received in our hospital from June 2016 to December 2017 were selected.According to the order of admission，they were divided into control group and observation group，16 cases in each group.The control group was treated with traditional nursing，while observation group was treated with responsibility holistic nursing.The clinical related indexes（TC，TG，LVEF，LVEDD）before and after intervention，occurrence of cardiovascular events during hospitalization and satisfaction were compared between two groups.Result：After intervention，the TC，TG，LVEF and LVEDD in two groups were improved compared with those of before treatment，and TC and TG in observation group were lower than those of control group，LVEF in observation group was higher than that of control group，the differences were statistically significant（P<0.05）.The incidence of cardiovascular events in observation group was 6.25%，which was lower than 31.25% in control group（P<0.05）.The total satisfaction rate in observation group was 100%，which was higher than 75.00% in control group（P<0.05）.Conclusion：The application of responsibility holistic nursing in the first aid of ACS patients has achieved remarkable results.The patients condition has been significantly improved，the incidence of cardiovascular events has been greatly reduced，and satisfaction has also been improved.

【Key words】 Responsibility system; Holistic nursing; Acute coronary syndrome; First aid

First-authors address：Peoples Hospital of Zhaoqing High-tech Zone，Zhaoqing 526238，China

doi：10.3969/j.issn.1674-4985.2019.06.027

急性冠脈综合征（acute coronary syndrome，ACS）是动脉粥样硬化（atherosclerosis，AS）病变过程中的重要事件，其转归直接影响冠心病患者的预后。目前治疗ACS的方法很多，如常见的介入治疗与药物治疗等，众多临床试验证实他汀类药物行冠心病一级或二级预防，均能降低死亡率和缺血事件发生率，一方面得益于其调脂作用，另一方面又与他汀类药物调脂外作用有关[1]。但无论何种治疗，有效的护理干预仍是保证疗效的关键[2]。为了提供更优质的护理服务，2010年卫生部提出了开展优质护理服务示范工程的责任制整体护理[3]。本研究旨在探讨责任制整体护理在ACS患者中的应用价值，选取本院2016年6月-2017年12月接收的32例ACS患者进行分组护理，分别给予常规护理与责任制整体护理干预。现报道如下。