Application of comprehensive nursing in patients with severe myocardial infarction
全面护理在重症心肌梗死患者中的应用

摘要

目的 探究心肌梗死的重症患者护理中施行全面护理的路径以及效果。方法 于本院的重症室心肌梗死患者中随机选出60例开展临床研究，患者入院确诊时间为21年9月---21年3月，全面组：全面护理，患者30例，常规组：常规护理，患者30例，对比心肌梗死多维度评估量表(Myocardial Infarction Dimensional Assessment scale,MIDAS)中患者躯体活动、情绪反应、饮食、用药的评分；对比护理后一周、两周、四周患者的SF-36生活简表评分；统计护理后患者胸部不适、心悸、气促、烦躁的占比。结果 全面组患者MIDAS评分均高于常规组；SF-36评分均偏高，全面组胸部不适、心悸、气促、烦躁等常见心肌梗死病症占比于护理后占比低，（P<0.05）。结论 重症心肌梗死经全面护理可提升生理功能、提高生活水平、降低病症影响。

Abstract

Objective: To explore the path and effect of comprehensive nursing in the nursing of severe patients with myocardial infarction.
Methods: 60 patients with myocardial infarction in the intensive care unit of our hospital were randomly selected for clinical study. The time of admission and diagnosis of patients was From September 21 to March 21. Comprehensive group: comprehensive care, 30 patients, routine group: Conventional nursing, 30 patients, the patients of Myocardial Infarction Dimensional Assessment Scale (MIDAS) of physical activity, emotional response, diet, medication scores; Sf-36 life scale scores were compared at 1, 2, and 4 weeks after nursing. The proportion of chest discomfort, palpitation, shortness of breath and irritability after nursing was counted.
Results: MIDAS score in comprehensive group was higher than that in routine group. Sf-36 scores were all high, and the proportion of chest discomfort, palpitations, shortness of breath, irritability and other common myocardial infarction symptoms in the comprehensive group was lower than that after nursing (P<0.05).
Conclusion  : Comprehensive nursing of severe myocardial infarction can improve physiological function, improve living standard and reduce the influence of disease.