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目的总结心血管内科收治的疑似心肌梗死但后来确诊为疱疹患者的护理情况,为日后的医疗工作提供参考,促进患者康复,缩短治疗时间,观察综合护理效果。方法对照组为皮肤科门诊就诊的疱疹患者20例,按照医师的治疗方案自行进行常规护理;观察组为南华大学附属南华医院心血管内科收治的疑似心肌梗死但后来确诊为疱疹患者23例,制定相应的护理方案,采取心理护理、疼痛护理、饮食护理、舒适护理和疱疹护理等综合的护理措施。结果住院后,患者VAS疼痛得分持续降低,减轻到轻微疼痛及以下程度耗时(3.13±0.89)d;住院3 d后患者疼痛程度与就医时比较,差异有统计学意义(P<0.05);观察组住院时间为(5.33±1.16)d,对照组达到同等效果用时(8.15±2.88)d,2组比较差异有统计学意义(P<0.01);疗效满意程度上,2组差异有统计学意义(P<0.05)。结论采取综合的护理措施,不仅可以缩短患者的治疗时间,还可提高患者对疗效的满意度。
Objective To summarize the nursing care of suspected myocardial infarction admitted to the Department of Cardiology but later diagnosed as herpes patients, provide references for future medical work, promote patient rehabilitation, shorten the treatment time and observe the comprehensive nursing effect. Methods Twenty control subjects were dermatology clinic herpes simplex patients and were routinely treated according to physician’s treatment regimen. The observation group was suspected myocardial infarction admitted to Department of Cardiology, Nanhua Hospital Affiliated to Nanhua University, but 23 cases were later diagnosed as herpes. The appropriate treatment options include a combination of psychological care, pain management, dietary care, comfort and herpes care. Results After hospitalization, the VAS pain score decreased continuously to the extent of minor pain and time consuming (3.13 ± 0.89) d. After 3 days of hospitalization, the pain level was significantly different from that of the medical examination (P <0.05). The duration of hospital stay in the observation group was (5.33 ± 1.16) days, and the control group achieved the same effect (8.15 ± 2.88 days), there was significant difference between the two groups (P <0.01). There was statistically significant difference between the two groups Significance (P <0.05). Conclusion Taking comprehensive nursing measures can not only shorten the treatment time of the patients, but also improve the patient’s satisfaction with the curative effect.