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目的探讨溶栓抗凝治疗急性肺栓塞相关护理措施,并观察其效果.方法将2013年1月至2014年7月四川大学华西医院收治的急性肺栓塞患者48例作为研究对象,并均经溶栓抗凝治疗,随机分为2组,每组24例,对照组采取常规护理,观察组于溶栓前给予心理护理、吸氧及饮食护理等,溶栓治疗中实施穿刺部位护理、用药护理等,溶栓后实施并发症预防护理等护理措施,比较2组疗效.结果观察组总有效率20例(83.3%),显著高于对照组13例(54.2%),P<0.05.观察组睡眠、精神、饮食、心理状况评分分别为(4.58±0.28)分、(4.35±0.43)分、(4.41±0.22)分、(4.47±0.22)分,均明显高于对照组,P<0.05.观察组焦虑程度低于对照组,P<0.05.结论溶栓抗凝治疗急性肺栓塞过程中需注意护理措施,规范实施心理护理、用药护理等对缓解病情具有重要意义,具有重要临床价值.
Objective To investigate the nursing measures of thrombolytic anticoagulation for acute pulmonary embolism and to observe its effect.Methods Forty-eight patients with acute pulmonary embolism admitted from West China Hospital of Sichuan University from January 2013 to July 2014 were enrolled in this study, Embolization anticoagulant therapy were randomly divided into two groups, 24 cases in each group, the control group to take routine care, the observation group before the thrombolytic given psychological care, oxygen and diet nursing, thrombolysis in the implementation of puncture site care, medication care (P0.05) .Conclusion The total effective rate in the observation group was 20 cases (83.3%), which was significantly higher than that in the control group (13 cases, 54.2%), the observation group (4.58 ± 0.28) points, (4.35 ± 0.43) points, (4.41 ± 0.22) points and (4.47 ± 0.22) points respectively, which were significantly higher than those of the control group (P <0.05). The degree of anxiety in the observation group was lower than that in the control group, P <0.05.Conclusion It is of great clinical significance to pay attention to the nursing measures, to standardize the implementation of psychological nursing and medication nursing in the process of acute pulmonary embolism.