冠状动脉介入术患者应用改良手术观察表的效果观察

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1、2017年8月护理学报August，2017第24卷第15期JournalofNursing（China）Vol.24No.1551※内科护理冠状动脉介入术患者应用改良手术观察表的效果观察商婷婷，许春艳，王翠琳，李海燕（中国人民解放军总医院心血管内科，北京100853）[摘要]目的探讨改良手术观察表在冠状动脉介入术患者中的应用效果。方法选取接受冠状动脉介入治疗208例患者按照手术先后顺序分为观察组（n=101）和对照组（n=107），对照组采用常规术后观察表，观察组采用改良手术观察表。观察比较2组患者术前抗凝药漏服率、术前制定水化治疗计划、术后首次注射低分子肝素的时间准确性及并发症发生率。结果

2、观察组术前抗凝药漏服率及术后并发症发生率低于对照组（P<0.05）；观察组术前制定水化治疗计划率及术后首次注射低分子肝素时间的准确性高于对照组（P<0.01）。结论采用改良手术观察表，可更加全面记录患者围术期的信息，提高医护人员交接的准确度，降低术前抗凝药漏服率，提高术前制定水化治疗计划率及术后首次注射低分子肝素时间准确性，减少术后并发症发生，促进患者康复。[关键词]冠状动脉介入术；改良；观察表[中图分类号]R473.54[文献标识码]A[DOI]10.16460/j.issn1008－9969.2017.15.051EffectofModifiedOperationObservationSc

3、heduleinPatientswithCoronaryInterventionSHANGTing－ting,XUChun－yan,WANGCui－lin,LIHai－yan(Dept.ofCardiology,GeneralHospitalofPLA,Beijing100853,China)Abstract：ObjectiveToevaluatetheeffectofmodifiedoperationobservationscheduleinpatientswithcoronaryintervention.MethodsTotally208patientswithcoronaryinterv

4、entionwereincludedandrandomlydividedintoobservationgroup(n=101)andcontrolgroup(n=107).Conventionaloperationobservationschedulewasusedincontrolgroupandmodifiedoperationobservationscheduleinobservationgroup.Missingrateofpreoperativeanticoagulants,salinehydrationrate,timingaccuracyrateofthefirstinjecti

5、onoflowmolecularweightheparinafteroperationandincidenceofcomplicationwereobservedintwogroups.ResultsThemissingrateofpreoperativeanticoagulantsandtheincidenceofcomplicationinobservationgroupwerelowerthanthoseincontrolgroup(P<0.05)andthesalinehydrationrateofobservationgroupandthetimingaccuracyrateofth

6、efirstinjectionoflowmolecularweightheparinafteroperationwerehigherthanthoseofcontrolgroup(P<0.01).ConclusionModifiedoperationobservationscheduleishelpfultorecordperioperativeinformationcomprehensively,improvetheaccuracyofmedicalhandover,lowerthemissingrateofpreoperativeanticoagulantsandincidenceofco

7、mplicationbutincreasetimingaccuracyrateofthefirstinjectionoflowmolecularweightheparinafteroperation,thusitpromotespatients’recovery.Keywords:coronaryintervention;modified;operationobservationschedule清