護(hù)理干預(yù)對(duì)不穩(wěn)定型心絞痛患者臨床療效的影響觀察

后菊珍

【摘要】目的：探析并說明在不穩(wěn)定型心絞痛的臨床治療中采用護(hù)理干預(yù)能夠造成的影響。方法：結(jié)合患者心血管疾病病情、疾病歷史、治療情況、年齡、性別、相關(guān)疾病等指標(biāo)，抽取2021年1月—2022年12月符合研究樣本選擇標(biāo)準(zhǔn)的患者32例作為觀察組；結(jié)合本院情況，抽取以往和以上指標(biāo)相符合，且就不穩(wěn)定型心絞痛接受醫(yī)療措施的32例患者為對(duì)照組。對(duì)照組所有患者治療中采用常規(guī)護(hù)理，而觀察組在常規(guī)護(hù)理基礎(chǔ)上采用綜合護(hù)理。對(duì)比兩組患者心功能、風(fēng)險(xiǎn)發(fā)生狀況及生活質(zhì)量評(píng)分。結(jié)果：觀察組患者該階段心功能狀況較之對(duì)照組患者明顯更健全（P<0.05）；觀察組發(fā)生不良反應(yīng)的概率明顯低于對(duì)照組（P<0.05）；在生活質(zhì)量的統(tǒng)計(jì)和對(duì)比中，觀察組得分明顯更高（P<0.05）。結(jié)論：較之于常規(guī)護(hù)理，采用護(hù)理干預(yù)注重在藥物使用、不良行為控制方面指導(dǎo)患者，有利于提高患者心功能，降低不良反應(yīng)發(fā)生率，提升生活質(zhì)量。

【關(guān)鍵詞】不穩(wěn)定型心絞痛；護(hù)理干預(yù)；治療效果；心功能；生活質(zhì)量

Observation on the effect of nursing intervention on the clinical efficacy of patients with unstable angina pectoris

HOU Juzhen

Peoples Hospital of Weiyuan County， Gansu， Dingxi， Gansu 748200， China

【Abstract】Objective：To explore and explain the impact of nursing intervention in the clinical treatment of unstable angina pectoris. Methods：Based on the condition of cardiovascular disease，disease history，treatment statue，age，sex，related diseases and other indicators，32 patients who met the selection criteria of study samples from January 2021 to December 2022 were selected as the observation group；According to the situation of our hospital，32 patients who met the previous and above indicators and received medical measures for unstable angina pectoris were selected as the control group.All patients in the control group received routine nursing during treatment，while the observation group received comprehensive nursing on the basis of routine nursing.The cardiac function，risk occurrence and quality of life scores of the two groups were compared.Results：The cardiac function of the patients in the observation group was significantly better than that in the control group（P<0.05）；The probability of adverse reactions in the observation group was significantly lower than that in the control group（P<0.05）；In the statistics and comparison of quality of life，the observation group scored significantly higher （P<0.05）. Conclusion：Compared with routine nursing，adopting nursing intervention focuses on guiding patients in drug use and controlling adverse behavior，which is beneficial to improve patient cardiac function，reduce the incidence of adverse reactions，and improve quality of life.

【Key？Words】Unstable angina pectoris； Nursing intervention； Treatment effect； Cardiac function； Quality of life

不穩(wěn)定型心絞痛是一種癥狀，復(fù)發(fā)性極強(qiáng)，多發(fā)于中老年人，結(jié)合其他慢性疾病，使得患者因?yàn)檫@種疾病所引發(fā)癥狀而造成的死亡率在一定程度上升高。在病理上，不穩(wěn)定型心絞痛介于勞累性穩(wěn)定型心絞痛、急性心肌梗死、猝死，是一種臨床表現(xiàn)，盡管有學(xué)者認(rèn)為這是一種慢性疾病[1]。在不穩(wěn)定型心絞痛發(fā)病機(jī)制的研究中，當(dāng)前多認(rèn)為這種癥狀會(huì)在冠脈阻塞之后發(fā)生，并且會(huì)隨著時(shí)間、疼痛癥狀不斷加重，此外，多項(xiàng)研究也發(fā)現(xiàn)這種癥狀和機(jī)體粥樣瘤表面纖維板破裂存在重要聯(lián)系，因?yàn)檫@一情況會(huì)直接導(dǎo)致血小板發(fā)生黏附。不穩(wěn)定型心絞痛較之于穩(wěn)定型心絞痛在發(fā)生頻率、癥狀持續(xù)時(shí)間上都有明顯變化，而當(dāng)前絕大多數(shù)關(guān)于兩種癥狀的比對(duì)中，發(fā)現(xiàn)不穩(wěn)定型心絞痛對(duì)于患者造成的痛苦體驗(yàn)較之于穩(wěn)定型心絞痛更為明顯。當(dāng)前，生物醫(yī)學(xué)針對(duì)不穩(wěn)定型心絞痛的治療以藥物治療為主，該癥狀復(fù)發(fā)性很強(qiáng)，是一系列心血管疾病的產(chǎn)物，無法將其徹底治愈，因此患者需要終身使用藥物，其中將會(huì)發(fā)生很多不利于治療開展的直接、間接因素，而這是藥物治療無法處理的。據(jù)此，本文就針對(duì)不穩(wěn)定型心絞痛的臨床治療中采用護(hù)理干預(yù)能夠造成的影響進(jìn)行說明。