简介：　　【摘要】 目的 探究预见性护理应用于急性心肌梗死护理中的临床效果。方法 86例急性心肌梗死患者， 随机分为对照组和观察组， 每组 43例。两组患者在治疗的同时给予护理干预， 对照组采用常规护理， 观察组采用预见性护理。比较两组患者护理前后抑郁自评量表（ SDS）评分、焦虑自评量表（ SAS）评分及并发症发生情况。结果 观察组患者护理前的 SDS评分与 SAS评分分别为（ 70.6±3.6）、（ 68.3±2.9）分， 护理后分别为（ 51.6±1.6）、（ 50.1±3.2）分 ;对照组患者护理前的 SDS评分与 SAS评分分别为（ 71.3±2.6）、（ 69.4±2.7）分， 护理后分别为（ 64.3±4.1）、（ 60.1±1.9）分。护理前， 两组患者的 SDS评分与 SAS评分比较差异均无统计学意义（ P>0.05） ;护理后， 观察组患者的 SDS评分与 SAS评分均明显优于对照组， 差异均有统计学意义（ P<0.05）。观察组患者中出现心律失常 1例（ 2.33%）， 心力衰竭 2例（ 4.65%） ;对照组患者中出现心律失常 4例（ 9.30%）， 心力衰竭 3例（ 6.98%）， 休克 3例（ 6.98%） ;观察组患者的并发症发生率 6.98%显著低于对照组的 23.26%， 差异有统计学意义（ P<0.05）。结论 预见性护理应用于急性心肌梗死护理， 能调整患者的消极心理状态， 减少并发症的发生， 值得在临床上推广应用。  　　【关键词】 预见性护理 ;急性心肌梗死 ;并发症  　 [Abstract] Objective To explore the clinical effect of predictive nursing in acute myocardial infarction. Methods 86 patients with acute myocardial infarction were randomly divided into control group and observation group, 43 cases in each group. The patients in the two groups were given nursing intervention at the same time of treatment, the control group was given routine nursing, and the observation group was given predictive nursing. The SDS, SAS and complications of the two groups were compared before and after nursing. Results the scores of SDS and SAS in the observation group were (70.6 ± 3.6), (68.3 ± 2.9) before nursing, and (51.6 ± 1.6), (50.1 ± 3.2) after nursing. The scores of SDS and SAS in the control group were (71.3 ± 2.6), (69.4 ± 2.7) before nursing, and (64.3 ± 4.1), (60.1 ± 1.9) after nursing. Before nursing, there was no significant difference in SDS score and SAS score between the two groups (P > 0.05); after nursing, the SDS score and SAS score of the observation group were significantly better than that of the control group (P < 0.05). In the observation group, there were 1 case of arrhythmia (2.33%), 2 cases of heart failure (4.65%); in the control group, there were 4 cases of arrhythmia (9.30%), 3 cases of heart failure (6.98%), 3 cases of shock (6.98%); in the observation group, the incidence of complications was 6.98%, which was significantly lower than 23.26% in the control group (P < 0.05). Conclusion the application of predictive nursing in the nursing of acute myocardial infarction can adjust the negative psychological state of patients and reduce the occurrence of complications, which is worth popularizing in clinical practice.

简介：　　摘要：目的：研究讨论综合护理干预在腹部手术后粘连性肠梗阻护理中的应用效果。方法：选择 2018年 1月至 2020年 1月本院患者 80例进行研究讨论，把所有患者随机分为两组，两组都为 40例，其中对照组采用常规的入院护理，观察组采取综合护理干预措施对其进行护理，观察两组患者对护理人员的满意度、护理后患者出现肠粘性肠梗阻的情况以及患者胃肠功能恢复的时间。结果：观察组患者的满意度比对照组的要高，发生率明显的比对照组低，患者胃肠功能恢复的时间比对照组的要短，两组比较， P<0.05。结论：对于腹部手术后的患者，采取综合护理干预措施对其进行护理，不但可以提高患者对护理人员的满意度，还可以减少肠梗阻的发生，促进胃肠功能的恢复，效果显著可以在今后患者的护理过程中应用。  　　关键词：综合护理干预；腹部手术；粘连性肠梗阻；护理；应用效果  　　 Abstract: Objective: To study and discuss the effect of comprehensive nursing intervention in postoperative adhesive intestinal obstruction. Methods: 80 patients in our hospital from January 2018 to January 2020 were selected for study and discussion. All patients were randomly divided into two groups, 40 patients in both groups, of which the control group used routine hospital care, the observation group took comprehensive nursing intervention measures to care for them, and observed the satisfaction of the two groups of patients with nursing staff, the situation of patients with intestinal sticky obstruction after nursing and the patients Recovery time of gastrointestinal function. Results: the satisfaction of the patients in the observation group was higher than that in the control group, the incidence was significantly lower than that in the control group, and the recovery time of gastrointestinal function was shorter than that in the control group, P < 0.05. Conclusion: for the patients after abdominal operation, comprehensive nursing intervention can not only improve the satisfaction of patients with nursing staff, but also reduce the occurrence of intestinal obstruction and promote the recovery of gastrointestinal function. The effect is significant and can be applied in the nursing process of patients in the future.