风险防范护理干预对控制冠状动脉造影术后患者血管并发症的影响

doi:10.20223/j.cnki.1000-8535.2025.03.010

摘要/Abstract

摘要： 目的探讨在冠状动脉造影术后患者中应用风险防范护理干预对血管并发症的控制效果。方法选择2022年1月—2023年6月于我院接受治疗的85例冠状动脉造影术后患者。按照随机数字表法分组,其中对照组42例给予常规护理干预,观察组43例给予风险防范护理干预,比较两组干预前后的心理状态、治疗依从性、血管并发症。结果干预后,观察组正性情绪（PA）评分高于对照组PA评分（t=3.821,P<0.001）,观察组负性情绪（NA）评分低于对照组NA评分（t=5.380,P<0.001）。与对照组比,观察组治疗依从性更好（Z=2.268,P=0.023）。观察组血管并发症总发生率低于对照组（9.30% vs 30.95%,χ²=6.224,P=0.013）。结论采用风险防范护理干预,能够改善冠状动脉造影术后患者的心理状态,提高治疗依从性,并降低血管并发症总发生率。

关键词: 风险防范护理, 冠状动脉造影术, 血管并发症, 依从性, 心理状态

Abstract: Objective To explore the effect of risk prevention nursing intervention on controlling vascular complications in patients after coronary angiography．Methods Eighty-five patients after coronary angiography in our hospital were selected from January 2022 to June 2023．They were grouped according to the random number table．And 42 cases were divided into the control group for routine nursing intervention,and 43 cases in the observation group were given risk prevention nursing intervention． Psychological status,treatment compliance and vascular complications of the two groups were observed．Results After the intervention,the postive affect score of the observation group was higher than that of the control group（t=3.821,P<0.001）,and the negative affect score of the observation group（21.25±3.31）was lower than the score of the control group（25.35±3.70）（t=5.380,P<0.001）．Compared with the control group the compliance of observation group was higher（Z=2.268,P=0.023）．The overall incidence of vascular complications in the observation group was lower than that in the control group（9.30% vs 30.95%,χ²=6.224,P=0.013）．Conclusions Risk prevention nursing intervention can improve the psychological status of patients after coronary angiography,improve treatment compliance,and reduce the overall incidence of vascular complications．

Key words: risk prevention and nursing care, coronary angiography, vascular complications, compliance, psychological status

胡圆圆, 张青波, 朱乾荣. 风险防范护理干预对控制冠状动脉造影术后患者血管并发症的影响[J]. 广州医药, 2025, 56(3): 356-360.

HU Yuanyuan, ZHANG Qingbo, ZHU Qianrong. Effect of risk prevention nursing intervention on controlling vascular complications in patients after coronary angiography[J]. Guangzhou Medical Journal, 2025, 56(3): 356-360.

参考文献

[1] ALI Z,LANDMESSER U,KARIMI GALOUGAHI K,et al.Optical coherence tomography-guided coronary stent implantation compared to angiography:A multicentre randomised trial in PCI - design and rationale of ILUMIEN IV:OPTIMAL PCI[J].EuroIntervention,2021,16(13):1092-1099.
[2] 张莉,罗卓卡.风险防范护理干预对控制冠状动脉造影或介入术后患者血管并发症的效果观察[J].护理实践与研究,2019,16(21):51-53.
[3] 吴景楠,吴琼.个性化护理干预对经桡动脉冠状动脉造影术患者的应用效果[J].河南医学研究,2020,29(28):5342-5344.
[4] 黄奇花,简艳娜,黄春花,等.护理干预在预防冠状动脉介入治疗血管并发症中的效果研究[J].中外医疗,2023,42(2):180-184.
[5] 何霄,邓春香,王萍.风险防范式护理对儿科护理风险事件及护理满意度的影响[J].中国医药指南,2024,22(2):169-171.
[6] 张莉,巩新成,田玉红.风险防范护理干预对控制冠状动脉造影或介入手术后患者血管并发症的效果观察[J].影像研究与医学应用,2020,4(15):103-104.
[7] 张迎莉,黄丽,孙欣欣,等.风险防范管理理念指导下的护理干预在预防维持性血液透析患者血管通路感染中的应用[J].齐鲁护理杂志,2023,29(21):37-40.
[8] 王冬花. 冠状动脉造影及支架植入术后局部出血危险因素分析及护理分析[J].中国药物与临床,2021,21(1):178-180.
[9] 李翠玲,徐建,杨东红,等.预防性手指操降低ICU住院患者冠状动脉造影术后并发症的效果[J].河北医药,2023,45(23):3627-3630.
[10] 赵晓,郑元,张丽芳,等.基于预见性理论的风险评估对脑血管造影术后护理质量的影响[J].临床研究,2023,31(6):170-174.
[11] 荆润香. 预见性护理干预对冠心病行冠状动脉介入患者术后并发症的影响[J].中国医药指南,2023,21(6):134-136.
[12] 张恒瑜,周舸.基于IMB模型的护理干预在提高冠心病经皮冠状动脉介入治疗术后患者出院准备度中的应用[J].中西医结合护理,2023,9(4):188-193.
[13] 耿旭,孙静华,刘海霞.螺旋CT冠状动脉血管造影检查过程中的护理干预及效果评价[J].护士进修杂志,2019,34(15):1402-1404.
[14] 余永树. 择期冠状动脉造影发现冠状动脉严重病变再血管化治疗的临床效果分析[J].中国实用医药,2019,14(2):41-43.
[15] 易朝晖,麦爱欢,徐穗莲,等.认知行为配合心理干预对脑梗死合并冠心病PCI术后遵医行为、自护能力及生活质量的影响[J].护理实践与研究,2019,16(4):10-13.
[16] 耿银东,卢革新,范萍,等.经皮冠脉介入治疗对射血分数降低冠脉多支病变患者临床疗效和预后的影响[J].中国老年学杂志,2020,40(2):225-228.
[17] 张小千,叶晓春.认知行为配合心理干预对脑梗死合并冠心病PCI术后遵医行为、自护能力及生活质量的影响[J].心血管病防治知识,2023,13(1):70-72.
[18] WAN H,TANG D.Application value of nursing intervention under the guidance of risk prevention management concept in preventing vascular access infection in patients undergoing maintenance hemodialysis[J].Evid Based Complement Alternat Med,2022(2022):9676074.
[19] 张婧婷. 量化评估策略下风险管理对预防冠状动脉造影后血管并发症的效果分析[J].中华养生保健,2024,42(2):182-185.
[20] 胡晔,杨国华,陈莹,等.不同入路方式经皮冠状动脉介入治疗后周围血管并发症的发生情况[J].血管与腔内血管外科杂志,2023,9(8):978-982.
[21] 高杰,凌莉萍,宋艳,等.安全风险防御机制护理管理干预在重症后患者中的应用[J].齐鲁护理杂志,2024,30(4):92-95.
[22] 田雅,郑文,郭洪娟.实施细节管理对消毒供应室护理质量和护理满意度的影响分析[J].现代医院,2022,22(2):232-235.
[23] 李真真,孙雪勤,徐新莉.LACE风险模型下的护理干预策略对心脏瓣膜置换术后患者院外自我管理能力及再入院率的影响[J].广州医药,2023,54(8):58-62,69.
[24] 张翠竹,徐云云,赵林琼.针对性护理干预应用于冠心病患者冠状动脉造影术后的护理价值研究[J].影像研究与医学应用,2020,4(11):254-255.
[25] SIMÕES AMN,VENDRAMIM P,PEDREIRA MLG.Risk factors for peripheral intravenous catheter-related phlebitis in adult patients[J].Rev Esc Enferm USP.2022(56):e20210398.