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冠状动脉支架术后抗凝期泌尿系手术患者的护理要点

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目的 探究综合护理干预对冠状动脉(冠脉)支架术后抗凝期泌尿系手术患者术后预后效
果影响并总结护理要点。方法 选取2017年1月至2019年1月于首都医科大学附属北京安贞医院收治的动脉
支架术后抗凝期泌尿系手术患者72例,随机分为实验组和对照组(每组各36例)。实验组患者术后采用
综合护理干预,对照组采用常规护理。比较两组患者护理满意度、住院时间、术后并发症发生情况。结
果 实验组护理满意度显著高于对照组(P<0.05),实验组术后进食时间、住院时间显著低于对照组(P
<0.05),实验组术后并发症发生率显著低于对照组(P<0.05)。结论 冠脉支架术后抗凝期泌尿系患者
术后可实施综合护理干预,重点预防心血管事件,患者术后并发症发生率明显降低,预后效果较好。

Abstract:

Objective To investigate the influence of comprehensive nursing intervention on prognosis
in patients undergone urinary surgery during postoperative anticoagulation period after intracoronary stent
implantation, and sum up nursing key points. Methods The patients (n=72) were chosen from Beijing Anzhen
Hospital affiliated to Capital University of Medical Sciences from Jan. 2017 to Jan. 2019, and divided randomly into
test group and control group (each n=36). The test group was given comprehensive nursing intervention and control
group was given routine nursing after the operation. The degree of satisfaction to nursing service, hospitalization
duration and incidence of postoperative complications were compared between 2 groups. Results The degree
of satisfaction to nursing service was significantly higher in test group than that in control group (P<0.05). The
postoperative eating time and hospitalization duration were significantly lower in test group than those in control
group (P<0.05). The incidence rate of postoperative complications was significantly lower in test group than that in
control group (P<0.05). Conclusion Comprehensive nursing intervention can prevent cardiovascular events and
reduce significantly incidence rate of postoperative complications with good effect in patients undergone urinary
surgery during postoperative anticoagulation period after intracoronary stent implantation.

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