鄧明玉　譚梅桂

【摘要】 目的：探討責任制整體護理在急性冠脈綜合征（Acute coronary syndrome，ACS）患者急救中的應用效果。方法：選取2016年6月-2017年12月本院接收的32例ACS患者，按照入院先后順序?qū)⑵浞譃閷φ战M與觀察組，各16例。對照組采用傳統(tǒng)護理，觀察組實施責任制整體護理，比較兩組干預前后的臨床相關(guān)指標（TC、TG、LVEF、LVEDD）、住院期間心血管事件發(fā)生情況以及滿意度。結(jié)果：干預后，兩組TC、TG、LVEF、LVEDD均較治療前改善，且觀察組TC、TG均低于對照組，LVEF高于對照組，比較差異均有統(tǒng)計學意義（P<0.05）;觀察組住院期間心血管事件發(fā)生率為6.25%，低于對照組的31.25%（P<0.05）;觀察組總滿意度為100%，高于對照組的75.00%（P<0.05）。結(jié)論：實施責任制整體護理在ACS患者急救中應用效果顯著，患者病情得到明顯好轉(zhuǎn)，心血管事件發(fā)生率大大降低，滿意度也有所提高。

【關(guān)鍵詞】 責任制; 整體護理; 急性冠脈綜合征; 急救

The Application of Responsible Holistic Nursing in the First Aid of ACS Patients/DENG Mingyu，TAN Meigui.//Medical Innovation of China，2019，16（06）：101-104

【Abstract】 Objective：To explore the effect of responsibility system holistic nursing in the first aid of patients with acute coronary syndrome（ACS）.Method：A total of 32 patients with ACS received in our hospital from June 2016 to December 2017 were selected.According to the order of admission，they were divided into control group and observation group，16 cases in each group.The control group was treated with traditional nursing，while observation group was treated with responsibility holistic nursing.The clinical related indexes（TC，TG，LVEF，LVEDD）before and after intervention，occurrence of cardiovascular events during hospitalization and satisfaction were compared between two groups.Result：After intervention，the TC，TG，LVEF and LVEDD in two groups were improved compared with those of before treatment，and TC and TG in observation group were lower than those of control group，LVEF in observation group was higher than that of control group，the differences were statistically significant（P<0.05）.The incidence of cardiovascular events in observation group was 6.25%，which was lower than 31.25% in control group（P<0.05）.The total satisfaction rate in observation group was 100%，which was higher than 75.00% in control group（P<0.05）.Conclusion：The application of responsibility holistic nursing in the first aid of ACS patients has achieved remarkable results.The patients condition has been significantly improved，the incidence of cardiovascular events has been greatly reduced，and satisfaction has also been improved.

【Key words】 Responsibility system; Holistic nursing; Acute coronary syndrome; First aid

First-authors address：Peoples Hospital of Zhaoqing High-tech Zone，Zhaoqing 526238，China

doi：10.3969/j.issn.1674-4985.2019.06.027

急性冠脈綜合征（acute coronary syndrome，ACS）是動脈粥樣硬化（atherosclerosis，AS）病變過程中的重要事件，其轉(zhuǎn)歸直接影響冠心病患者的預后。目前治療ACS的方法很多，如常見的介入治療與藥物治療等，眾多臨床試驗證實他汀類藥物行冠心病一級或二級預防，均能降低死亡率和缺血事件發(fā)生率，一方面得益于其調(diào)脂作用，另一方面又與他汀類藥物調(diào)脂外作用有關(guān)[1]。但無論何種治療，有效的護理干預仍是保證療效的關(guān)鍵[2]。為了提供更優(yōu)質(zhì)的護理服務，2010年衛(wèi)生部提出了開展優(yōu)質(zhì)護理服務示范工程的責任制整體護理[3]。本研究旨在探討責任制整體護理在ACS患者中的應用價值，選取本院2016年6月-2017年12月接收的32例ACS患者進行分組護理，分別給予常規(guī)護理與責任制整體護理干預。現(xiàn)報道如下。