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目的探讨经皮冠状动脉内介入治疗(PCI)患者术后的卧位类型、及卧床时间对患者舒适度及并发症的影响。方法将2009年5月～2010年9月的140例PCI术后患者随机分为对照组(A组)60例,实验组(B组)80例。A组术后采用传统方法护理,穿刺点用弹性绷带包扎并且用1 kg沙袋压迫12 h,保持术侧肢体制动、平卧12 h,卧床24 h后下床活动。B组术后穿刺点用弹性绷带包扎并用1 kg沙袋压迫4 h,术侧肢体伸直,可水平移动,对无血管并发症者可根据患者需要取术侧卧位、仰卧位或半卧位(床头抬高30～45度)交替,4 h后床上自主体位,12 h后可床旁活动。结果2组患者术后并发症的发生率差异无统计学意义,B组的舒适程度显著优于A组。结论 B组的护理方法可提高患者的舒适度,减轻心理压力。
Objective To investigate the type of supine position after percutaneous coronary intervention (PCI) and the effect of bed rest time on patient comfort and complication. Methods A total of 140 PCI patients from May 2009 to September 2010 were randomly divided into control group (group A) 60 cases and experimental group (group B 80 cases). The patients in group A were treated with traditional methods. The puncture points were wrapped with elastic bandages and compressed with a 1 kg sandbag for 12 h. Brachial limbs were braked, supine for 12 h, and ambulation for 24 h. B group after puncture point with elastic bandage and 1 kg sandbags punctured 4 h, the lateral limbs straight, horizontal movement can be no complication of vascular patients may require lateral, supine or semi-recumbent position (Bed head elevation 30 ~ 45 degrees) alternate, 4 h after the bed autopsy, bedside activities after 12 h. Results There was no significant difference in the incidence of postoperative complications between the two groups. The comfortableness of group B was significantly better than that of group A. Conclusion B group nursing methods can improve patient comfort and reduce psychological stress.