Effect of high quality nursing on elderly patients with acute myocardial infarction complicatedwith left heart failure
实施优质护理对老年急性心梗合并左心衰的影响

摘要

目的 本文着重分析在老年急性心梗合并左心衰患者治护工作中施以优质护理干预方案，以多项指标判定其方案实施的有效性。方法 本次研究按照入院治疗的先后顺序将2022年1月-2023年12月我院98例老年急性心梗合并左心衰患者分为对照组和实验组（每组各49例），两组护理措施实施后，对患者左心功能、临床指标、满意度、不良反应等三项数据情况进行统计，后对组间进行研究，并分析不同护理措施对老年急性心梗合并左心衰患者的有效性。结果 实验组患者左心功能得到改善，且卧床、住院时间亦有明显缩短，不良反应大幅减少，占比率仅有4.16%（2/49），与此同时，患者对其护理服务的满意度高达95.83%（46/49），数据间达到P＜0.05标准。结论 临床在老年急性心梗合并左心衰患者治护工作中施以优质护理干预方案，可减少压疮、下肢栓塞等不良反应的发生风险，进而缩短患者卧床、住院时间，同时患者左心功能得到明显改善，且对其生活质量的提升上发挥着积极作用，患者接受度、认可度均较高，故建议临床大规模应用、实践。

Abstract

Objective This paper focuses on the analysis of high-quality nursing intervention programs in the treatment and nursing of elderly patients with acute myocardial infarction complicated with left heart failure, and judges the effectiveness of the implementation of the programs with a number of indicators.
Methods In this study, 98 elderly patients with acute myocardial infarction combined with left heart failure in our hospital from January 2022 to December 2023 were divided into control group and experimental group (49 cases in each group) according to the order of admission. After the implementation of nursing measures in the two groups, the left heart function, clinical indicators, satisfaction, adverse reactions and other three data were statistically analyzed. Then, the effectiveness of different nursing measures for elderly patients with acute myocardial infarction complicated with left heart failure was analyzed.
Results The left heart function of patients in the experimental group was improved, and the length of bed rest and hospital stay was also significantly shortened, and adverse reactions were significantly reduced, accounting for only 4.16% (2/49). Meanwhile, the satisfaction of patients with nursing services was as high as 95.83% (46/49), and the data reached the P < 0.05 standard.
Conclusion   In the clinical treatment and nursing of elderly patients with acute myocardial infarction complicated with left heart failure, high-quality nursing intervention can reduce the risk of adverse reactions such as pressure sores and lower extremity embolism, and further shorten the patients' bed rest and hospital stay. At the same time, the left heart function of patients can be significantly improved, and it plays a positive role in the improvement of their quality of life. The acceptance and recognition of patients are high. Therefore, it is suggested that clinical large-scale application and practice.