2023年5月第30卷第5期个体化护理干预对非体外循环下心脏搭桥术患者遵医行为及术后并发症的影响李海燕，李小红，李娜（驻马店市中心医院心脏大血管外科，河南驻马店463000）【摘要】目的探讨个体化护理干预对非体外循环下心脏搭桥术患者遵医行为及术后并发症的影响。方法将2020年8月至2022年8月于我院行非体外循环下心脏搭桥术的74例患者随机分为两组。对照组予以常规护理干预，观察组予以个体化护理干预。比较两组的术后恢复情况、遵医行为及术后并发症情况。结果观察组拔管时间、下床活动时间、ICU监护时间及住院时间短于对照组（P＜0．05）。观察组各项遵医行为评分高于对照组，术后并发症发生率低于对照组（P＜0．05）。结论个体化护理干预可促进非体外循环下心脏搭桥术患者术后康复，改善遵医行为，降低术后并发症风险。【关键词】个体化护理干预；非体外循环下心脏搭桥术；遵医行为；并发症中图分类号：R473.6文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.05.0671InfluenceofIndividualizedNursingInterventiononComplianceBehaviorandPostoperativeComplicationsofPatientsUn-dergoingoff-PumpCardiacBypassSurgeryLIHaiyan,LIXiaohong,LINa(DepartmentofCardiovascularSurgery,ZhumadianCentralHospital,Zhumadian463000,China)[Abstract]ObjectiveToexploretheinfluenceofindividualizednursinginterventiononcompliancebehaviorandpostoperativecomplicationsofpatientsundergoingoff-pumpcardiacbypasssurgery.Methods74patientsundergoingoff-pumpcardiacbypasssurgeryinourhospitalfromAugust2020toAugust2022wererandomlydividedintotwogroups.Thecontrolgroupreceivedroutinenursingintervention,andtheobservationgroupreceivedindividualizednursingintervention.Thepostoperativerecovery,compliancebehaviorandpostoperativecomplicationsofthetwogroupswerecompared.ResultsTheextubationtime,ambulationtime,ICUmonitoringtimeandhospitalizationtimeoftheobservationgroupwereshorterthanthoseofthecontrolgroup(P<0.05).Thescoresofcompliancebehaviorintheobservationgroupwerehigherthanthoseinthecontrolgroup,andtheincidenceofpostoperativecomplicationswaslowerthanthatinthecontrolgroup(P<0.05).ConclusionsIndividualizednursinginterventioncanpromotethepostoperativerecoveryofpatientsundergoingoff-pumpc...
