Effect of predictive intervention in patients with severe cardiovascular diseases

LI Ming-jian; LUO Gui-jun

doi:10.3969/j.issn.1674-4055.2016.05.24

Abstract：Objective To review the effect of predictive intervention in patients with severe cardiovascular diseases. Methods The patients (n=95) with severe cardiovascular diseases [acute myocardial infarction (AMI), heart failure (HF), arrhythmia and angina pectoris (AP)] were chosen from Jun. 2013 to Jun. 2014, and then divided into test group (n=48) and control group (n=47). The control group was given common routine nursing intervention, and test group was additionally given predictive intervention. The predictive intervention indicated that prospective and preventive interventional measures based on comprehensive analysis on patients’ conditions. The incidence of cardiovascular events and degree of satisfaction to nursing service were compared and analyzed between 2 groups after intervention for 3 m. Results In test group, the average age was (66.2±10.4) and there were 23 male patients. There were 10 cases of anterior myocardial infarction, 4 of inferior myocardial infarction, 12 of HF, 10 of arrhythmia and 12 of AP. In control group, the average age was (67.3±10.6) and there were 24 male patients. There were 5 cases of anterior myocardial infarction, 5 of inferior myocardial infarction, 15 of AP, 9 of arrhythmia and 13 of HF. The difference in male patient percentage, age, disease types and medication history had no statistical significance (P>0.05). There were complications occurred in varying degrees in 2 groups, and the incidence of complications was 8.33% in test group (1 case of acute pulmonary edema, 1 of sudden death and 2 of sinus arrest) and 38.30% in control group, and there were 7 cases of sudden death from 47 cases in control group (P<0.05). The ratio of patients satisfied to nursing service was 97.9% in test group and 83.0% in control group (P<0.05). Conclusion Predictive nursing intervention can significantly reduce the incidence of cardiovascular events and complications and plays a good supporting role in clinical treatment in patients with severe cardiovascular diseases, which is worth clinical promoting.