精细化护理干预结合临床护理路径对心血管疾病介入手术患者的应用效果

The Application Effect of Refined Nursing Intervention Combined with Clinical Nursing Pathway on Patients Undergoing Cardiovascular Disease Intervention Surgery

摘要: 目的：探究心血管疾病介入手术患者护理管理中实施精细化护理结合临床护理路径的临床疗效。方法：本研究研究对象的选取来自本院2024年2月~2025年5月期间所收治的128例心血管介入手术患者，采取分组对照研究方式将128例患者随机分为对照组和实验组，每组患者例数相等，围绕患者临床护理效果、护理前后情绪变化情况、并发症发生率3个方面展开研究效果对比。结果：实施精细化护理结合临床护理路径的实验组患者住院时间显著短于对照组，患者对护理工作满意度显著高于对照组(P < 0.05)；实验组患者护理后不良情绪改善情况显著优于对照组(P < 0.05)；实验组患者并发症发生率显著低于对照组(P < 0.05)。实验组患者术后各时间点的疼痛评分均显著低于对照组(P < 0.05)。实验组患者在生理功能、社会功能和情感角色方面的评分均显著高于对照组(P < 0.05)。结论：心血管疾病介入手术患者护理管理中实施精细化护理结合临床护理路径具有显著的护理疗效，能够降低并发症发生率，促进患者病情的快速康复，缩短住院时间，改善患者疾病治疗中不良情绪，提高护理满意度，值得在心血管疾病介入手术患者的护理中推广应用。

Abstract: Objective: To explore the clinical efficacy of implementing refined nursing combined with clinical nursing pathway in the nursing management of patients undergoing cardiovascular disease intervention surgery. Method: This study selected 128 patients who underwent cardiovascular intervention surgery in our hospital from February 2024 to May 2025. A group controlled study was conducted to randomly divide the 128 patients into a control group and an experimental group, with equal numbers of patients in each group. The study compared the clinical nursing effects, emotional changes before and after nursing, incidence of complications, and three aspects of patient outcomes. Result: The experimental group patients who implemented a refined nursing combined with clinical nursing pathway had significantly shorter hospital stays than the control group, and their satisfaction with nursing work was significantly higher than that of the control group (P < 0.05); The improvement of negative emotions in the experimental group patients after nursing was significantly better than that in the control group (P < 0.05); The incidence of complications in the experimental group was significantly lower than that in the control group (P < 0.05). The pain scores of the experimental group patients at various time points after surgery were significantly lower than those of the control group (P < 0.05). The scores of the experimental group patients in terms of physiological function, social function, and emotional role were significantly higher than those of the control group (P < 0.05). Conclusion: The implementation of refined nursing combined with clinical nursing pathway in the nursing management of patients undergoing cardiovascular disease intervention surgery has significant nursing effects, which can reduce the incidence of complications, promote rapid recovery of patients, shorten hospitalization time, improve negative emotions during disease treatment, and enhance nursing satisfaction. It is worth promoting and applying in the nursing of patients undergoing cardiovascular disease intervention surgery.