| Objective:Under the guidance of Kolcaba’s Comfort Theory,we investigated the comfort status of patients after PCI in the coronary care unit,analyzed the influencing factors,and explored the comfortable nursing plan,through the implementation of comfortable nursing intervention to improve the comfort of patients and accelerate the recovery of patients.Methods:1.Using convenience sampling method,from October 2019 to December 2019,400 patients who underwent PCI at Neil Cross in Grade III,Class A hospital,Hebei Province,were selected for the study,the comfort status and influencing factors were investigated and analyzed,and 386 questionnaires were collected.2.A total of 138 patients with PCI who were admitted to the Neil Cross from January 2020 to March 2020 were randomly selected from one of the Grade III,Class A hospital.The patients were divided into two wards according to the order of admission,and the patients were divided into two wards according to the ward,and the patients were given routine nursing care in the control group,the two wards were managed by the same nursing team,and the comfort,pain level,satisfaction,health behavior efficacy,hospitalization time and adverse cardiovascular events were used to evaluate the effect of intervention.Results:1.The first part is the results of comfort survey: The overall comfort level of 386 subjects was(72.13±5.21).The scores of other dimensions from low to high were: Physiology(12.39±2.71),environment(17.10±1.07),social culture(17.28 ± 1.84),and mental psychology(25.36 ±3.91).2.Part II comparison of baseline data between the two groups: there was no significant difference in general and clinical data between the two groups(P > 0.05).3.The second part is the comparison of the two groups before and after the intervention: Before the intervention,the test group patients overall comfort and physiological dimensions,environmental dimensions,mental and psychological dimensions and social and cultural dimensions scores and the control group,there was no significant difference(p>0.05),and the scores of overall comfort,physical dimension,environmental dimension,mental-psychological dimension and sociocultural dimension in the intervention group were higher than those in the control group,the difference was statistically significant(P <0.05).4.In the second part,the pain level of the two groups were compared.The pain level of the two groups was evaluated at four time points(2h,4h and 6H)immediately after PCI.There was no significant difference between the two groups(p>0.05),and the NRS of the two groups decreased with time going on.However,the NRS of the test group was significantly lower than that of the control group(P < 0.05).5.The second part is the comparison of NSNS between the two groups:the total satisfaction rate of the experimental group and the control group is88.73% and 74.63% respectively,which is statistically significant(P < 0.05).6.The second part is the comparison of the hospitalization time of the two groups: the hospitalization time of the control group is(6.58 ± 0.92)days,the hospitalization time of the experimental group is(4.94 ± 0.75)days,the hospitalization time of the experimental group is significantly lower than that of the experimental group(P < 0.05).7.In the second part,the scores of health capacity in the control group and the test group were(49.44 ± 3.63)and(48.86 ± 3.02),respectively.There was no significant difference between the two groups(p > 0.05)After 6 months of follow-up,the scores of the patients in both groups were increased.The scores of the Control Group and the test group were(63.81 ±4.92)and(81.01 ± 2.55)respectively.The health capacity score of the patients in the test group was significantly higher than that of the Control Group,the difference was statistically significant(P < 0.05).8.GCQ has predictive value for adverse cardiovascular events within 6months: the incidence of adverse cardiovascular events in the test group was lower than that in the control group.The Comfort score was 0.802 under the ROC curve to assess the risk of adverse cardiovascular events for 6 months,the optimal threshold of Comfort score for predicting adverse cardiovascular events was 79.28,the specificity was 0.583,the sensitivity was 0.96,and the Yoden index was 0.543.Conclusion:1.The comfort degree of patients in the coronary heart disease care unit after PCI is in the middle level,in which the score of comfort degree in physiological dimension and environmental dimension is the lowest,which should be paid attention to.Nurses should evaluate the comfort degree of patients after PCI,and formulate comfortable nursing intervention program to improve the comfort degree of patients.2.The comfort nursing intervention based on Kolcaba can improve the comfort and satisfaction of patients after PCI in coronary heart disease intensive care unit,shorten the hospitalization time of patients,and help patients to form a good concept of health. |
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