Application of grading nursing plan based on GRACE score for patients with non-ST-segment elevation acute coronary syndrome

Abstract

Objective \nTo explore the application effects of grading nursing plan based on GRACE score for patients with non-ST-segment elevation acute coronary syndrome (NSTE-ACS) . \n \n \nMethods \nBy convenience sampling, 172 patients with NSTE-ACS who were admitted and hospitalized with complete file in the Cardiovascular Department of Fenyang Hospital of Shanxi Province from August 2016 to May 2017 were enrolled. According to the time of admission, they were divided into the control group (n=86) who were admitted into the hospital from August to December of 2016 and the experimental group (n=86) who were admitted into the hospital from January to May in 2017. The routine nursing approach was adopted in the control group , and the grading nursing plan based on GRACE score was used in the experimental group. The two groups were compared in the incidence of adverse cardiac events (MACE) , average length of stay and patient satisfaction. \n \n \nResults \nThe incidence of MACE and length of hospital stay in the experimental group were all lower than the control group with statistical differences (P<0.05) . The satisfaction degree towards the nursing job in the experimental group was higher than the control group with a statistical difference (P<0.05) . \n \n \nConclusions \nGrading nursing plan for NSTE-ACS based on GRACE score can reduce the incidence of MACE for the patients, shortened their hospitalization time and improved patients satisfaction. \n \n \nKey words: \nNon-ST-segment elevation acute coronary syndrome;\xa0Global Registry of Acute Coronary Events;\xa0Adverse cardiac events;\xa0Grading nursing care