急诊护理路径在急性心肌梗死患者抢救中的应用

Application of emergency care path on rescue of patients with acute myocardial infarction

目的 探讨急诊护理路径在急性心肌梗死患者抢救中的应用效果.方法 采用目的抽样的方法,选择2015年1月—2016年12月,在齐齐哈尔医学院附属第二医院急诊科收治的急性心肌梗死患者84例作为研究对象,采用随机数字表法将其分为观察组与对照组,其中对照组40例患者接受传统护理模式,观察组44例患者接受急诊护理路径护理模式,采用西雅图心绞痛量表和护理满意度调查表对两组患者进行评估.结果 干预后观察组患者在心绞痛稳定状态、躯体活动受限程度、心绞痛发作情况、疾病认知程度、疼痛控制满意程度的得分分别是（18.03±1.55）、（17.82±2.15）、（18.27±1.69）、（18.92±0.76）、（18.95±0.57）分,高于对照组的（15.46±1.76）、（14.76±2.01）、（15.72±2.17）、（14.87±1.56）、（14.82±1.27）分,差异有统计学意义（t值分别是-5.663、-5.791、-5.691、-6.702、-6.772;P＜0.01）;干预后观察组患者满意度为97.73%,高于对照组的77.50%,差异有统计学意义（χ2=8.174,P＜0.01）.结论 急诊护理路径在急性心肌梗死患者抢救中,能够有效改善患者的症状,提高护理满意度.

Objective To discuss the application effects of emergency care path on rescue of patients with acute myocardial infarction.Methods A total of 84 patients with acute myocardial infarction were selected by purposeful sampling method as the study subjects from January 2015 to December 2016 in Emergency Department in the Second Affiliated Hospital of Qiqihar Medical University, and were divided into control group and observation group by random number table, in which 40 cases were treated with traditional nursing model in the control group, and 44 cases were treated with emergency nursing path model in the observation group. We compared Seattle angina questionnaire, nursing satisfaction scale for patients＆#39; evaluation.Results After interventions, the patients＆#39; scores of observation group were （18.03±1.55）,（17.82±2.15）,（18.27±1.69）, （18.92±0.76）,（18.95±0.57）,higher than （15.46±1.76）,（14.76±2.01）,（15.72±2.17）,（14.87±1.56）, （14.82±1.27）in the control group in angina pain, restriction degree of body activity, occurrence of angina, disease recognition degree, pain control satisfaction （t=-5.663, -5.791, -5.691, -6.702, -6.772;P〈0.05）. After intervention, the patient＆#39;s satisfaction in the observation group was 97.73%, higher than 77.50% in the control group （χ2=8.174,P〈0.01）.Conclusions Emergency care pathways can rescure patients with acute myocardial infarction, effectively improve the patient＆#39;s symptoms, and contribute nursing satisfaction.