智能化急诊分级分诊系统结合极致化护理在急性心肌梗死患者中的应用

Application of Intelligent Emergency Grading and Triage System Combined with Extreme Nursing in Patients with Acute Myocardial Infarction

目的:探讨智能化急诊分级分诊系统结合极致化护理在急性心肌梗死(AMI)患者中的应用效果。方法:将2020年1月1日~6月30日采用常规分流护理的60例患者纳入对照组,将2020年7月1日~2021年1月1日采用智能化急诊分级分诊系统结合极致化护理的60例患者纳入研究组;比较两组救治时间、心肌梗死复发率、再行经皮冠状动脉介入治疗(PCI)率、抢救成功率、干预前后心理状态[采用汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)]及应对方式[采用医学应对问卷(MCMQ)]、并发症发生情况。结果:研究组救治时间、心肌梗死复发率、再行PCI率、抢救成功率均优于对照组(P<0.05);干预后,两组HAMA、HAMD评分均低于干预前(P<0.05),且研究组均低于对照组(P<0.01);干预后,两组MCMQ评分优于干预前(P<0.05),且研究组优于对照组(P<0.01);研究组并发症发生率低于对照组(P<0.05)。结论:智能化急诊分级分诊系统结合极致化护理的应用,可有效缩短AMI患者临床救治时间,改善心理状态,提高依从性,降低并发症发生率,值得在临床推广应用。

Objective:To explore the application effect of intelligent emergency grading and triage system combined with extreme nursing in patients with acute myocardial infarction(AMI).Methods:Among the patients enrolled,60 patients receiving routine triage nursing during January 1 to June 30,2020 were included in the control group,while 60 patients receiving intelligent emergency grading and triage system and extreme nursing during July 1,2020 to January 1,2021 were included in the study group.Comparison was made between the two groups on rescue-related indicators,treatment time,the recurrence rate of myocardial infarction,coronary intervention(PCI)rate,the success rate of rescue,psychological status before and after the intervention by Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD),and coping styles by medical coping questionnaire(MCMQ),and complications occurrence.Results:The treatment time,The recurrence rate of myocardial infarction and re-implementation rate of PCI were lower in the study group than those in the control group(P<0.05),and the success rate of rescue was better than that in the control group(P<0.05).After intervention,the HAMA and HAMD scores in both groups were lower than those before intervention(P<0.05),and lower in the study group than those in the control group(P<0.01).The MCMQ scores in both groups were better than those before intervention(P<0.05),and better in the study group than those in the control group(P<0.01).The incidence of complications in the study group was lower than that in the control group(P<0.05).Conclusion:The intelligent emergency grading and triage system combined with extreme nursing can effectively shorten the clinical treatment time in patients with AMI,improve their psychological states and compliance,and reduce the incidence of complications,which is worthy of clinical promotion.