基于急救护理质量构建急性心肌梗死患者急救流程护理方案及其急救效果初探

A preliminary study on the first aid process optimization construction for patients with acute myocardial infarction based on the quality of first aid care

目的 研究基于急救护理质量构建急性心肌梗死患者急救流程护理方案及其急救效果。方法 本研究以2020年1月—2021年12月在新疆医科大学第一附属医院进行治疗的急诊心肌梗死患者150例作为研究对象,新疆医科大学第一附属医院于2021年开展基于流程优化构建急救护理环节管理,其中2020年(对照组)以及2021年(观察组)各入选75例,比较两组患者的抢救情况、心功能指标、不良心脑血管事件发生情况、护理服务能力、护理满意度进行比较。结果 观察组患者的抢救成功率(χ^(2)=5.372,P=0.020)显著高于对照组,急诊停留时间(t=5.264,P=0.000)、完成首份心电图时间(t=16.583,P=0.000)、完成肌钙蛋白检查时间(t=17.881,P=0.000)、住院时间(t=4.849,P=0.000)显著低于对照组,观察组患者治疗后10天、3个月以及6个月的LVEF、LVED显著优于对照组(P<0.05);观察组患者的治疗后6个月内发生心肌梗死复发、靶血管血运重建、心力衰竭发生率显著低于对照组;观察组对于护理人员专业知识评分(t=14.375,P=0.000)、快速反应能力评分(t=4.300,P=0.000)、医护配合评分(t=10.171,P=0.000)显著高于对照组,观察组患者的护理满意度显著高于对照组(P<0.05)。结论 基于本院实际情况的护理质量评价体系的构建,对于急性心肌梗死患者急救效果的提升具有积极的意义,建议临床推广。

Objective To study the first aid process optimization construction for patients with acute myocardial infarction(AMI)based on the quality of first aid care.Methods One hundred and fifty patients with AMI who were admitted to the First Affiliated Hospital of Xinjiang Medical University from January 2020 to December 2021 conducted to this study.All patients were randomly divided into two groups:control group(75 cases)and observation group(75 cases).The rescue conditions,cardiac function index,occurrence of adverse cardiovascular and cerebrovascular events,the quality of care and nursing satisfaction were compared between the two groups.Results The success rate of rescue in observation group was significantly higher than that in control group(χ^(2)=5.372,P=0.020);duration of emergency stay(t=5.264,P=0.000),time to complete the first ECG(t=16.583,P=0.000),time to complete the troponin test(t=17.881,P=0.000)and length of hospital stay(t=4.849,P=0.000)were significantly lower than those in control group.The LVEF and LVED of patients in observation group 10 days,3 months and 6 months after treatment were significantly better than those in control group(P<0.05).The incidence of recurrence of myocardial infarction,revascularization of target vessels and heart failure in observation group within 6 months after treatment were significantly lower than that in control group.The scores of professional knowledge(t=14.375,P=0.000),quick reaction ability(t=4.300,P=0.000)and medical cooperation score(t=10.171,P=0.000)of nurses in the observation group were significantly higher than those in the control group(P<0.05).Conclusion The first aid process optimization construction for patients with AMI has positive significance for the improvement of emergency treatment effects.