应用急诊护理路径改善急性心肌梗死抢救效率的康复效果分析

Rehabilitation Effect Analysis of Emergency Care Route to Improve the Rescue Efficiency of Acute Myocardial Infarction

目的 探讨急诊护理路径对于急性心肌梗死(acute myocardial infarction,AMI)可能产生的临床效果和影响.方法 选取2019年3月—2020年3月期间来该院进行抢救并进行持续治疗的90例急性心肌梗死患者,按照入院时间先后平分成两组,每组45例,一组为A组,另一组为B组,对A组患者采用普通护理路径结合急诊护理路径,对B组患者采用普通护理路径,对比两组患者的静脉通道建立时间、临时起搏器使用时间、心脏电复律操作时间,并统计两组患者对于护理的满意程度及复发率.结果 A组患者的静脉通道建立时间、临时起搏器使用时间、心脏电复律操作时间都明显要比B组患者短,差异有统计学意义(P<0.05).A组患者整体的护理满意度(91.11%)明显比B组患者(57.78%)要高,差异有统计学意义(P<0.05).抢救结束后规定进行为期3个月的随访,A组中有3例患者出现了复发,占比为4.44%,B组中有12例患者出现了复发,占比为26.67%,两组患者的复发数据对比差异有统计学意义(x^(2)=18.927,P<0.05).结论 急诊护理路径能够减少急性心肌梗死患者的抢救治疗时间,减少患者的痛苦,并且还能有效降低患者的复发率,提升患者对护理的整体满意度,值得在临床实践中广泛应用.

Objective To explore the possible clinical effects and impacts of emergency nursing pathways on acute myocardial infarction(AMI).Methods 90 patients with acute myocardial infarction who came to our hospital for rescue and continuous treatment from March 2019 to March 2020 were selected and divide into two Groups according to the time of admission.Each Group contained 45 patients.One Group is Group A,the other is Group B.The general care route combined with the emergency care route for Group A,and the general care route was used for Group B.The venous channel establishment time,temporary pacemaker use time,and cardioversion operation time of the two Groups of patients were compared,and the satisfaction of the two Groups of patients with nursing care and the probability of recurrence were counted.Results The venous channel establishment time,temporary pacemaker use time,and cardioversion operation time of Group A were significantly shorter than those of Group B,the differences were statistically significant(P<0.05).The overall nursing satisfaction of Group A patients(91.11%)was significantly higher than that of Group B patients(57.78%),the difference was statistically significant(P<0.05).After the rescue was completed,a follow-up period of 3 months was required.3 patients in Group A had relapses,accounting for 4.44%,and 12 patients in Group B had relapses,accounting for 26.67%.The difference between the two groups was statistically significant(x^(2)=18.927,P<0.05).Conclusion The emergency care route can reduce the time of rescue treatment for patients with acute myocardial infarction,reduce the corresponding pain of patients,and can also effectively reduce the probability of recurrence of patients,and improve the overall satisfaction of patients with nursing.It is worthy of extensive application in clinical practice.