护理临床路径在急性心肌梗死病人行冠状动脉介入中的应用

Application of clinical nursing pathway in percutaneous coronary intervention for patients with acute myocardial infarction

目的探讨护理临床路径在急性心肌梗死(acute myocardial infarction,AMI)病人行冠状动脉介入(percutaneous coronary intervention,PCI)中的应用效果。方法根据入院先后次序,将60例AMI病人分为临床路径组和常规组,每组各30例。常规组病人实施常规护理,临床路径组病人采用护理临床路径。结果临床路径组病人的术前准备时间、卧床时间、住院天数较常规组病人缩短,医疗费和并发症发生率较常规组病人低,满意度较常规组高,两组比较,均P<0.05,差异具有统计学意义。结论护理临床路径应用于AMI病人能使病人得到及时快速有效PCI治疗,从而预防并发症的发生,降低AMI死亡率,同时提高护士工作的主观能动性及护理工作的目标性和计划性。

Objective To explore the effect of nursing clinical pathway in percutaneous coronary intervention （PCI） for patients with acute myocardial infarction （AMI）. Methods Sixty AMI patients were randomly divided into nursing clinical pathway （NCP） group and control group equally by their registration sequence. Patients in the control group received routine nursing care, while patients in NCP group received nursing according to the nursing clinical pathway. Results Compared with the conventional group, the time of preoperative preparation, bed rest and hospitalization was obviously shortened. The incidence of complications and hospital costs were both declined, and meanwhile the quality of care and patient satisfaction improved significantly （P 〈 0.05）. Conclusions The application of nursing clinical pathway in patients with AMI can be timely and effective in the treatment of PCI, lower the mortality and complications and moreover improve nurses＇ working enthusiasm.