预见性护理在急性心肌梗死患者院前急救中的应用

The application of the predictive nursing in patients with acute myocardial infarction during pre-hospital first aid

目的:探讨预见性护理措施在急性心肌梗死患者院前急救中的应用效果。方法:将124例急性心肌梗死患者随机分为对照组和观察组,对照组患者给予常规救护,观察组患者提供预见性护理措施,比较2组患者的有效救护时间、救护成功率、平均住院时间以及并发症发生率。结果:观察组患者有效救护时间与平均住院时间均短于对照组,救护成功率高于对照组(P<0.01)。观察组患者在室性心律失常、左心衰竭及心源性休克并发症发生率方面均明显低于对照组(P<0.01)。结论:预见性护理措施提高了患者的救治成功率,缩短了急性心肌梗死患者院前急救的有效抢救时间和住院时间,并降低并发症的发生,提高了患者的救护质量。

Objective： To explore the effects of the predictive nursing on pre-hospital first aid of patients with acute myocardial infarction. Methods： One hundred and twenty-four patients with acute myocardial infarction were randomly divided into the control group and observation group. The control group and observation group were treated with the routine nursing and predictive nursing,respectively. The effective rescue time,rescue success rate,average hospital stay and incidence of complications between two groups were compared. Results： The effective rescue time and average hospital stay in observation group were shorter than that in control group,the rescue success rate in observation group was higher than that in control group（ P〈0.01）. The incidences of ventricular arrhythmia,left heart failure and cardiac shock in observation group were lower than that in control group（ P〈0.01）. Conclusions： The predictive nursing can improve the rescue success rate,shorten the effective rescue time of pre-hospital first aid and hospital stay,reduce the incidence of complications and improve the nursing quality of the patients.