急诊护理路径对急诊心肌溶栓治疗患者救治效率的影响

Effect of emergency nursing pathway on the thrombolysis efficiency of patients with myocardial infarction

目的探讨急诊护理路径对急诊心肌溶栓救治效率的影响。方法选取70例溶栓治疗的心肌梗死患者为研究对象,其中40例采用急诊护理路径为观察组,30例采用常规护理为对照组,比较2组溶栓效率、住院时间、住院费用、护理满意度及预后。结果观察组进出急诊室时间、溶栓开始时间、卧床时间短于对照组,溶栓成功率高于对照组,差异有统计学意义(P<0.05)。观察组的住院时间短于对照组,住院费用少于对照组,院内心肌梗死的复发率低于对照组,差异有统计学意义(P<0.05)。观察组的护理满意度高于对照组,预后情况好于对照组,差异有统计学意义(P<0.05)。结论急诊护理路径能够提高心肌梗死静脉溶栓的效率,缩短住院时间,改善预后。

Objective To explore the effect of emergency nursing pathway on the thromboly- sis efficiency of patients with myocardial infarction. Methods A total of 70 patients with myocardial infarction were divided into observation group （n = 40, treated by emergency nursing pathway） and control group （n = 30, treated by routine nursing）. Efficiency of thrombolysis, hospital stay, cost of hospitalization, nursing satisfaction degree and prognosis were compared between two groups. Results There were significant differences in the time of in and out of emergency room, the start time of thrombolysis, the duration of bed rest and the success rate of thrombolysis between two groups （P 〈 0.05）. The hospital stay, cost of hospitalization and the recurrence rate of myocardial infarction in the observation group were significantly better than those in the control group （ P 〈 0.05 ）. Nursing satisfaction degree and prognosis in the observation group were significantly better than those in the control group （P 〈 0.05 ）. Conclusion Emergency nursing pathway can improve the efficiency of intravenous thrombolysis in patients with myocardial infarction, shorten the length of hospital stay and improve the prognosis.