全局式护理模式在老年急性心肌梗死患者急诊护理中的效果观察

Observation of the effect of overall nursing mode applied to the emergency nursing care of elderly patients with acute myocardial infarction

目的探讨全局式护理模式在老年急性心肌梗死患者急诊护理中的应用效果。方法前瞻性选取本院2014年3月至2015年11月收治的急性心肌梗死患者96例为研究对象，采用单双号分为2组，每组48例，对照组人院后予常规急诊护理，观察组在此基础上予以全程护理，观察两组患者治疗效果、抢救效果以及患者对护理服务满意度情况。结果观察组显效率、总有效率分别为54．17％、95．84％明显高于对照组的31．25％、77．08％（P〈0．05），观察组住院时间、卧床时间、急诊球囊扩张时间、进出急诊室时间及住院费用等抢救效果均明显优于对照组（P〈0．05），且院内AMI复发率明显低于对照组（P〈0．05）；观察组满意率、总满意度分别为50．00％、97．92％明显高于对照组的27．08％、82．25％（P〈0．05）。结论在急诊护理中对老年急性心肌梗死实施全局式护理，有利于减少患者住院时间，降低复发率，提高护理满意度，效果显著，值得临床应用与推广。

Objective To explore the effect of overall nursing mode on the emergency nursing care of elderly patients with acute myocardial infarction. Methods A total of 96 patients with acute myocardial infarction treated in our hospital from March 2014 to November 2015 were selected prospectively and were divided into 2 groups according to odd and even number, 48 cases in each group. After admission, the control group were treated with conventional emergen- cy care, while the observation group received the overall nursing on the basis of the control group. The treatment effect, rescue effect and the patients＂ satisfaction with nursing service of the two groups were compared. Results The explicit efficiency and total effective rate of the observation group was 54. 17% and 95.84% respectively, which was significantly higher than that of 31.25% and 77.08% of the control group of （P〈0. 05）. The rescue effect, hospitali- zation time, bed time, emergency balloon expansion time, time out of the emergency room and costs of the observation group was significantly better than that of the control group （ P〈0. 05 ）, and AMI recurrence rate was significantly lower than that of the control group （P〈0. 05 ）. The satisfaction rate and overall degree of satisfaction of the observation group was 50. 00% and 97.92% , which was significantly higher than that of 27.08% and 82.25% of the control group （P〈 0. 05） . Conclusions To implement the overall nursing mode on emergency nursing care of elderly patients with acute myocardial infarction is conducive to reduce the hospital stay, reduce the recurrence rate and improve nursing satisfac- tion, and the effect is significant, it is worthy of clinical application and promotion.