急诊全程优化护理模式在抢救急性心肌梗死患者中的应用

Application of emergency whole-course optimized nursing in rescuing acute myocardial infarction patients

目的研究急诊全程优化护理模式在抢救急性心肌梗死(AMI)患者中的应用效果。方法 90例急性心肌梗死患者,随机分为对照组和观察组,每组45例。对照组患者采用医院急诊的常规护理方法 ,观察组患者采用急诊全程优化护理模式。比较两组患者抢救时间、抢救观察时间以及抢救效果。结果观察组患者第一份床旁心电图录取时间、口服药到口时间、获得院内紧急冠状动脉支架植入术(PCI)治疗时间均短于对照组,差异具有统计学意义(P<0.05)。观察组患者静脉采血时间、静脉给药时间和心电图观察时间均短于对照组,差异具有统计学意义(P<0.01)。观察组患者院内复发急性心肌梗死发生率为17.78%,低于对照组的37.78%,差异具有统计学意义(P<0.05);观察组患者住院总时间为(7.8±2.6)d,短于对照组的(9.1±2.7)d,差异具有统计学意义(P<0.05)。结论采用急诊全程优化护理对于急性心肌梗死的效果更显著,值得临床推广。

Objective To research application effect of emergency whole-course optimized nursing in rescuing acute myocardial infarction（AMI） patients. Methods A total of 90 patients with acute myocardial infarction were randomly divided into control group and observation group, with 45 cases in each group. The control group received conventional nursing measure in emergency, and the observation group received emergency whole-course optimized nursing pattern. Comparison was made on rescue time, rescue observation time and rescue effect between the two groups. Results The observation group had all shorter first bedside electrocardiogram recording time, oral administration time and nosocomial emergency percutaneous transluminal coronary intervention（PCI） treatment group than the control group, and their difference had statistical significance（P〈0.05）. The observation group had shorter venous blood sampling time, intravenous administration time, and electrocardiogram observation time than the control group, and the difference had statistical significance（P〈0.01）. The observation group had incidence of nosocomial recurrent acute myocardial infarction as 17.78%, which was lower than 37.78% in the control group, and the difference had statistical significance（P〈0.05）. The observation group had shorter total hospital stay time as（7.8±2.6） d than（9.1±2.7） d in the control group, and the difference had statistical significance（P〈0.05）. Conclusion Implement of emergency whole-course optimized nursing shows excellent effect for acute myocardial infarction patients, and this method is worth clinical promotion.