优化急诊护理流程对急性心肌梗死患者抢救效果的影响

Influence of optimizing emergency nursing process on rescue effect of patients with acute myocardial infarction

目的探讨优化急诊护理流程对急性心肌梗死患者的抢救效果。方法 196例急性心肌梗死患者,根据随机数字表法分为对照组和观察组,各98例。对照组予以常规护理,观察组予以优化后的急诊护理。比较两组患者的急诊时间、急诊球囊扩张时间、住院时间及复发情况。结果对照组患者的住院时间为(12.1±5.2)d,观察组为(11.0±3.5)d,两组比较差异无统计学意义(P>0.05);观察组急诊时间与急诊球囊扩张时间分别为(43.5±15.2)、(79.4±11.6)min,均短于对照组的(52.7±27.4)、(117.3±79.4)min,差异有统计学意义(P<0.05)。对照组患者复发24例,复发率为24.49%;观察组患者复发6例,复发率为6.12%;观察组复发率低于对照组,差异有统计学意义(P<0.05)。结论优化急诊护理流程可使急性心肌梗死患者抢救时间明显缩短,提高抢救成功率。

Objective To discuss the rescue effect of optimizing emergency nursing process for patients with acute myocardial infarction. Methods A total of 196 patients with acute myocardial infarction were divided by random number table method into control group and observation group, with 98 cases in each group. The control group received conventional nursing, and the observation group received optimizing emergency nursing. Comparison were made on emergency time, emergency balloon dilatation time, hospitalization time and recurrence between two groups. Results The control group had hospitalization time as （12.1 ± 5.2） d, which was （11.0 ± 3.5） d in the observation group, and the difference was statistically significant （P〉0.05）. The observation group had emergency time and emergency balloon dilatation time respectively as （43.5± 15.2） and （79.4 ±11.6） min, which were all shorter than （52.7± 27.4） and （117.3 ± 79.4） min in the control group, and their difference was statistically significant （P〈0.05）. The control group had 24 recurrent cases, with recurrence rate as 24.49%, while the observation group had 6 recurrent cases, with recurrence rate as 6.12%. The observation group had lower recurrence rate than the control group, and the difference was statistically significant （P〈0.05）. Conclusion Optimizing emergency nursing process can shorten the rescue time of the patients with acute myocardial infarction and improve the success rate of rescue.