急救护理路径联合术后运动干预在急性心肌梗死患者中的应用效果

Application of the path of emergency care combined with postoperative exercise intervention on patients with acute myocardial infarction

目的 探讨急救护理路径联合术后运动康复干预对急性心肌梗死患者PCI术后效果的影响.方法 选取自2015年2月—2016年2月于江苏省徐州市中心医院就诊的120例急性心肌梗死患者,按照随机数字表法随机分为对照组与观察组各60例,对照组给予传统急诊护理流程;观察组制订并实施心肌梗死急救护理路径,同时联合PCI术后运动干预.对比两组治疗效果.结果 观察组护理满意度高于对照组,急诊科停留时间和住院时间少于对照组,治愈率高于对照组,两组比较差异均有统计学意义（P〈0.05）.结论 术前急救护理路径联合运动干预应用于急性心肌梗死患者,可提高患者护理满意度,缩短急诊科停留时间和住院时间,值得临床推广应用.

Objective To explore the effects of the path of emergency care combined with postoperative exercise rehabilitation on the patients with acute myocardial infarction after percutaneous coronary intervention （PCI）. Methods Totally 120 patients with acute myocardial infarction who were treated in Xuzhou Central Hospital of Jiangsu Province from February 2015 to February 2016 were selected and divided into a control group and an observation group by the random number table. Patients in the control group （60 patients） received conventional emergency care, while the path of emergency care for acute myocardial infarction combined with exercise intervention was formulated and implemented for patients in the observation group （60 patients）. The treatment effect was compared between the two groups. Results Patients in the observation group showed higher satisfaction, shorter time of stay in the emergency department and length of stay as well as a higher cure rate than patients in the control group （P〈 0.05）. Conclusions The path of preoperative emergency care combined with exercise intervention, when applied in patients with acute myocardial infarction, can improve the patients＇ satisfaction with nursing, shortening the time of stay in the emergency department and the length of stay, thus worthy of being promoted and expanded clinically.