急诊PCI在治疗急性心肌梗死的全程护理分析

Nursing Analysis of Emergency PCI in the Treatment of Acute Myocardial Infarction

目的探究对接受急诊PCI术治疗的急性心肌梗死患者应用全程护理的效果。方法由2015年8月—2017年5月在接受急诊PCI术治疗的急性心肌梗死患者中随机选取84例作为研究对象,依照其应用护理方式的差异进行分组,常规护理组(n=41)患者应用常规护理模式,全程护理组(n=43)患者应用全程护理干预。结果2组患者心肌梗死复发率差异有统计学意义(χ~2=4.162 5,P=0.041 3),2组心律失常发生率差异有统计学意义(χ~2=5.575 8,P=0.018 2)。常规护理组护理满意度为80.49%,全程护理组护理满意度为97.67%,2组护理满意度差异有统计学意义(χ~2=4.353 1,P=0.036 9)。全程护理组患者病情评估时间短于常规护理组,差异有统计学意义(t=10.837 2,P=0.032 9),心电图时间短于常规护理组,差异有统计学意义(t=8.727 9,P=0.018 4),急救总时间短于常规护理组,差异有统计学意义(t=7.272 6,P=0.039 6)。结论对接受急诊PCI术治疗的急性心肌梗死患者应用全程护理可降低心肌梗死复发率以及心律失常发生率,同时还可显著提升患者的护理满意度,有助于提升医院形象并推动医院优质护理深入。

Objective To investigate the effect of full-course care in patients with acute myocardial infarction treated with emergency PCI. Methods From August 2015 to May 2017, 84 patients with acute myocardial infarction who underwent emergency PCI were randomly selected as subjects. They were grouped according to the differences in their nursing methods. The routine nursing group （n=41） patients were treated with a routine care model and patients in the full-care group were treated with full-course care interventions. Results There was a statistically significant difference in the recurrence rate of myocardial infarction between the two groups （χ2=4.162 5, P=0.041 3）. There was a statistically significant difference in the incidence of arrhythmia between the two groups （χ2=5.575 8, P=0.018 2）. The nursing satisfaction of the routine nursing group was 80.49%, and the nursing satisfaction of the whole nursing group was 97.67%. The difference of nursing satisfaction between the two groups was statistically significant （χ2=4.353 1, P=0.036 9）. The patients in the whole-course nursing group had a shorter disease evaluation time than the conventional nursing group. The difference was statistically significant （t=10.837 2, P=0.032 9）, and the ECG time was shorter than that of the conventional nursing group. The difference was statistically significant （t=8.727 9, P=0.018 4）. The total time of first aid was shorter than that of the routine care group, and the difference was statistically significant （t=7.272 6, P=0.039 6）. Conclusion The application of full-course nursing in patients with acute myocardial infarction undergoing emergency PCI can reduce the recurrence rate of myocardial infarction and the incidence of arrhythmia, and can also significantly improve the patient＇s satisfaction with nursing, help to improve the hospital image and promote hospital quality care in-depth.