优化急诊护理流程在急性心肌梗死患者抢救中的效果分析

Analysis of Effect of Optimizing the Emergency Nursing Process in the Rescue of Patients with Acute Myocardial Infarction

目的观察优化急诊护理流程对于急性心肌梗死(AMI)患者抢救效果的影响。方法纳入研究的对象为2016年1月—2018年2月间经该院门急诊抢救的AMI患者共64例,采用随机数表法分为两组,每组32例,观察组采用优化急诊护理流程,对照组采取常规急诊护理流程,对比两组患者的抢救效果及预后情况。结果观察组抢救时间为(44.67±6.28)min,少于对照组(59.46±8.33)min,差异有统计学意义(t=-8.020,P=0.000);观察组球囊扩张时间为(78.42±10.16)min,也显著少于对照组(115.90±11.64)min,差异有统计学意义(t=-13.722,P=0.000);观察组院内AMI复发率为3.12%,也显低于对照组25.00%,差异有统计学意义(χ~2=4.654,P=0.031)。结论对于急性心肌梗死患者的抢救而言,优化急诊护理流程有助于缩短抢救时间、提高抢救效果、改善患者预后,值得在临床中加以应用和实践。

Objective To observe the effect of optimizing the emergency nursing process in the rescue of patients with acute myocardial infarction. Methods 64 cases of AMI patients for emergency rescue in our hospital from January 2016 to February 2018 were selected and randomly divided into two groups with 32 cases in each, the observation group optimized the emergency nursing process, while the control group used the routine emergency nursing process, and the rescue effect and prognosis were compared between the two groups. Results The rescue time in the observation group was shorter than that in the control group[（44.67±6.28） min vs（ 59.46±8.33） min], and the difference was statistically significant（t=-8.020, P=0.000）, and the balloon dilatation time in the observation group was obviously shorter than that in the control group [（78.42±10.16） min vs（115.90±11.64） min,the difference was statistically signficant（t=-13.722, P=0.000）],and the recurrence rate of hospital AMI in the observation group was obviously lower than that in the control group（3.12% vs 25.00%,the difference was statistically signficant（χ2=4.654, P=0.031）, P 0.05]. Conclusion Optimizing the emergency nursing process contributes to shortening the rescue time, improving the rescue effect and improving the prognosis for patients with acute myocardial infarction, which is worth application and practice in clinic.