急救护理路径在急性心肌梗死患者中的应用效果

Application of emergency nursing pathway in rescue of patients with acute myocardial infarction

目的探讨急救护理路径在急性心肌梗死患者抢救中的应用效果。方法回顾性分析126例急性心肌梗死患者的临床资料,将2013年1—6月收治的63例患者设为对照组,采取常规急救护理,将2013年7月—2014年1月收治的63例患者设为观察组,采取急救护理路径措施。对比2组急诊停留时间、急诊-球囊扩张时间、疼痛缓解时间和住院时间,并记录2组院内心肌梗死复发、再次经皮冠状动脉介入治疗(PCI)和并发症发生情况。结果观察组急诊停留时间、急诊-球囊扩张时间、疼痛缓解时间、住院时间显著短于对照组(P<0.05或P<0.01),且院内心肌梗死复发率、再PCI率及术后并发症发生率均显著低于对照组(P<0.05)。结论急救护理路径能够有效缩短急性心肌梗死患者急救时间,改善临床结局。

Objective To investigate the effect of emergency nursing pathway on rescue of patients with acute myocardial infarction ( AMI) . Methods This retrospective study included 126 AMI patients, in which 63 cases from January to June 2013 ( designed as control group) were given conventional emergency care, and 63 cases from July 2013 to January 2014 ( designed as observation group) were treated with emergency nursing pathway. The emergency stay time, door-to-balloon time,pain relief time and length of stay were compared between two groups. The recurrence of myocardial infarction, reoperation rate of percutaneous coronary intervention (PCI) and incidence of complications were observed. Results The emergency stay time, door-to-balloon time, pain relief time and length of stay were significantly shorter in the observation group than those in the control group ( P < 0. 05 orP <0. 01) . The observation group had lower recurrence rate of myocardial infarction, reoperation rate of PCI and incidence rate of complications when compared with the control group ( P <0. 05) . Conclusion Emergency nursing pathway can effectively shorten the rescue time of AMI patients and improvethe clinical outcome.