优化急诊流程对急性心肌梗死患者抢救效果和预后影响

Influence of optimized emergency process on rescue effect and prognosis in patients with acute myocardial infarction

目的探究优化急诊流程对急性心肌梗死(AMI)患者的抢救效果和预后影响。方法选取2016年1月至2018年1月于首都医科大学附属北京世纪坛医院急诊科抢救的AMI患者126例,随机分为实验组和对照组,每组各63例。实验组采取优化流程后的护理模式,对照组采用常规护理,分别记录两组患者急救时间,急救后在院内治疗期间并发症发生情况,评价两组患者临床疗效,对护理的满意程度等。结果实验组有效率显著高于对照组(P<0.05);实验组抢救时间、球囊扩张时间、住院时间显著低于对照组(P<0.05);实验组院内复发率显著低于对照组(P<0.05);实验组并发症发生率显著低于对照组(P<0.05);实验组护理满意度显著高于对照组(P<0.05)。结论优化急诊流程后,对患者的抢救时间明显缩短,复发率低,护理满意度较高。

Objective To discuss the influence of optimized emergency process on rescue effect and prognosis in patients with acute myocardial infarction (AMI). Methods AMI patients (n=126) were chosen from Emergency Department in Beijing Shijitan Hospital affiliated to Capital University of Medical Sciences from Jan. 2016 to Jan. 2018,and then randomly divided into test group and control group (each n=63). The test group was given the nursing mode after optimized process and control group was given routine nursing mode. The rescue time and incidence of complications during treatment after the first aid in hospital were recorded,and clinical efficacy and degree of satisfaction were reviewed in 2 groups. Results The effective rate was significantly higher in test group than that in control group (P<0.05). The rescue time,balloon dilation time and hospitalization duration were significantly lower (P<0.05),and recurrent rate was significantly lower (P<0.05) in test group than those in control group. The incidence of complications was significantly lower in test group than that in control group (P<0.05). The degree of satisfaction to nursing service was significantly higher in test group than that in control group (P<0.05). Conclusion The rescue time is significantly shortened,recurrent rate is lower and degree of satisfaction to nursing service is higher after optimized emergency process.