急性心肌梗死患者的院前急救护理探讨

Discussion of pre-hospital emergency nursing of acute myocardial infarction patients

目的探讨院前急救护理在急性心肌梗死患者院前急救中应用的效果。方法选取某急救中心2018年1月-2018年4月接诊的急性心肌梗死患者66例为研究对象。根据是否对患者实施院前急救护理措施干预,将研究对象分为观察组(35例)和对照组(31例)。观察组患者实施院前急救护理干预,对照组患者未实施院前急救护理干预。比较2组患者院前急救小组首次医疗接触时间,住院时间、病死情况及护理满意度。结果观察组患者发病至抢救时间、住院时间以及病死率等均明显少于或低于对照组患者,差异均具有统计学意义(P<0.05);观察组患者对护理满意度为94.297%,明显高于对照组的74.07%,差异具有统计学意义(P<0.05)。结论院前急救护理可显著缩短患者发病至抢救时间、住院治疗时间,降低临床病死率,患者满意度高,值得推广应用。

Objective To explore the application effect of pre-hospital emergency nursing in patients with acute myocardial infarction.Methods A total of 66 patients with acute myocardial infarction who admitted to the center from January to April,2018 were selected as the research objects.They were divided into an observation group(35 cases) and control group(31 cases),and the former were given the pre-hospital emergency nursing intervention while the latter were not.The first medical contact time,hospitalization time,death and nursing satisfaction were investigated and compared between the two groups.Results The first medical contact time,hospitalization time and fatality rate of the observation group were significantly less or lower than those of the control group(P<0.05).The nursing satisfaction of the observation group was 94.297%(33/35) higher than that of the control group(74.07%(20/27),and the difference was statistically significant(P<0.05).Conclusion Pre-hospital emergency nursing can significantly shorten the first medical contact time and hospitalization time of patients with acute myocardial infarction,reduce the clinical fatality rate,and the patients have high satisfaction,which is worthy of promotion and application.