路径化干预在急性心肌梗死急救中应用效果观察

Application effect of path intervention in first-aid of acute myocardial infarction

目的观察路径化干预在急性心肌梗死(AMI)急救中应用效果。方法选取2017年5月—2018年12月本院收治的94例AMI患者作为研究对象,按随机数表法分为对照组和观察组两组,每组各47例。对照组予以常规急诊护理,观察组予以路径化护理干预,比较两组干预后生命体征、西雅图心绞痛量表(SAQ)评分、卧床时间、住院时间以及并发症情况。结果观察组干预后收缩压、呼吸与心率明显小于对照组(P<0.05),SAQ各项评分明显高于对照组(P<0.05);观察组卧床时间与住院时间明显短于对照组(P<0.05),并发症总发生率显著低于对照组(P<0.05)。结论路径化干预可提高AMI患者急救效果,促进其恢复,降低并发症风险。

Objective To observe the application effect of path intervention in first-aid of acute myocardial infarction(AMI).Methods A total of 94 AMI patients in the hospital were enrolled and randomly divided into two groups,47 cases in each group.The control group was given routine emergency nursing.The observation group was given path nursing intervention.The vital signs,scores of Seattle Angina Scale(SAQ),bed rest time,hospital stays and complications were compared between the two groups after intervention.Results After intervention,systolic blood pressure,respiration and heart rate in observation group were significantly lower than those in control group(P<0.05),while SAQ scores were significantly higher than those in control group(P<0.05).The bed rest time and hospital stays in observation group were significantly shorter than those in control group(P<0.05),and total incidence of complications was significantly lower than that in control group(P<0.05).Conclusions Path intervention could improve first-aid effect of AMI patients,promote their recovery,and reduce complications risks.