护理干预对急性心肌梗死患者急诊静脉溶栓的影响

Effect of Nursing Intervention on Emergency Thrombolysis in Patients with Acute Myocardial Infarction

目的急性心肌梗死患者通过急诊静脉溶栓治疗,在此过程中通过护理干预,对患者的影响作用进行分析。方法从该院在2016年7月—2019年7月间收治的通过急诊静脉溶栓治疗的急性心肌梗死患者中随机抽取60例患者,根据随机分组的方法进行分组,每组30例患者所组成,对照组患者通过常规方法进行护理干预,观察组患者在对照组患者的基础之上,利用针对性护理干预进行护理,对两组患者的静脉溶栓效果(下床时间、住院时间)、溶栓成功率、护理满意度和并发症的发生情况进行研究对比,并发症包括头晕、心慌、腹胀、便秘、肺部感染、再次栓塞,从而评价针对性护理干预的应用效果。结果观察组患者的下床时间为(6.4±1.2)d,住院时间为(16.9±3.2)d,溶栓成功率为100.0%,护理满意度为96.7%(29/30),显著优良于对照组患者,差异有统计学意义(t=5.634、5.824,χ^2=13.264,14.258,P<0.05);观察组患者的并发症的发生情况显著优良于对照组患者,差异有统计学意义。结论通过急诊静脉溶栓治疗的急性心肌梗死患者,通过针对性护理干预,可以有效地提高患者的溶栓效果、护理满意度,降低并发症的发生,值得推广以及应用。

Objective Acute myocardial infarction patients were treated with emergency intravenous thrombolysis, and during this process, through nursing intervention, the impact of the patients was analyzed. Methods From July 2016 to July 2019, 60 patients were randomly selected from the patients with acute myocardial infarction treated by emergency intravenous thrombolysis in the hospital, and they were grouped according to the randomization method, with 30 patients in each group Composed of patients, the patients in the control group used conventional methods to provide nursing intervention, and the patients in the observation group used the targeted nursing intervention for nursing on the basis of the patients in the control group, and the effect of intravenous thrombolysis on the two groups of patients(bed time, hospitalization time), The success rate of thrombolysis, nursing satisfaction and the occurrence of complications were compared. Complications include: dizziness, palpitation, abdominal distension, constipation, lung infection, and re-embolization, so as to evaluate the effect of targeted nursing interventions. Results The patients in the observation group had a bed time of(6.4 ±1.2) d, a hospital stay of(16.9 ±3.2)d, a thrombolytic success rate of 100.0%, and a nursing satisfaction rate of 96.7%(29/30), which was significantly better than the control The difference between the patients in the group was statistically significant(t =5.634,5.824,χ^2=13.264,14.258,P <0.05);the incidence of complications in the observation group was significantly better than that in the control group, and the difference was statistically significant. Conclusion For patients with acute myocardial infarction treated by emergency intravenous thrombolysis, targeted nursing intervention can effectively improve patients’ thrombolysis effect,nursing satisfaction, and reduce the occurrence of complications, which is worthy of promotion and application.