针对性护理在心肌梗死院前急诊护理中的应用

Application of targeted nursing in pre-hospital emergency care of myocardial infarction

目的探析针对性护理在心肌梗死院前急诊护理中的应用意义。方法回顾性选取安徽省第二人民医院急诊医学科在2019年1月至2020年1月收治的心肌梗死患者80例作为研究对象。以随机数字表法完成分组,将应用常规院前急诊护理的40例患者设立为对照组,将应用针对性院前急诊护理的40例患者设立为观察组,干预结束时开展指标比较,包括出诊反应时间、首次心电监测时间、院前急救时间、转运时间、转运成功率、急救成功率、血管再通率、并发症率、护理满意度。结果观察组的出诊反应时间、首次心电监测时间、院前急救时间、转运时间短于对照组,差异有统计学意义(P<0.05);观察组的转运成功率、急救成功率、血管再通率高于对照组,差异有统计学意义(P<0.05);观察组的并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组的护理满意度高于对照组,差异有统计学意义(P<0.05)。结论在心肌梗死院前急诊护理中开展针对性护理,可为患者救治争取更多时间,提升对患者的抢救成功率以及护理满意度,降低不良事件的发生率,构建和谐护患环境,值得推广。

Objective To investigate the application significance of targeted nursing in pre-hospital emergency care of myocardial infarction.Methods A total of 80 patients with myocardial infarction admitted to the department of emergency medicine in Anhui No.2 Provincial People's Hospital from January 2019 to January 2020 were selected retrospectively,and they were divided into the control group(n=40)and the observation group(n=40)according to the random number table.The control group was treated with conventional pre-hospital emergency care,while the observation group was treated with targeted pre-hospital emergency care.At the end of intervention,the indexes such as outpatient reaction time,first ECG monitoring time,pre-hospital first aid time,transfer time,transfer success rate,first aid success rate,vascular recanalization rate,incidence of complications and nursing satisfaction were compared.Results The outpatient reaction time,first ECG monitoring time,pre-hospital first aid time and transfer time of the observation group were shorter than those of the control group,with statistically significant differences(P<0.05).The success rate of transfer,emergency success rate and vascular recanalization in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).The incidence of complications in the observation group was lower than that in the control group,with statistically significant difference(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,with statistically significant difference(P<0.05).Conclusion Targeted nursing in the pre-hospital emergency care of myocardial infarction can win more time for patients'treatment,improve the success rate of rescue and nursing satisfaction,reduce the incidence of adverse events,and build a harmonious nurse-patient environment,which is worthy o f promotion.