急诊介入护理流程对提升急性ST段抬高型心肌梗死患者抢救成功率的效果

Effect of Emergency Interventional Nursing Procedure on Improving the Success Rate of Rescue in Patients with Acute ST-segment Elevation Myocardial Infarction

目的探讨急诊介入护理流程对提升急性ST段抬高型心肌梗死(STEMI)患者抢救成功率的效果。方法选取2019年1月至2021年5月周口市中医院收治的86例STEMI患者作为研究对象。按信封法将患者分为参照组和优化组,各43例。参照组接受常规急诊护理流程,优化组接受急诊介入护理流程。比较两组患者抢救后抢救成功率、再行介入术率、复发率、流程优化相关指标、住院费用、住院时间及卧床时间。结果流程优化后,优化组心脏抢救成功率高于参照组,再行介入术率、复发率、住院时间、住院费用及卧床时间低于参照组(P<0.05)。优化组接诊至心电图时间、导管室时间、给药时间、介入时间及接诊至转移科室时间均短于参照组(P<0.05)。结论运用急诊介入护理流程可提高STEMI抢救成功率,缩短住院时间、卧床时间及住院花费,减少疾病复发。

Objective To explore the effect of emergency interventional nursing procedure on improving the success rate of rescue in patients with acute ST-segment elevation myocardial infarction(STEMI).Methods A total of 86 patients with STEMI admitted to Zhoukou Traditional Chinese Medicine Hospital from January 2019 to May 2021 were selected as the research objects.According to the envelope method,they were divided into the reference group and the optimization group,with 43 cases in each group.The reference group received routine emergency care procedures,and the optimization group received emergency interventional care procedures.The rescue success rate,reintervention rate,recurrence rate,related indexes of process optimization,hospitalization cost,length of hospital stay and bed time were compared between the two groups of patients.Results After process optimization,the success rate of cardiac rescue in the optimization group was higher than that in the reference group,and the rate of reintervention,recurrence rate,length of hospital stay,hospitalization cost and bed time in the optimization group were lower than that in the reference group(P<0.05).The time from admission to ECG,catheterization room,administration time,intervention time and admission to metastasis department in the optimization group were shorter than those in the control group(P<0.05).Conclusion The application of emergency interventional nursing procedure can improve the rescue success rate of STEMI,shorten the length of stay,bed time and hospitalization cost,reduce disease recurrence.