改良量化流程护理对急性心梗急救护理效果的影响

The Effect of Improved Quantitative Process Nursing on the Emergency Nursing of Acute Myocardial Infarction

目的研究急性心梗急救护理中应用改良量化流程护理的干预效果,对急救质量、急救下临床结局等方面展开研究并加以讨论。方法以江苏省泰州市人民医院急诊科2019年10月~2021年9月收治的100例急性心肌梗死患者为调查对象,通过随机数列设计分入均等的两组,即观察组(50例)与对照组(50例),其中观察组采取常规流程急救护理,对照组采取改良量化流程护理干预,分别对比两组急救护理干预下的急救质量、临床护理结局以及并发症发生情况。结果观察组出诊反应时间、首次心电图时间、院前急救总时间、门球时间、住院时间均低于对照组,有统计学意义(P<0.05);观察组ST段回落、胸痛缓解、心肌酶谱回落均低于对照组,有统计学显著意义(P<0.05);护理前两组差异无统计意义(P>0.05),护理后GCS评分高于对照组,差异显著(P<0.05);观察组并发症发生率4.00%显著低于对照组16.00%,差异性显著,有统计学意义(P<0.05)。结论改良量化急性心梗院前急救护理流程具有安全、有效的优势,能够提高急救质量的同时改善临床结局并且有效控制并发症的发生,积极推广具有重要意义。

Objective To study the intervention effect of modified quantitative process in acute myocardial infarc⁃tion,and to discuss the quality and clinical outcome of first aid.Methods 100 patients with acute myocardial in⁃farction admitted to the emergency department of Taizhou People's Hospital in Jiangsu Province from October 2020 to September 2021 were randomly divided equally into two groups,namely observation group(50 cases)and control group(50 cases).The observation group adopted the conventional process emergency care,and the control group adopted the improved quantitative process nursing intervention,The emergency care intervention quality,clinical nursing outcome and complications were compared.Results The reaction time,first ECG time,total time,hospitalization time in the observation group were lower than the control group(P<0.05);ST drop,chest pain relief and myocardial fall in the observation group were also lower than the control group(P<0.05).There was no significant difference between the two groups before nursing(P>0.05),but the GCS score after nursing was significantly higher than that of the control group(P<0.05);The incidence of complications in the observation group was 4.00%,which was significantly lower than that in the control group(16.00%,P<0.05).Conclusion The modified quantitative process is used in the emergency department of our hospital,which can improve the quality of first aid,improve the clinical outcome and effectively control the occurrence of complica⁃tions,which is of great significance.