急性心肌梗死患者实施院前急救个体化护理干预

Individualized nursing intervention of pre hospital first aid for patients with acute myocardial infarction

目的 探究在急性心肌梗死患者实施院前急救过程中应用个体化护理干预的效果,提高院前急救成功率。方法选取天津市急救中心2020年1—12月接诊、救治的130例急性心肌梗死患者的临床资料作为研究对象,根据院前接受不同的护理干预分为对照组和研究组各65例,对照组实施常规院前急救护理干预,研究组在对照组基础上应用个体化护理干预,对两组患者的急救反应时间、急诊等待时间、现场急救时间、转运成功率、急救成功率、并发症发生率等指标展开比较分析。结果 研究组急救反应时间、现场急救时间与对照组比较,差异无统计学意义(P>0.05);研究组患者急诊等待时间明显短于对照组,差异有统计学意义(P<0.05)。研究组转运成功率为95.38%,并发症发生率为13.85%,急救成功率为93.85%,明显优于对照组的76.92%、33.85%、80.00%,差异均有统计学意义(P<0.05)。结论 在急性心肌梗死患者的院前急救过程中,个体化护理干预的实施可进一步提升临床护理效果,可提供更为及时、有效的治疗以及护理,为患者的生命安全提供重要保障,具有临床推广应用价值。

Objective To explore the effect of individualized nursing intervention in the implementation of pre hospital first aid in patients with acute myocardial infarction,in order to improve the success rate of pre hospital first aid. Methods The clinical data of 130 patients with acute myocardial infarction received and treated by Tianjin Medical Emergency Center from January 2020 to December 2020 were selected as the research object. According to the different nursing intervention received by the patients,they were divided into control group and study group with 65 cases in each group,and control group received routine pre hospital emergency nursing intervention and the study group received individualized nursing intervention based on the control group. The indicators of emergency response time,emergency waiting time,on-site first aid time,transfer success rate,first aid success rate and complication rate of the two groups of patients were compared and analyzed. Results There was no significant difference in the emergency response time and on-site first aid time between the study group and the control group(P>0.05);and the emergency waiting time of the patients in the study group was significantly shorter than that in the control group,and the difference was statistically significant(P <0.05). The 95.38% of transfer success rate,13.85% of complication rate,and 93.85% of first aid success rate in the study group were significantly better than those in the control group with 76.92%,33.85% and 80.00%,and the differences were statistically significant(P<0.05). Conclusion In the process of pre hospital first aid for patients with acute myocardial infarction,the implementation of individualized nursing intervention could further improve the clinical nursing effect,provide patients with more timely and effective treatment and nursing,and provide important guarantee for the life safety of patients,which had clinical popularization and application value.