优化急诊绿色通道护理模式对急性心肌梗死患者急救效率及不良心血管事件发生的影响

Effects of optimized emergency green channel nursing mode on first aid efficiency and adverse cardiovascular events in patients with acute myocardial infarction

目的观察优化急诊绿色通道护理模式对急性心肌梗死患者急救效率及不良心血管事件发生的影响。方法选择2020年4月—2022年4月本院收治的74例急性心肌梗死(Acute myocardial infarction,AMI)患者作为研究对象,按照入院时间顺序分为对照组(2020年4月—2021年4月)与观察组(2021年5月—2022年4月)两组,每组各37例。对照组实施常规急诊绿色通道护理,观察组实施优化急诊绿色通道护理模式。比较两组救治时间、救治成功率、心功能改善、不良心血管事件发生情况。结果观察组患者急诊出诊时间、现场急救时间、急诊至介入室或溶栓时间、抢救时间均短于对照组,差异有统计学意义(P<0.05);观察组患者救治成功率高于对照组,差异无统计学意义(P>0.05);两组患者救治前心功能分级比较,差异无统计学意义(P>0.05)。两组患者救治后心功能均得到改善,且观察组患者心功能改善优于对照组,差异有统计学意义(P<0.05);观察组患者不良心血管事件发生率低于对照组,差异有统计学意义(P<0.05)。结论优化急诊绿色通道护理模式可缩短AMI患者急救时间,改善患者心功能,降低不良心血管事件发生率,提高救治成功率。

Objective To observe the effect of optimized emergency green channel nursing mode on first aid efficiency and adverse cardiovascular events in patients with acute myocardial infarction.Methods The 74 patients suffered from acute myocardial infarction(AMI),those were admitted to our hospital from April 2020 to April 2022,were enrolled as study subjects.They were divided into control group(April 2020 to April 2021)and observation group(March 2021 to April 2022)according to their admission number,37 cases in each group.Conventional emergency green channel nursing mode was applied in the control group,while optimized emergency green channel nursing mode was applied in observation group.The treatment time,treatment success rate,cardiac function improvement and incidence of cardiovascular events were compared between the two groups.Results The time of emergency home visit,first aid time,time from emergency to intervention room or thrombolysis and time to rescue in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The success rate of treatment in observation group was higher than that in control group,however,the difference was not statistically significant(P>0.05).Before treatment,there was no significant difference in cardiac function grading between the two groups(P>0.05).After treatment,the improvement of cardiac function in both groups were better than those before treatment,and the improvement of cardiac function in the observation group was better than that in the control group,the difference was statistically significant(P<0.05).The incidence of adverse cardiovascular events in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusions Optimizing the emergency green channel nursing mode could shorten the emergency time of AMI patients,improve their cardiac function,reduce the incidence of adverse cardiovascular events,and improve the success rate of treatment.