多轨道病情分级管理方式对ST段抬高型心肌梗死患者行急诊经皮冠状动脉介入治疗的干预效果

Effects of multi⁃track graded disease management on the patients with STEMI undergoing emergency PCI

目的探究多轨道病情分级管理方式对ST段抬高型心肌梗死(ST-segment elevation myocardial infarction,STEMI)患者行急诊经皮冠状动脉介入术(percutaneous coronary intervention,PCI)治疗的干预效果。方法选取2020年1月至2022年6月海军军医大学第一附属医院急诊科收治的STEMI行PCI治疗患者137例,按照数字表法随机将其分为研究组和对照组,研究组采用多轨道病情分级管理方式进行护理,69例,对照组采用常规病情分级管理方式,68例。比较研究组和对照组患者总体救治情况、护理质量、生活质量[采用生活质量综合评定问卷(general quality of life inventory 74,GQOLI-74)进行评估]、不良事件发生率及护理满意度的差异。结果研究组患者总体救治情况明显优于对照组(P<0.05)。研究组病区护理质量及患者的生活质量高于对照组(P<0.001)。研究组患者严重心律失常、休克、心衰等不良事件的发生率低于对照组(P<0.05),护理满意度高达98.55%。结论多轨道病情分级管理方式在STEMI患者行急诊PCI治疗中具有明显优势,既能提高患者的救治成功率,又能取得良好的护理效果和提高满意度,值得推广。

Objective To explore the intervention effects of multi⁃track disease grading management on emergency percutaneous coronary intervention(PCI)in the patients with STEMI(ST⁃segment elevation myocardial infarction).Methods The STEMI patients who underwent PCI in the Emergency Department of the First Affiliated Hospital from January 2020 to June 2022 were recruited for study and were divided into the study group and the control group according to the random number table method.The study group received multi⁃track disease grading management nursing,while the control group was given conventional disease grading management intervention.The differences in overall treatment,nursing quality,life quality(by using the general quality of life inventory 74,GQOLI⁃74),rate of adverse events and nursing satisfaction were compared between the patients of the two groups.Results Enrolled in the study were 137 patients,of whom 69 were designated as the study group and 68 were designated as the control group.The overall treatment of the study group was significantly superior to that of the control group,and the nursing quality and the life quality of the patients significantly improved,at the same time,the rates of such adverse events as severe arrhythmia,shock and heart failure effectively decreased(P<0.05),and nursing satisfaction rate reached as high as 98.55%.Conclusions The multi⁃track disease grading management has obvious advantages in the STEMI patients undergoing PCI intervention.It could not only increase the success rate of emergency treatment,but also achieve good nursing effects and the rate of satisfaction.Therefore,it is worth further promotion.