急性心肌梗死患者实施急诊护理干预的效果观察

Effect Observation of Emergency Nursing Intervention on Patients with Acute Myocardial Infarction

目的总结分析急性心肌梗死患者在实施急诊护理干预后的应用效果。方法选择2021年2月-2022年10月本院收治的160例急性心肌梗死患者作为研究分析的样本,按随机分组法分为对照组和观察组,每组各80例,分别采用常规护理、急诊护理干预方案,观察对比两组患者急诊停留时间、急救用时、急性心肌梗死复发率、术后卧床时间、住院时间、护理前后评估心功能指标,包括LVESD(左心室收缩末期内径长度)、LVEDD(左心室舒张极限内径长度)、LVEF(左心室射血分数)。结果(1)观察组急诊停留时间、急救用时、术后卧床时间、住院时间均短于对照组,急性心肌梗死复发率明显低于对照组,差异有统计学意义(P<0.05);(2)两组患者在积极治疗、护理后,心功能指标均得到了显著改善;对比护理后两组患者的心功能指标,发现观察组护理后LVESD、LVEDD、LVEF均优于对照组,差异有统计学意义(P<0.05)。结论急性心肌梗死患者实施急诊护理干预的应用效果显著,可更好地缩短危急重症患者急救时间,提高急诊患者的救治成功率,也提高急诊科运转效率,对急性心肌梗死患者来说急诊护理干预还可以更好地改善患者的心功能指标,值得推广使用。

Objective To summarize and analyze application effect of emergency nursing intervention for patients with acute myocardial infarction.Methods The paper chose 160 patients with acute myocardial infarction admitted to our hospital from February 2021 to October 2022 as study sample,and divided them into control group and observation group randomly and evenly according to nursing methods.Control group and observation group each included 80 cases,treated with routine nursing and emergency nursing intervention scheme.Emergency stay time,emergency time,recurrence rate of acute myocardial infarction,postoperative bed rest time,length of stay was observed between two groups,cardiac function indexes were evaluated before and after nursing,including LVESD(left ventricular end systolic diameter length),LVEDD(left ventricular diastolic limit diameter length)and LVEF(left ventricular ejection fraction).Results①Observation group had shorter emergency stay time(10.5±1.6)minutes,emergency time(42.1±1.9)minutes,postoperative bed rest time(40.5±2.1)days and length of stay(8.5±0.9)days than control group.Recurrence rate of acute myocardial infarction(6.25%)was significantly lower than control group,with significant difference(P<0.05).②After Curative care and nursing,cardiac function indexes between two groups were significantly improved.Cardiac function indicators showed between two groups after nursing,observation group had better LVESD(43.5±1.6)mm,LVEDD(52.2±1.6)mm and LVEF(46.2±1.5)%after nursing than control group,with significant difference(P<0.05).Conclusion Emergency nursing intervention can achieve significant effect for patients with acute myocardial infarction,can shorten emergency response time of critically ill patients,improve success rate of emergency treatment and operational effect of emergency department,can improve cardiac function indicators,which is worthy of promotion and application.