基于零缺陷理论的急救护理对急性心肌梗死患者预后结局的影响

Effect of Emergency Care Based on Zero-defect Theory on Prognostic Outcomes of Patients with Acute Myocardial Infarction

目的:观察零缺陷理论引导下的急救护理对改善急性心肌梗死(AMI)患者预后的影响。方法:回顾性分析2020年1月—2022年1月商丘市立医院收治的107例AMI患者的病例资料,经抽签法将其分为观察组(54例)和对照组(53例)。对照组予以常规急救护理干预,观察组实施基于零缺陷理论的急救护理干预,比较两组患者的抢救情况并对患者进行护理满意度调查。两组患者出院后均开展为期6个月的短期随访,比较随访期间的不良事件发生情况及生活质量。结果:观察组患者接诊至入院时间、病情评估时间、抢救时间、转入普通病房时间、住院时间均短于对照组,抢救成功率高于对照组,差异有统计学意义(t=31.150、70.189、25.429、244.938、22.243,P<0.05;χ^(2)=4.394,P<0.05);护理满意度评分高于对照组,差异有统计学意义(t=40.608,P<0.05);随访期间,观察组患者不良事件发生率低于对照组,差异有统计学意义(χ^(2)=5.753,P<0.05);生存质量测定量表简表(WHOQOL-BREF)各维度评分高于对照组,差异有统计学意义(t=59.534、37.003、54.708、50.346,P<0.05)。结论:对AMI患者实施基于零缺陷理论下的急救护理可显著优化其抢救效果,对提升AMI患者的抢救成功率、护理满意率,降低不良事件发生风险、改善生活质量及预后均有积极意义。

Objective:To observe the effect of emergency care guided by zero-defect theory on improving the prognosis of patients with acute myocardial infarction(AMI).Methods:107 cases of AMI patients admitted to the hospital from January 2020 to January 2022 were selected as the study subjects,and they were divided into observation group(54 cases)and control group(53 cases)by lottery method.The control group was given conventional emergency nursing intervention,and the observation group implemented emergency nursing based on zero-defect theory.The rescue situation of patients in the two groups was compared,and a nursing care satisfaction survey was conducted.The patients in both groups were discharged from the hospital for a short-term follow-up period of 6 months,and the occurrence of adverse events and quality of life during the follow-up period were compared.Results:Under different care modes,the observation group’s time from reception to admission,time for condition assessment,time for resuscitation,time for transfer to the general ward,and time for hospitalization were lower than those of the control group,and the resuscitation success rate was higher than that of the control group,and the difference was statistically significant(t=31.150,70.189,25.429,244.938,22.243,P<0.05;χ^(2)=4.394,P<0.05).The nursing satisfaction score of the observation group was higher than that of the control group,and the difference was statistically significant(t=40.608,P<0.05).During the follow-up period,the incidence of adverse events in the observation group was lower than that in the control group,and the difference was statistically significant(χ^(2)=5.753,P<0.05),and the scores of the dimensions of the Quality of Survival Measurement Scale Brief Form(WHOQOL-BREF)were higher than those in the control group,and the difference was statistically significant(t=59.534,37.003,54.708,50.346;P<0.05).Conclusion:The implementation of emergency care based on zero-defect theory for AMI patients can significantly optimize their resuscitation effect,which is of positive significance in improving the resuscitation success rate and nursing satisfaction rate,reducing the risk of adverse events,and improving the quality of life and prognosis of AMI patients.