标准流程化急救护理在急性心肌梗死患者中的临床效果

Clinical effect of standard process emergency care in patients with acute myocardial infarction

目的 探究标准流程化急救护理在急性心肌梗死患者中的应用效果。方法 选取如皋市中医院在2019年6月—2022年5月期间急诊科收治的102例急性心肌梗死患者作为研究对象,随机分为对照组和干预组,对照组51例实施常规急救护理措施,干预组51例实施标准流程化急救护理措施,对两组临床急救效果、不良心脏事件(MACE)、急救成功率及护理满意度等情况进行对比。结果 干预组在预检分诊、首次心电图时间、静脉通道开放时间、急诊室停留时间、PCI治疗时间、再灌注时间均短于对照组,差异存在统计学意义(P<0.05);干预组在心律失常、再次梗死、心力衰竭、心脏破裂等心脏不良事件发生率低于对照组;急救成功率高于对照组,差异存在统计学意义(P<0.05);干预组在急救护理质量满意度各项评分高于对照组,差异存在统计学意义(P<0.05)。结论 对如皋市中医院收治的急性心肌梗死患者实施标准流程化急救护理,可有效缩短患者各个急救环节耗时,降低心脏不良事件发生率,提高其急救效率及护理质量满意程度。

Objective To study clinical effect on the standard process emergency care in patients with acute myocardial infarction(AMI).Methods A total of 102 patients with AMI who were admitted to the emergency department of Rugao Hospital of Traditional Chinese Medicine from June 2019 to May 2022 conducted this study.All patients were randomly divided into two groups(control group and intervention group).51 cases as control group received routine emergency care;another 51 patients as the intervention group received standard process emergency care.The first-aid effects;major adverse cardiovascular events(MACE);first-aid efficiency and care satisfaction were analyzed and compared between two groups.Results There were statistically differences between two groups in the pre-examination triage,first electrocardiogram time,venous access time,emergency room stay time,PCI treatment time and reperfusion time(P<0.05).The incidence of MACE such as arrhythmia,reinfarction,heart failure and heart rupture in the intervention group was lower than those of the control group.The success rate in the intervention group was higher than that of control group,and the difference was statistically significant(P<0.05).The scores of emergency care satisfaction in the intervention group were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of standard process emergency care for patients with AMI admitted to our hospital can effectively improve the level of care and reduce MACE.Emergency care satisfaction are recognized.