基于循证理论的手术室护理流程优化在急性心肌梗死介入术中的应用价值

Application value of nursing process optimization in operating room based on evidence-based theory in percutaneous coronary intervention of acute myocardial infarction

目的分析基于循证理论的手术室护理流程优化在急性心肌梗死介入术中的应用价值。方法选择2020年1月至2021年12月我院收治的100例急性心肌梗死介入术患者进行研究,根据入院时间将其分为对照组和观察组,每组50例。对照组接受常规手术室护理,观察组则在对照组基础上加施基于循证理论的手术室护理流程优化。比较两组的干预效果。结果观察组的TIMI心肌灌注分级(TMPG)情况显著优于对照组(P<0.05)。出手术室时,观察组的N-末端脑钠肽前体(NT-proBNP)、心肌肌钙蛋白I(cTnI)水平均低于对照组(P<0.05)。术后24 h,观察组的促肾上腺皮质激素(ACTH)、促肾上腺皮质激素释放激素(CRH)水平均低于对照组(P<0.05)。观察组的护理缺陷总发生率、不良事件总发生率、ICU入住率均低于对照组(P<0.05)。结论基于循证理论的手术室护理流程优化可提高急性心肌梗死介入术患者的心肌灌注效果,缓解心肌损伤及应激反应,降低护理缺陷发生率、不良事件发生率以及ICU入住率,值得推广。

Objective To analyze the application value of nursing process optimization in operating room based on evidence-based theory in percutaneous coronary intervention of acute myocardial infarction.Methods A total of 100 patients with acute myocardial infarction undergoing percutaneous coronary intervention treated in our hospital from January 2020 to December 2021 were selected for the study.According to the admission time,the patients were divided into control group and observation group,with 50 cases in each group.The control group received routine operating room nursing,and the observation group received nursing process optimization in operating room based on evidence-based theory on the basis of the control group.The intervention effects of the two groups were compared.Results The TIMI myocardial perfusion grading(TMPG)of the observation group was significantly better than that of the control group(P<0.05).When leaving the operating room,the levels of N-terminal probrain natriuretic peptide(NT-proBNP)and cardiac troponin I(cTnI)in the observation group were lower than those in the control group(P<0.05).At 24 h after operation,the adrenocorticotropic hormone(ACTH)and corticotropin releasing hormone(CRH)levels in the observation group were lower than those in the control group(P<0.05).The total incidence of nursing defects,the total incidence of adverse events and the ICU occupancy rate in the observation group were lower than those in the control group(P<0.05).Conclusion The nursing process optimization in operating room based on evidence-based theory can improve the myocardial perfusion effect of patients with acute myocardial infarction undergoing percutaneous coronary intervention,alleviate myocardial injury and stress response,and reduce the incidences of nursing defects,adverse events and ICU occupancy,which is worthy of promotion.