急诊护理路径联合音乐干预、穴位敷贴疗法在急性心肌梗死急救过程中的应用效果

The application effect of emergency nursing pathway combined with music intervention and acupoint application therapy in the emergency treatment of acute myocardial infarction

目的探析急诊护理路径联合音乐干预、穴位敷贴疗法在急性心肌梗死急救过程中的应用效果。方法回顾性分析,选取2022年1月-2023年6月收治的急性心肌梗死患者120例临床资料,以随机数字表法分为对照组和观察组,每组各60例,对照组给予急诊护理路径,观察组行急诊护理路径联合音乐干预、穴位敷贴疗法干预。比较两组总体疗效、临床指标(住院时间、卧床时间以及治疗费用)、情绪及疼痛评分[汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)、视觉模拟评分法(VAS)]以及满意度。结果观察组总有效率高于对照组,差异有统计学意义(P<0.05);观察组住院时间以及卧床时间均短于对照组,差异有统计学意义(P<0.05);两组治疗费用比较,差异不明显(P>0.05);干预后,两组HAMD、HAMA以及VAS评分均低于干预前,且观察组各指标变化更明显,差异有统计学意义(P<0.05);观察组满意度优于对照组,差异有统计学意义(P<0.05)。结论急诊护理路径联合音乐干预、穴位敷贴疗法可有效提高急性心肌梗死患者干预疗效,改善临床指标,调节心理状态,提高护理满意度。

Objective To explore the application effect of emergency nursing pathway combined with music intervention and acupoint application therapy in the emergency treatment of acute myocardial infarction.Method A retrospective analysis was conducted,selecting clinical data of 120 patients with acute myocardial infarction admitted from January 2022 to June 2023.They were randomly divided into a control group and an observation group using a random number table method,with 60 cases in each group.The control group received emergency nursing pathway,while the observation group received emergency nursing pathway combined with music intervention and acupoint application therapy intervention.Compare the overall efficacy,clinical indicators(length of hospital stay,bed rest time,and treatment costs),emotional and pain scores[Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA),Visual Analog Scale(VAS)],and satisfaction between two groups.Results The effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05);the hospitalization time and bed rest time of the observation group were shorter than those of the control group,and the difference was statistically significant(P<0.05);the difference in treatment costs was not significant(P>0.05);after intervention,the HAMD,HAMA,and VAS scores of both groups were lower than before intervention,and the observation group showed more significant changes in various indicators,with statistical differences(P<0.05);the satisfaction of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The combination of emergency nursing pathway,music intervention,and acupoint application therapy can effectively improve the intervention efficacy of acute myocardial infarction patients,improve clinical indicators,regulate psychological status,and increase nursing satisfaction.