无缝隙衔接护理联合医护一体化急救模式在急性心肌梗死患者中的应用

Seamless bridging nursing care combined with integrated healthcare emergency care model in patients with acute myocardial infarction

目的:探讨无缝隙衔接护理联合医护一体化急救模式在急性心肌梗死(AMI)患者中的应用效果。方法:选取医院收治的260例AMI患者进行回顾性分析,将2021年10月-2022年4月收治的130例采取常规护理及急救模式的心肌梗死患者做为对照组,将2022年5月-10月收治的130例采取无缝隙衔接护理联合医护一体化急救模式的AMI患者做为观察组,对比两组患者救治时间,干预前后心肌肌钙蛋白I(cTnI)、肌酸激酶同工酶(CK-MB)、肌酸激酶(CK)及心功能指标变化,并对比风险事件、不良心血管事件发生率以及患者对护理的满意度调查情况。结果:观察组患者抢救总时间、会诊到确诊、分诊到会诊、接诊到分诊以及出诊反应时间明显低于对照组(P<0.05)。治疗后,两组患者cTnI、CK-MB、CK、BNP水平均降低,且观察组低于对照组(P<0.05);两组患者LVEF均升高,且观察组明显高于对照组(P<0.05);观察组患者风险事件、心血管不良事件发生率明显低于对照组,其患者护理总满意度明显高于对照组(P<0.05)。结论:无缝隙衔接护理联合医护一体化急救模式可缩短AMI患者的救治时间,改善心肌酶谱水平及心功能,降低风险事件与不良心血管事件发生率,患者满意度较高。

Objective:To investigate the effect of seamless articulated nursing care combined with integrated healthcare emergency care model in patients with acute myocardial infarction(AMI).Method:A total of 260 AMI patients admitted to our hospital were retrospectively analysed,of which 130 myocardial infarction patients admitted from October 2021 to April 2022 with conventional care and emergency treatment were divided into the control group,and 130 AMI patients admitted from May to October 2022 with seamless nursing care combined with the integrated medical and nursing emergency treatment model were divided into the observation group.Then,the time of treatment of the two groups was compared,and the changes of cardiac troponin I(cTnI),creatine kinase isoenzyme(CK-MB),creatine kinase(CK)and cardiac function indexes were compared before and after the intervention,and the incidence of risky events,adverse cardiovascular events,and the patients'satisfaction with the nursing care were also compared.Result:The total rescue time,consultation to diagnosis,triage to consultation,reception to triage,and consultation response time of the observation group patients were significantly lower than those of the control group(P<0.05).After treatment,the levels of cTnI,CK-MB,CK,and BNP in both groups of patients decreased,and the observation group was lower than the control group(P<0.05);LVEF increased in both groups of patients,and the observation group was significantly higher than the control group(P<0.05);The incidence of risk events and cardiovascular adverse events in the observation group was significantly lower than that in the control group,and the patient satisfaction with nursing care was significantly higher than that in the control group(P<0.05).Conclusion:Seamless bridging care combined with an integrated healthcare emergency care model can shorten the time to rescue for AMI patients,improve myocardial enzyme profile levels and cardiac function,and reduce the incidence of risky events and adverse cardiovascular events,while obtaining a higher level of patient satisfaction.