程序化急诊急救护理对AMI患者急救效果及家属满意度分析

Analysis of the Effect of Programmed Emergency Care on AMI Patients and their Family Members Satisfaction

目的探究程序化急诊急救护理对急性心肌梗死(AMI)患者临床转归和抢救效率的影响,并分析患者家属对护理服务的满意度。方法以77例急性心肌梗死患者作为研究观察对象,对临床基础资料进行回顾性分析,根据护理方案不同将患者分为两组,程序化急诊急救护理组(程序化组)患者39例,常规护理组(对照组)患者38例。对照组的护理方法为常规急诊急救护理,程序化组则调整为程序化急诊急救护理。统计并比较两组临床转归情况(急救成功率、不良心脏事件发生率)及抢救效率指标水平。结果程序化组患者急救成功率为97.44%,不良心脏事件发生率为7.69%,患者家属对护理服务满意度为97.44%;对照组患者急救成功率为78.95%,不良心脏事件发生率为26.32%,患者家属对护理服务满意度为78.95%,上述指标两组相比差异均具有统计学意义(P均<0.05)。与对照组相比,抢救效率指标(首次心电图检查时间、抢救时间及病情缓解时间)程序化组均短于对照组,经检验差异具有统计学意义(P均<0.05)。结论对急性心肌梗死患者实施程序化急诊急救护理可以改善抢救效率,提高抢救成功率,减少不良心脏事件发生率。

Objective To explore the effect of programmed emergency nursing on clinical outcome and rescue efficiency of patients with acute myocardial infarction(AMI),and analyze the satisfaction of patients'families with nursing services.Methods 77 patients with AMI were taken as the research objects,and the clinical basic data were retrospectively analyzed.According to different nursing plans,the patients were divided into two groups:39 patients in the programmed emergency care group(the programmed group)and 38 patients in the conventional care group(the control group).The nursing method of the control group was routine emergency nursing,while that of the programmed group was adjusted to the programmed emergency nursing.The clinical outcomes(first aid success rate,incidence of adverse cardiac events)and rescue efficiency indexes of the two groups were statistically compared.Results In the programmed group,the success rate of first aid was 97.44%,the incidence of adverse cardiac events was 7.69%,and the satisfaction rate of patients'families on nursing services was 97.44%,while in the control group,the success rate of first aid was 78.95%,the incidence of adverse cardiac events was 26.32%,and the satisfaction rate of patients'families on nursing services was 78.95%.The above indexes were statistically significant between the two groups(all P<0.05).Compared with the control group,the rescue efficiency index(first ECG examination time,rescue time and disease remission time)of the programmed group was shorter,and showed the statistically difference(all P<0.05).Conclusion The implementation of programmed emergency nursing for patients with AMI can improve the success rate of rescue,increase the rescue efficiency and reduce the incidence of adverse cardiac events.