全程优化急诊护理在老年急性心肌梗死患者中的应用效果

Application effects of optimized whole-course emergency nursing in elderly patients with acute myocardial infarction

目的:观察全程优化急诊护理在老年急性心肌梗死患者中的应用效果。方法:选取2020年1月至2021年1月该院收治的140例老年急性心肌梗死患者进行前瞻性研究,按照随机数字表法将其分为观察组与对照组各70例。对照组采用常规急诊护理,观察组采用全程优化急诊护理。比较两组抢救时间(院前接诊时间、分诊时间、急诊室急救时间)、抢救成功率、再梗死率和护理满意度。结果:观察组院前接诊时间、分诊时间、急诊室急救时间均短于对照组,差异有统计学意义(P<0.05);观察组抢救成功率高于对照组,再梗死率低于对照组,差异均有统计学意义(P<0.05);观察组护理满意度为95.71%(67/70),高于对照组的85.71%(60/70),差异有统计学意义(P<0.05)。结论:全程优化急诊护理应用于老年急性心肌梗死患者可提高抢救成功率和护理满意度,缩短抢救时间,以及降低再梗死率的效果优于常规护理效果。

Objective:To observe application effects of optimized whole-course emergency nursing in elderly patients with acute myocardial infarction.Methods:A prospective study was conducted on 140 elderly patients with acute myocardial infarction admitted to the hospital from January 2020 to January 2021.According to the random number table method,they were divided into observation group and control group,70 cases in each group.The control group was given routine emergency nursing,while the observation group was given optimized whole-course emergency nursing.The rescue time(pre-hospital admission time,triage time,emergency roomfirst aid time),the rescue success rate,the re-infarction rate,and the nursing satisfaction were compared between the two groups.Results:The pre-hospital admission time,the triage time and the emergency roomfirst aid time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).The rescue success rate of the observation group was higher than that of the control group,the re-infarction rate was lower than that of the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 95.71%(67/70),which was higher than 85.71%(60/70)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The optimized whole-course emergency nursing in the elderly patients with acute myocardial infarction can improve the rescue success rate and the nursing satisfaction,shorten the rescue time,and reduce the re-infarction rate.Moreover,it is superior to simple routine nursing.