急性心肌梗死患者院前急救临床护理路径效果观察

Observation on the Effect of Clinical Nursing Pathway in Pre-Hospital Emergency Care for Patients with Acute Myocardial Infarction

目的:评估院前急救临床护理路径在急性心肌梗死患者中的应用效果。方法:我们选取2022年5月至2023年5月期间接受院前急救并在我院治疗的急性心肌梗死患者90例,随机分为观察组和对照组,每组45例。观察组执行院前急救临床护理路径,对照组接受常规护理。比较两组患者的院前处置时间、抵达急诊后处理时间、住院时间和心功能Killip分级。结果:观察组患者的院前处置时间、抵达急诊后处理时间、住院时间等均显著低于对照组,差异具有统计学意义(P < 0.01)。同时,观察组患者的心功能Killip分级显著优于对照组(P < 0.01)。结论:院前急救临床护理路径可以有效缩短急性心肌梗死患者的处理时间,改善患者的心功能状态,值得在临床上广泛推广。

Objective: To evaluate the application effect of pre-hospital emergency clinical nursing pathway in patients with acute myocardial infarction. Methods: We selected 90 patients with acute myocardial infarction who received pre-hospital first aid and were treated in our hospital from May 2022 to May 2023, and randomly divided them into observation group and control group, with 45 cases in each group. The observation group carried out pre-hospital emergency clinical nursing path, while the control group received routine nursing. The pre-hospital treatment time, post-treatment time after arrival in emergency department, hospitalization time and Killip grading of cardiac function were compared between the two groups. Results: The pre-hospital treatment time, post-emer-gency treatment time and hospitalization time of patients in the observation group were significantly lower than those in the control group, with statistical significance (P < 0.01). At the same time, the Killip grading of cardiac function in the observation group was significantly better than that in the control group (P < 0.01). Conclusion: Pre-hospital emergency clinical nursing pathway can effectively shorten the treatment time of patients with acute myocardial infarction and improve the cardiac function of patients, which is worth popularizing in clinic.