Discharging patients home from the intensive care unit:A new trend

Discharging patients directly to home from the intensive care unit(ICU)is becoming a new trend.This review examines the feasibility,benefits,challenges,and considerations of directly discharging ICU patients.By analyzing available evidence and healthcare professionals'experiences,the review explores the potential impacts on patient outcomes and healthcare systems.The practice of direct discharge from the ICU presents both opportunities and complexities.While it can potentially reduce costs,enhance patient comfort,and mitigate complications linked to extended hospitalization,it necessitates meticulous patient selection and robust post-discharge support mechanisms.Implementing this strategy successfully mandates the availability of home-based care services and a careful assessment of the patient's readiness for the transition.Through critical evaluation of existing literature,this review underscores the significance of tailored patient selection criteria and comprehensive post-discharge support systems to ensure patient safety and optimal recovery.The insights provided contribute evidence-based recommendations for refining the direct discharge approach,fostering improved patient outcomes,heightened satisfaction,and streamlined healthcare processes.Ultimately,the review seeks to balance patientcentered care and effective resource utilization within ICU discharge strategies.

Effects of health concept model-based detailed behavioral care on mood and quality of life in elderly patients with chronic heart failure

BACKGROUND With the intensification of social aging,the susceptibility of the elderly population to diseases has attracted increasing attention,especially chronic heart failure(CHF)that accounts for a large proportion of the elderly.AIM To evaluate the application value of health concept model-based detailed behavioral care in elderly patients with CHF.METHODS This study recruited 116 elderly CHF patients admitted from October 2018 to October 2020 and grouped them according to the nursing care that they received.The elderly patients who underwent health concept model-based detailed behavioral care were included in a study group(SG;n=62),and those who underwent routine detailed behavioral nursing intervention were included as a control group(CG;n=54).Patients’negative emotions(NEs),quality of life(QoL),and nutritional status were assessed using the self-rating anxiety/depression scale(SAS/SDS),the Minnesota Living with Heart Failure Questionnaire(MLHFQ),and the Modified Quantitative Subjective Global Assessment(MQSGA)of nutrition,respectively.Differences in rehabilitation efficiency,NEs,cardiac function(CF)indexes,nutritional status,QoL,and nursing satisfaction were comparatively analyzed.RESULTS A higher response rate was recorded in the SG vs the CG after intervention(P<0.05).After care,the left ventricular ejection fraction was higher while the left ventricular end-diastolic dimension and left ventricular end systolic diameter were lower in the SG compared with the CG(P<0.05).The post-intervention SAS and SDS scores,as well as MQSGA and MLHFQ scores,were also lower in the SG(P<0.05).The SG was also superior to the CG in the overall nursing satisfaction rate(P<0.05).CONCLUSION Health concept model-based detailed behavioral care has high application value in the nursing care of elderly CHF patients,and it can not only effectively enhance rehabilitation efficiency,but also mitigate patients’NEs and improve their CF and QoL.

Towards an Effective Communication in the Care of Patients with Long Term Disease in Kenya via Cybernetic—A Systematic Review

In this paper, to effectively treat chronic disorders and improve the standard of care, effective communication between patients and healthcare professionals was essential. The aim of the study was to review the literature on how good communication might improve treatment outcomes for Kenyan patients with chronic and terminal illnesses and to determine whether Cybernetic electronic communication can improve those outcomes even more. We uncovered the history of treatment outcomes for chronic and terminal diseases in this research study, both with and without communication at the core of the patient’s care plan. We discussed the importance of good communication in the treatment of patients with chronic and terminal illnesses and why it is a momentous endeavor comparable to medical diagnosis and treatment for the long-term health of patients. To locate pertinent material for the background literature study, we carried out a comprehensive literature search. Although the preliminary literature review was a continuation of the introduction research, it also highlighted the paucity of local Kenyan literature and suggested that improved communication might help patients with chronic and terminal illnesses have better treatment outcome. Methodology maintained the literature search, as a systematic literature review focused on core of the study, making separate sections of the same body necessary. This ensured that a methodological literature search section is as comprehensive as possible. We used an integrated PRISM model to limit a comprehensive literature search and a systematic literature review design as part of the overall process. Non-probability sampling and snowball approaches on literary papers over the previous 17 years were used in this arrangement. Since this was a multidisciplinary study, the four experts who also serve as authors were chosen from within their respective fields of expertise to design the study. They created search strategies, generated key words, looked up keywords in database engines, assessed the results of the literature using the PRISMA logical model, looked over successful literature, and triangulated their findings. The conclusions of the experts individually revealed a convergence of thoughts, beliefs, and practices across. The study concluded that even though there isn’t much research done in Kenya on the same subject;what is available illustrates how crucial good communication is for patients with chronic illnesses. The study’s findings also highlighted the positive effects of effective communication between patients and healthcare professionals on treatment plan adherence, patient satisfaction, and overall health outcomes. The results also noted that in order to improve patient care and outcome, Kenyan healthcare workers should underscore developing their communication skills. The study also found that the incorporation of cybernetics is crucial if a truly effective communication is required so as to enable centered care for patients with long-term diseases in Kenya. The goal of the Cybernetics is to activate genuinely effective communication in the care of Patients with long-term disease in Kenya. This study is organized to begin with an abstract, followed by keywords, an introduction, literature review, methodology, findings, discussion, and finally conclusions.

Patient Safety,Adverse Healthcare Events and Near-Misses in Obstetric Care—A Systematic Literature Review

Systematic development of a patient safety culture is necessary because lack of quality care leads to human suffering. The aim of this review was to identify evidence of obstetric adverse events (AEs) and near-misses in the context of patient safety. We conducted a search of the published literature from Europe, Australia and the USA in the following databases: Cinahl, Cochrane, Maternity and Infant Care, Ovid, Pro-quest and PubMed, guided by PRISMA procedures. A total of 427 studies were screened, 15 full papers retrieved and nine studies included in the final thematic analysis. The selected papers address a broad spectrum of adverse patient safety events in obstetric care. The themes that emerged were: type of AEs, near-misses and their consequences, strategies to support and improve Patient Safety (PS) and domains related to the WHO Patient Safety competence outcomes. The findings of the first theme were grouped into the following categories: healthcare professionals’ perspectives on ethical conflicts, attributing blame and responsibility, and patients’ perspectives on lack of trust and involvement, as well as medication errors. The second theme, strategies to support interventions to improve PS, was based on two sub-themes: communicating effectively and gaining competence by learning from adverse events, while the third theme was domains related to the WHO Patient Safety competence outcomes. In conclusion, few studies have examined strategies for managing AEs despite the existence of programmes that target the implementation of changes, such as improved teamwork training. In addition to exploring strategies to make safety a priority for patients and healthcare professionals, it is of the utmost importance to improve communication with patients and between professionals in order to maintain and enhance safety. Efforts by organizations and individuals to continuously develop knowledge about the risk of AEs and the use of best practice guidelines are also essential.

The Preventive Effect of Comprehensive Nursing Intervention on Arteriovenous Fistula Failure in Patients in the Hemodialysis Room

Objective:To explore the preventive effect of comprehensive nursing intervention on arteriovenous fistula failure in patients in the hemodialysis room.Methods:82 patients with arteriovenous fistula in the hemodialysis chamber treated in our hospital from July 2022 to October 2023 were selected as the research subjects.The random number table method divided them into a control group and an experimental group of 41 cases each.The control group received general nursing intervention measures,while the experimental group underwent comprehensive nursing intervention.The incidence of complications(internal fistula failure,bleeding,thrombosis,infection),psychological emotions(SAS scale,SDS scale),quality of life(physical pain,physiological function,emotional function,social function),and nursing satisfaction(very satisfied,basically satisfied,satisfied,dissatisfied)were compared between the two groups of patients.Results:The incidence of complications in the experimental group(4,9.76%)was significantly lower than that in the control group(29,70.73%);the SAS scores and SDS scores of the patients in the experimental group after intervention were both lower than those in the control group;the quality of life score(physical pain,physiological function,emotional function,and social function)was all higher than those of the control group;the post-intervention nursing satisfaction of the experimental group(40,97.57%)was also significantly higher than that of the control group(29,73.17%);and the listed differences were statistically significant(P<0.01).Conclusion:For patients with hemodialysis ventricular arteriovenous fistula failure,comprehensive nursing intervention can reduce the incidence of complications,relieve anxiety and stress,improve quality of life and nursing satisfaction,and achieve better preventive effects.

Cumulative radiation exposure from diagnostic imaging in intensive care unit patients

AIM:To quantify cumulative effective dose of intensive care unit(ICU)patients attributable to diagnostic imaging.METHODS:This was a prospective,interdisciplinary study conducted in the ICU of a large tertiary referral and level 1 trauma center.Demographic and clinical data including age,gender,date of ICU admission,primary reason for ICU admission,APACHE Ⅱ score,length of stay,number of days intubated,date of death or discharge,and re-admission data was collected on all patients admitted over a 1-year period.The overall radiation exposure was quantified by the cumulative effective radiation dose(CED)in millisieverts(mS v)and calculated using reference effective doses published by the United Kingdom National Radiation Protection Board.Pediatric patients were selected for subgroupanalysis.RESULTS:A total of 2737 studies were performedin 421 patients.The total CED was 1704 m Sv with a median CED of 1.5 mS v(IQR 0.04-6.6 mS v).Total CED in pediatric patients was 74.6 mS v with a median CED of 0.07 mS v(IQR 0.01-4.7 mS v).Chest radiography was the most commonly performed examination accounting for 83% of all studies but only 2.7% of total CED.Computed tomography(CT)accounted for 16% of all studies performed and contributed 97% of total CED.Trauma patients received a statistically significant higher dose [median CED 7.7 mS v(IQR 3.5-13.8 mS v)] than medical [median CED 1.4 m Sv(IQR 0.05-5.4 m Sv)] and surgical [median CED 1.6 mS v(IQR 0.04-7.5 mS v)] patients.Length of stay in ICU [OR = 1.12(95%CI:1.079-1.157)] was identified as an independent predictor of receiving a CED greater than 15 mS v.CONCLUSION:Trauma patients and patients with extended ICU admission times are at increased risk of higher CEDs.CED should be minimized where feasible,especially in young patients.

Study on the Management Effect of Pharmaceutical Care on Adverse Reactions of Traditional Chinese Medicines in Joint Surgery and Neurology

Objective:In general hospitals,pharmaceutical care was carried out to reduce the incidence of adverse drug reactions(ADR),and this effect was significant.It can significantly reduce the incidence of adverse drug reactions and improve the safety of drug therapy.The Joint Surgery Department and the Department of Neurology of Changle County People's Hospital in Shandong province were investigated for the effect of pharmaceutical care on reducing adverse drug reactions.Methods:120 patients were selected from the Department of Joint Surgery and Neurology,Changle County People's Hospital,Shandong Province from May 2015 to May 2020.According to the random table method,the patients were divided into experimental group(60 cases)and control group(60 cases).Control group:routine drug therapy.Experimental group:pharmaceutical care treatment was carried out jointly,and the incidence of adverse reactions was compared between the two groups.Results:The incidence of adverse reactions in experimental group was lower than that in control group.Conclusion:In general hospitals,pharmaceutical care is effective in reducing adverse drug reactions,which can significantly reduce the incidence of adverse drug reactions.At the same time,this improves the safety of drug treatment,which is worthy of clinical promotion.

脑外伤后睡眠障碍患者医患护三位一体实施的应用效果

目的:以脑外伤以后出现睡眠障碍的患者为研究对象,分析医患护三位一体的实施效果。方法:选取2023年1月至2023年12月福建省立医院南院收治的脑外伤且均伴有不同程度的睡眠障碍患者76例作为研究对象,按照系统随机化法分为对照组和观察组,每组38例。对照组采取常规护理,观察组应用医患护三位一体,对比干预效果,评估指标包含睡眠质量、心理状态、疾病不确定感。结果:护理前,2组患者睡眠质量、心理状态以及疾病不确定感评分比较,差异无统计学意义(P>0.05)。护理后,睡眠质量评分均降低,且观察组较对照组低(P<0.05);护理后,观察组HAMA、HAMD评分低于对照组(P<0.05),观察组疾病不确定感低于对照组(P<0.05)。结论:予以脑外伤后睡眠障碍患者医患护三位一体干预对于提高睡眠质量、改善心理状态具有突出效果,有利于减轻患者疾病不确定感,具有较高借鉴价值。

安罗替尼在肿瘤患者真实世界治疗中的用药特征和监护要点

目的:分析真实世界中安罗替尼用药特征和监护要点。方法:采用回顾性调查,通过His系统收集本院2020年01月01日至2022年12月31日期间使用安罗替尼的患者治疗信息,统计患者基本情况、用药信息、临床疗效和不良反应。结果:共纳入98例服用安罗替尼的患者,其中男性60例,女性38例,平均年龄为(63.08±9.22)岁,多为肺癌、胆管癌、输卵管癌等Ⅳ期肿瘤患者,患者的中医证型多为气阴两虚或脾虚湿阻;KPS评分主要集中在80分和70分。患者用药前,白细胞偏低,转氨酶偏高、血钠偏低和甲状腺功能异常较常见。患者服用安罗替尼多为10 mg qd,单独用药、联合免疫药物或中成药较多。约52.04%患者影像学评价为部分缓解和稳定,29.59%患者进展;常见不良反应有乏力疲劳、尿蛋白阳性、血压升高和血小板减少。结论:医师应重视安罗替尼的安全、合理使用,临床药师应做好用药交代,关注安罗替尼与其他药物的相互作用,加强监测相关不良事件,尤其血压升高、出血、蛋白尿阳性、甲状腺功能减退及血小板计数降低等不良反应,降低用药风险。

超声引导下椎管内麻醉穿刺在骨科高龄患者中的应用

目的观察超声引导下的椎管内麻醉穿刺在骨科高龄患者中的应用。方法回顾性分析三明市第二医院2022年1—10月收治的110例骨科高龄手术并接受椎管内麻醉穿刺的患者,根据患者的麻醉实施方式不同分组,其中以常规人工手法定位穿刺者55例为对照组,以超声辅助下定位者55例为研究组。对比2组腰椎间隙定位时间、穿刺定位时间、穿刺总时间、穿刺次数,统计穿刺成功率及不良反应,判定患者对于麻醉的满意度。结果研究组腰椎间隙定位时间、穿刺定位时间、穿刺总时间短于对照组,穿刺次数少于对照组,差异有统计学意义(P<0.05)。研究组中有2例穿刺失败转全身麻醉,而对照组中有10例因穿刺失败转全身麻醉,研究组患者穿刺成功率高于对照组,不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。研究组患者对于麻醉的总满意度高于对照组,差异有统计学意义(P<0.05)。结论在骨科高龄手术患者中,予超声引导下的椎管内麻醉穿刺的麻醉方式,可明显缩短腰椎间隙定位时间、穿刺定位时间、穿刺总时间,减少穿刺次数,穿刺成功率及麻醉成功率均更高,对于减少穿刺不良反应及提升患者对于麻醉的满意度效果理想。

门诊输注盐酸左氧氟沙星注射剂不良反应的相关因素及预见性护理效果研究

目的分析总结门诊输注左氧氟沙星注射剂治疗中患者出现不良反应的特点、相关影响因素,试探讨相关预见性护理措施并评价护理效果。方法选取我院门诊2022年6月~2023年6月一年间输注左氧氟沙星注射剂246例。采用随机数表法将246例患者分为对照组和干预组,每组123例,对照组给予常规护理,干预组给予预见性护理,比较两组患者不良反应(Adverse drug Reaction,ADR)发生率,经分组护理后,246例患者中其中出现ADR 68例。分析ADR病例的年龄、性别、基础疾病类型、不良反应发生时间、既往用药过敏史、产生ADR时用药次数等特点,总结影响ADR的相关因素。结果6K干预组患者的ADR发生率显著低于对照组(P<0.05);68例ADR中,年龄偏大、具有用药过敏史、不良反应发生时间更早、首次用药即产生ADR、受累器官为中枢神经系统的患者的比率显著更高(P<0.05)。结论年龄偏大、具有用药过敏史、不良反应发生时间更早、首次用药出现ADR的患者在输注左氧氟沙星后更容易出现ADR,针对上述影响因素制定相关预见性护理措施,可有效减少ADR事件,有临床应用价值。

个性化护理措施在急性心肌梗死患者院前急诊护理中的效果分析

目的探究急性心肌梗死患者院前急诊护理中行个性化护理的护理效果.方法收集巨野县北城医院2019年12月至2020年12月收治的行溶栓和经皮冠状动脉介入治疗(Percutaneous Coronary Intervention,PCI)的急性心肌梗死患者80例为研究对象,按档案记录单双数进行分组,单数患者为对照组,双数患者为研究组,每组患者40例.对照组进行常规院前急诊护理,研究组在常规院前急诊护理基础上行个性化护理.统计对比两组患者院前急诊护理期间的急救情况,包括不良事件发生情况、急救时间、转运入院时间,调查对比两组患者护理后左心室射血分数和肌酸激酶同工酶改善情况,并对比两组患者护理满意度.结果研究组的急救时间为(18.74±3.19)min,入院时间为(47.38±6.48)min,对照组两项时间分别为(40.74±7.53)min和(67.29±5.17)min,研究组两项时间指标均明显短于对照组,差异有统计学意义(P<0.05).两组患者护理后左心室射血分数和肌酸激酶同工酶均有良好改善,研究组改善程度明显优于对照组,差异有统计学意义(P<0.05).护理满意度方面,研究组和对照组的护理满意度分别为97.5%和82.5%,研究组明显高于对照组,差异有统计学意义(P<0.05).结论急性心肌梗死患者院前急诊护理阶段行个性化护理可有效缩短患者急救时间和入院时间,改善患者心功能,提高患者满意度,具有较高的临床应用价值.

Sensorineural hearing dysfunction after discharge from critical care in adults:A retrospective observational study

Background Patients undergoing intensive care are exposed to risk factors for hearing impairment.This study assessed the worse changes in pure tone average(PTA)thresholds after intensive care and identified the factors associated with worse hearing function.Methods We conducted a single-centre retrospective study,and included adult patients admitted to the intensive care unit(ICU)of Kurashiki Central Hospital between January 2014 and September 2019,who had regular pure tone audiometry performed before and after ICU admission.Correlations between changes in PTA threshold and patient characteristics,were evaluated.The included ears were classified as those with worse hearing(>10 dB increase in the PTA threshold)and those without worse hearing,and the baseline characteristics were compared.Results During the study period,125 ears of 71 patients(male:female ratio,35:36;mean age,72.5±12.3 years)met the eligibility criteria.Age,sex,and the use of furosemide were not correlated with changes in PTA threshold.Univariate analysis showed that ears with worse hearing were associated with a lower serum platelet count than ears without worse hearing(153±85×10^(9)/L vs.206±85×10^(9)/L,respectively;P=0.010),and the rate of planned ICU admission(elective surgery)was higher in the worse hearing group(57.1% vs.28.8%,respectively;p=0.011).Conclusions Age,sex,and the use of furosemide did not have adversely affect hearing function.Low serum platelet count and planned admission appear to be risk factors for worse hearing.

静脉治疗护理小组在持续改进PICC护理质量中的价值

目的探究分析静脉治疗护理小组在持续改进PICC护理质量中的价值。方法人群对于医疗服务质量的要求愈发提升,为了明确有效提升PICC护理质量,此次研究邀请了2020年1月至2022年12月期间,接受PICC置管的102例患者,采用了随机法,将参与此次研究的患者随机分为对照组(常规护理管理,n=51)与观察组(以静脉治疗护理小组为基础的持续改进PICC护理管理,n=51),在落实相关护理管理措施之后,明确不同护理管理方式能够取得的效果。结果在护理质量、不良事件发生率、患者服务体验方面观察组具有明显的优势(P<0.05)。结论在实际开展工作的过程中,应用以静脉治疗护理小组为基础的持续改进PICC护理管理,能够显著改善PICC护理质量,值得在今后工作过程中进行应用。

人文关怀在老年白内障患者术后护理中的应用效果分析

目的分析人文关怀理念应用于白内障手术老年患者术后护理中的效果。方法简单随机选取2021年6月—2022年6月六盘水市人民医院接受手术治疗的60例白内障老年患者为研究对象,根据“抛硬币”法(正面和反面)分为研究组(人文关怀护理)、对照组(常规护理),每组30例,对比两组患者的护理效果。结果护理后,研究组的生活质量评分高于对照组,差异有统计学意义(P<0.05);研究组的护理满意率高于对照组,差异有统计学意义(P<0.05);研究组的护理依从率为96.67%,高于对照组的76.67%,差异有统计学意义(χ^(2)=5.192,P<0.05);护理后,研究组的焦虑、抑郁评分低于对照组,差异有统计学意义(P均<0.05)。结论人文关怀应用于老年白内障患者术后护理中,可提高护理有效性,调节患者的负面情绪,让老年白内障患者生活质量提升,患者的护理满意度较高。

标准流程化急救护理在急性心肌梗死患者中的临床效果

目的 探究标准流程化急救护理在急性心肌梗死患者中的应用效果。方法 选取如皋市中医院在2019年6月—2022年5月期间急诊科收治的102例急性心肌梗死患者作为研究对象,随机分为对照组和干预组,对照组51例实施常规急救护理措施,干预组51例实施标准流程化急救护理措施,对两组临床急救效果、不良心脏事件(MACE)、急救成功率及护理满意度等情况进行对比。结果 干预组在预检分诊、首次心电图时间、静脉通道开放时间、急诊室停留时间、PCI治疗时间、再灌注时间均短于对照组,差异存在统计学意义(P<0.05);干预组在心律失常、再次梗死、心力衰竭、心脏破裂等心脏不良事件发生率低于对照组;急救成功率高于对照组,差异存在统计学意义(P<0.05);干预组在急救护理质量满意度各项评分高于对照组,差异存在统计学意义(P<0.05)。结论 对如皋市中医院收治的急性心肌梗死患者实施标准流程化急救护理,可有效缩短患者各个急救环节耗时,降低心脏不良事件发生率,提高其急救效率及护理质量满意程度。

腰麻-硬膜外联合麻醉对老年下肢骨折患者术后镇痛的影响效果分析

目的 分析对老年下肢骨折患者开展腰麻-硬膜外联合麻醉的术后镇痛效果。方法 目的选取江苏省盐城市东台梅氏中西医结合医院于2020年1月—2023年1月收治的80例老年下肢骨折手术患者为研究对象,依麻醉方案差异将其分为对照组(n=40,气管插管全身麻醉)和观察组(n=40,腰麻-硬膜外联合麻醉)。对比不同麻醉方式的麻醉效果。结果 观察组术后12、24、48 h疼痛程度评分低于对照组,观察组麻醉相关时间短于对照组,差异有统计学意义(P均<0.05)。观察组不良反应发生率(2.50%)低于对照组(20.00%),差异有统计学意义(χ^(2)=4.507,P<0.05)。结论 与全身麻醉相比,老年下肢骨折患者术中采用腰麻-硬膜外联合麻醉,术后镇痛效果更好,且术后不良反应少。

院前急救护理路径在急性脑血管疾病患者抢救效果中的作用研究

研究院前急救护理路径在急性脑血管疾病患者抢救效果中的作用。选取2021年1月—2022年1月石阡县人民医院接收的280例急性脑血管疾病患者作为研究对象。按随机数字表法分为对照组和研究组,经护理干预后对比两组护理质量。结果显示,护理干预后,研究组的两项指标均优于对照组,组间结果差异显著(P<0.05)。研究组患者的水肿面积经院前护理干预后与对照组相比更小,组间结果差异显著(P<0.05)。实施院前急救护理干预后,研究组患者中出现3例心搏骤停、5例气道阻塞、3例中枢性高热情况,总计11例,并发症发生率为7.86%。对照组患者中出现8例心搏骤停、9例气道阻塞、6例中枢性高热情况,总计23例,并发症发生率为16.43%。研究组患者并发症发生率显著低于对照组,组间结果差异显著(P<0.05)。研究发现,对急性脑血管疾病患者实施院前急救护理措施具有确切效果,不仅有助于患者神经功能的改善,实现对其水肿面积的控制,减少血肿量,还可以减少并发症的发生,具有临床推广的应用价值。

Study on the Effect of the Intervention on Traditional Chinese Medicine Negative Heel Shoes in Geriatric Orthopedics Patients

In the clinical practice of orthopedics,geriatric patients are prone to form and exhibit complex and diverse clinical complications during long-term bedridden treatment.This can result in poor survival rate and adverse final clinical outcomes.Hence,it is essential to select appropriate methods for nursing intervention and health-care support for long-term bedridden geriatric orthopedic patients.It is of great significance to support and guarantee patients to obtain the best clinical results.This article focuses on the topic of interventional health effects of traditional Chinese medicine negative-heeled shoes in orthopedic bedridden patients,and two specific aspects were selected for a brief explanation.

以患者为本的护理理念联合急诊护理路径在急性心肌梗死患者中的应用

目的探究以患者为本的护理理念联合急诊护理路径在急性心肌梗死患者中的应用。方法选取2018年10月至2020年10月江苏省连云港市第二人民医院急诊科收治的84例急性心肌梗死患者,采用随机数字表法将其分为参照组及试验组,各42例。参照组行急诊护理路径干预,试验组采用以患者为本的护理理念联合急诊护理路径。比较干预前后两组救治情况、心功能水平及生活质量。结果干预后,试验组各项救治时长均短于参照组,差异有统计学意义(P<0.05);干预后,两组心率、收缩压、左室舒张末期内径均低于干预前,左室射血分数高于干预前,且试验组心率、收缩压、左室舒张末期内径均低于参照组,左室射血分数水平高于参照组,差异有统计学意义(P<0.05);干预后,两组心绞痛生活质量问卷各项评分低于干预前,且试验组低于参照组,差异有统计学意义(P<0.05)。结论以患者为本的护理理念联合急诊护理路径在改善急性心肌梗死患者中具有重要作用,患者的救治效果显著提高,心功能水平及生活质量明显改善。