家属行为对急性心肌梗塞患者抢救的影响  

Affecting factors of family member′s behaviour for the first aid of acute myocardial infarction patients

作　　者：邢兰访[1] 刘少芳[1] 董艳[1] 王丽萍[1] 卢军利[1] 

机构地区：[1]华北煤炭医学院附属唐山人民医院急诊科,河北唐山市063002

出　　处：《心血管康复医学杂志》2009年第1期20-22,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:研究家属行为对急性心肌梗塞(AMI)患者抢救效果的影响。方法:对308例AMI患者抢救及住院病例进行分析,将家属行为中对患者抢救效果可能有影响的11个正性因素和11个负性因素填写表格,采用SPSS13.0软件对资料进行Logistic多元回归分析。结果:11个正性因素和11个负性因素与AMI的抢救均相关。其中,排在前六位的正性因素为:送医院及时、了解相关急救知识、尊重和信任医护人员、家属意见一致、能对患者进行心理安慰、积极协助抢救(OR=13.12～9.87,P均<0.01)。排在前六位的负性因素为:送医院不及时,不信任医护人员、不配合抢救、家属意见不一致、在患者身边讨论病情、家庭经济状况差(OR=13.28～8.47,P均<0.01)。结论:家属行为与AMI抢救密切相关,要提高AMI抢救的成功率,就要增加家属行为的正性影响因素,减少负性影响因素。Objective： To analysis the effecring factors of family member＇s behaviour for the first aid of acute myocardial infarction （AMI） patients. Methods： The data of first aid of 308 AMI cases, for 11 positive influential factors and 11 negative influential factors affected the first aid effect of family member＇s behaviour was analyzed. Results： The six positive influential factors for first aid in turn were： come to hospital in time, know about first aid knowledge, trust in medical worker, family members＇thoughts in same, the mental consolation to the patient, the active help rescue （OR=13.12-9.87, P〈0.01 all）. The six negative influential factors for first aid in turn were： not come to hospital in time. distrust in medical worker, no help rescue, family members＇thoughts in different, talk about the disease beside patients, disconcerting economic condition （OR=13.28-8.47, P〈0.01 all）. Conclusion： Family member＇s behaviour is closely related to effect of first aid of AMI patients, increase positive influential factors and reduce negative in- fluential factors can rise successful rate.

关 键 词：心肌梗塞 行为 危险因素 

分 类 号：R722.12[医药卫生—儿科] R459.7[医药卫生—临床医学]