以病因分型定义对419例急性心肌梗死患者的护理  

Classification nursing for 419 cases with acute myocardial infarction

作　　者：沈莹[1] 张学萍[1] 马小艳[1] 戴庆妍 朱达侠 陶莉[1] 

机构地区：[1]江苏省徐州市中心医院心内科,221009

出　　处：《中华护理杂志》2010年第3期227-229,共3页Chinese Journal of Nursing

摘　　要：探讨对419例急性心肌梗死患者进行分型的护理体会。基于全球心肌梗死分型(五型)新定义实施护理:1型评估患者危险程度、完善PCI术前后流程、强化并发症和用药护理;2型针对原发疾病进行护理;3型强调高危患者识别和高质量心肺复苏;4型PCI术后严密观察病情变化、加强心理和专科护理。本组385例治愈或好转出院,34例死亡,说明分型护理适应医学发展需求,个体化针对性强,效果较好。This paper introduces the experience of classification nursing of 419 cases with acute myocardial infarction. Based on the new definition of classification about myocardial infarction in global,the nursing care focused on assessment of patients＇ risk grade,implementation of perioperative nursing procedures for percutaneous coronary intervention （PCI）,prevention of complications and medication care for type 1 patients; care of primary diseases for type 2 patients; identification of highrisk cases and high-quality cardiopulmonary resuscitation for type 3 patients; postoperative illness observation after PCI,psychological care and specialized nursing for type 4 patients. As a result,385 cases were cured or relieved,34 cases died. The total mortality rate was 8.1%. Among which,the mortality rate was lowest in type 1 patients. Nursing care based on different types is proved to be effective and individualized,which can meet the needs of medical development,

关 键 词：心肌梗死 护理 

分 类 号：R473.5[医药卫生—护理学] R587.1[医药卫生—临床医学]