急救护理路径在急性心肌梗死患者救治中的应用探讨  

Discussion on the Application of Emergency Nursing Path in Acute Myocardial Infarction

作　　者：刘贤玲[1] 闫加兴[1] 刘贤宝 陈蕾[1] 华鑫 

机构地区：[1]哈尔滨医科大学附属第四医院急诊科,黑龙江哈尔滨150000 [2]黑龙江省红星区职工医院,黑龙江哈尔滨150000 [3]黑龙江生态工程职工学院,黑龙江哈尔滨150000

出　　处：《现代生物医学进展》2012年第31期6145-6147,共3页Progress in Modern Biomedicine

摘　　要：目的:探讨急救护理路径在急性心肌梗死患者救治中的应用。方法:将126例急性心肌梗死患者随机分入对照组与观察组,给予60例对照组患者传统急诊护理流程,给予66例观察组患者实施急救护理路径。比较两组患者住院期间死亡率、心肌梗死复发率、并发症发生率、急救时间、急诊室到球囊扩张时间及住院时间的差别。结果:观察组住院期间死亡率、心肌梗死复发率、术后并发症发生率显著低于对照组(P<0.05);观察组急救时间、急诊室到球囊扩时间及住院时间均显著少于对照组,差别具有统计学意义(P<0.05)。结论:急救护理路径应用于急性心肌梗死患者救治可为进一步诊治赢得时间,并可显著降低病死率,改善预后。Objective： To investigate the application of emergency nursing path in acute myocardial infarction. Methods： 126 eases with acute myocardial infarction were randomly divided into control group and experience group. 60 cases in control group were given traditional model of emergency care and 66 patients in experience group received emergency nursing path intervention. Mortality, the recurrence of acute myocardial infarction, complication rate, the emergency time, door-to-balloon time and hospital stay were compared between two groups. Results： Mortality, the recurrence of acute myocardial infarction and complication rate were much lower in experience group than that in control group （P〈0.05）. Compared with that in the control group, the emergency time, door-to-balloon time and hospital stay decreased greatly （P〈0.05）. Conclusions： The application of emergency nursing path in acute myocardial infarction can win time for further diagnosis and treatment, greatly decrease mortality and improve the prognosis.

关 键 词：急性心肌梗死 急救护理路径 预后 

分 类 号：R473.5[医药卫生—护理学]