优化临床护理路径对急性心肌梗死患者急诊PCI治疗效果的影响  

Influence of optimal clinical nursing pathway on emergency PCI therapeutic efficiency of patients with acute myocardial infarction

作　　者：郑晓芳[1] 张焕基[1] 李小玲[1] 胡淑芬[1] 游莉[1] 张新霞[1] 

机构地区：[1]中山大学附属第八医院心血管内科,深圳市518033

出　　处：《护理实践与研究》2017年第2期39-41,共3页Nursing Practice and Research

基　　金：深圳市福田区卫生公益性科研项目(FTWS20160016)

摘　　要：目的:探讨优化临床护理路径对急性心肌梗死急诊PCI治疗效率的影响。方法:选择急性心肌梗死行急诊PCI术的患者94例,随机等分为对照组和临床路径组,对照组实施常规护理,临床路径组采用优化的临床护理路径进行护理,比较两组患者进门-球囊扩张时间(D-toB)、术后并发症的发生情况,平均住院时间、患者满意度等差异。结果:临床路径组患者D-to-B时间、住院天数均少于对照组,满意程度得分高于对照组,差异均有统计学意义(P<0.05)。并发症中胸痛、心率失常、心源性休克、术口出血发生情况均少于对照组,差异有统计学意义(P<0.05)。结论:优化临床护理路径可以有效缩短D-to-B时间,减少术后并发症,缩短住院时间,提高患者满意度,改善救治效果,提高护理质量。Objective： To discuss the influence of optimal clinical nursing pathway on emergency PCI therapeutic efficiency of patients with acute myocardial infarction. Methods： Selected 94 cases of patients with acute myocardial infarction having received emergency PCI,and they were equally divided into control group and clinical pathway group at random,routine nursing was offered to control group,and optimal clinical pathway nursing was given to clinical pathway group,and the patients from two groups were compared in D-to-B expansion time,occurrence of postoperative complications,average stay,and patient satisfaction,etc. Results： The patients from clinical pathway group had shorter D-to-B time and stay and higher satisfaction than those from control group,and the difference was of statistical significance（ P〈0. 05）; the patients from clinical pathway group had less occurrence of chest pain,heart disorder,cardiogenic shock,and postoperative bleeding in the complications than those from control group,and the difference of statistical significance（ P〈0. 05）. Conclusion： Through nursing via optimal clinical nursing pathway,it was able to shorten the D-to-B time,reduce the postoperative complications,shorten the stay,increase the patient＇s satisfaction,improve the remedy effect,and improve the nursing quality.

关 键 词：优化临床护理路径 急性心肌梗死 治疗效果 

分 类 号：R473.5[医药卫生—护理学]