急诊优化护理对急性心肌梗死患者预后的影响  

Effect of optimized emergency nursing on the prognosis of patients with acute myocardial infarction

作　　者：钟育红 丁素兵 张婷[1] ZHONG Yu-hong;DING Su-bing;ZHANG Ting

机构地区：[1]中山大学附属第八医院急诊科,深圳市518033

出　　处：《护理实践与研究》2018年第16期146-148,共3页Nursing Practice and Research

基　　金：深圳市福田区科技计划项目(FTWS2014069)

摘　　要：目的探讨急诊优化护理对急性心肌梗死患者预后的影响。方法选择2014年11月至2018年11月我院收治的急性心肌梗死患者178例,随机等分为观察组和对照组,对照组患者给予常规的急诊护理,观察组患者给予急诊优化护理。比较两组患者从急诊就诊到确诊时间(T1)、急诊就诊到治疗时间(T2)、住院时间、临床疗效、复发率、SAS评分、满意度评分和并发症发生率。结果观察组患者T1、T2、住院时间短于对照组(P<0.05),SAS评分、并发症发生率、复发率、病死率均低于对照组(P<0.05),临床疗效及患者对护理人员的满意度评分均高于对照组(P<0.05)。结论在急性心肌梗死患者的抢救中优化急诊护理可明显缩短分诊评估时间、急救时间和住院时间,提高临床疗效,改善患者的心理状态和预后,提高患者对护理人员的满意度。Objective To investigate the effect of optimized emergency nursing on the prognosis of patients with acute myocardial infarction. Methods To select 178 cases of patients with acute myocardial infarction admitted to our hospital from November 2014 to November 2018,and they were divided into observation group and control group randomly. Patients in the control group were given routine emergency nursing,while patients in the observation group were given optimized emergency nursing. The time from the emergency visit to the diagnosis（ T1）,the time from emergency visit to the treatment（ T2）,length of hospital stay,clinical efficacy,recurrence rate,SAS score,satisfaction score,and complication rate of the patient were compared between the two groups. Results In the observation group,T1,T2 and length of hospital stay were shorter than that of the control group（ P〈0. 05）. The SAS score,complication rate,recurrence rate,and mortality were lower than those of the control group（ P〈0. 05）. The clinical efficacy and nursing satisfaction scores of the patients were higher than that of the control group（ P〈0. 05）. Conclusion Optimizing emergency nursing in the rescue of patients with acute myocardial infarction can significantly shorten the time of triage assessment,first aid time and hospital stay. It can improve clinical efficacy as well as patients＇ psychological status and prognosis. In addition,it can improve patient satisfaction with nursing staff.

关 键 词：急诊优化护理 急性心肌梗死 预后 

分 类 号：R473.5[医药卫生—护理学]