院前急救护理在急性心肌梗死患者中的应用研究  

Application of Pre-hospital Emergency Care in Patients with Acute Myocardial Infarction

作　　者：孙晓云[1] SUN Xiaoyun(Emergency Department,Central Hospital of Zibo Mining Group Co.,Ltd.,Zibo,Shandong Province,255120 China)

机构地区：[1]淄博矿业集团有限责任公司中心医院急诊科,山东淄博255120

出　　处：《中外医疗》2021年第11期163-166,共4页China & Foreign Medical Treatment

摘　　要：目的探究院前急救路径指导下的院前急救路径护理措施在急性心肌梗死患者中的应用。方法方便选择2018年6月—2019年6月该院收治的急性心肌梗死患者80例为研究对象,80例患者均急需抢救。按随机分组原则,由计算机系统乱序分为研究组和对照组,每组40例。对照组患者行常规院前急救护理措施,研究组组患者行院前急救路径指导下的院前急救路径护理措施。分别对比两组患者的急救反应时间、急诊抢救时间和球囊扩张时间,分别对比两组患者的护理满意度和住院时间。结果研究组患者的急救反应时间为(31.40±11.50)min、急诊抢救时间为(31.30±6.92)min、球囊扩张时间为(75.40±13.67)min、住院时间为(11.30±2.83)d,短于对照组的急救反应时间(41.70±14.50)min、急诊抢救时间(43.20±3.43)min、球囊扩张时间(98.40±19.22)min、住院时间(14.70±3.31)d,差异有统计学意义(t=3.520、9.745、6.168、4.937,P<0.05);研究组患者的护理满意度为97.5%,高于对照组患者护理满意度80.0%,差异有统计学有意义(χ^(2)=4.507,P<0.05)。结论给予急性心肌梗死患者院前急救路径指导下的院前急救路径护理措施,可有效提高急救效率,缩短急救反应时间、急诊抢救时间等,具有较高的临床推广价值。Objective To explore the application of pre-hospital emergency route nursing measures under the guidance of pre-hospital emergency route in patients with acute myocardial infarction.Methods Eighty patients with acute myocardial infarction admitted to the hospital from June 2018 to June 2019 were conveniently selected as the research objects,and all 80 patients were in urgent need of rescue.According to the principle of random grouping,the computer system was randomly divided into a study group and a control group,with 40 cases in each group.Patients in the control group underwent routine pre-hospital emergency care measures,and patients in the study group underwent pre-hospital emergency care measures under the guidance of pre-hospital emergency routes.The emergency response time,emergency rescue time and balloon dilation time of the two groups of patients were compared respectively,and the nursing satisfaction and hospitalization time of the two groups of patients were compared.Results The emergency response time of the patients in the study group was(31.40±11.50)min,the emergency rescue time was(31.30±6.92)min,the balloon dilation time was(75.40±13.67)min,and the hospital stay was(11.30±2.83)d,which was shorter than the control group’s emergency response time(41.70±14.50)min,emergency rescue time(43.20±3.43)min,balloon dilation time(98.40±19.22)min,hospitalization time(14.70±3.31)d,the difference was statistically significant(t=3.520,9.745,6.168,4.937,P<0.05);the nursing satisfaction of patients in the study group was 97.5%,which was higher than the nursing satisfaction of patients in the control group by 80.0%,and the difference was statistically significant(χ^(2)=4.507,P<0.05)).Conclusion The pre-hospital emergency route nursing measures guided by the pre-hospital emergency route of patients with acute myocardial infarction can effectively improve the efficiency of first aid,shorten the emergency response time and emergency rescue time,and have high clinical promotion value.

关 键 词：院前急救护理 急性心机梗死 护理效果 

分 类 号：R473.54[医药卫生—护理学]