院前急救中临床护理路径在心肌梗死患者中的有效性  

Effectiveness of clinical nursing pathways in prehospital emergency care for patients with myocardial infarction

作　　者：王卯[1] 马波[2] WANG Mao;MA Bo(Special Need Clinic,Liaoning Provincial People's Hospital,Shenyang110016,China;Office of the President,Liaoning Provincial People's Hospital,Shenyang110016,China)

机构地区：[1]辽宁省人民医院特需门诊,辽宁沈阳110016 [2]辽宁省人民医院院长办公室,辽宁沈阳110016

出　　处：《中国现代医生》2022年第1期189-191,196,共4页China Modern Doctor

基　　金：辽宁省自然科学基金计划项目(20180550463)。

摘　　要：目的 探讨院前急救中临床护理路径在心肌梗死患者中的有效性。方法 选取2018年9月至2020年9月辽宁省人民医院收治的120例心肌梗死患者进行研究,依据随机数字表法分为对照组(n=60)和观察组(n=60),对照组给予常规救治和护理干预,观察组给予临床护理路径干预,比较两组患者的急诊时间、溶栓时间、住院时间及下床活动时间;并比较两组患者的ADL和NIHSS评分。结果 观察组急诊时间为(33.52±5.83)min、溶栓时间为(71.55±11.38)h、住院时间为(28.91±6.45)d及下床活动时间为(43.29±5.86)d,短于对照组急诊时间(46.21±6.52)min、溶栓时间(109.84±15.63)h、住院时间(41.64±8.63)d及下床活动时间(56.35±8.35)d,差异有统计学意义(P<0.05);观察组ADL评分为(48.93±7.85)分,高于对照组的(37.64±6.87)分,观察组NIHSS评分为(8.71±2.45)分,低于对照组的(13.64±2.93)分,差异有统计学意义(P<0.05)。结论 心肌梗死患者在院前急救中应用临床护理路径效果显著,值得临床推广应用。Objective To investigate the effectiveness of clinical nursing pathways in prehospital emergency care for patients with myocardial infarction.Methods A total of 120 patients with myocardial infarction who were admitted to Liaoning Provincial People's Hospital from September 2018 to September 2020 were selected for this study,and randomly divided into the control group(n=60)and the observation group(n=60)by the random number table method.The control group was given conventional treatment and nursing intervention,and the observation group was given the clinical nursing path intervention.The emergency time,thrombolysis time,the length of hospital stay and time of getting out of bed were compared between the two groups.The ADL and NIHSS scores were compared between the two groups.Results In the observation group,the emergency time was(33.52±5.83)min;the thrombolysis time was(71.55±11.38)h;the length of hospital stay was(28.91±6.45)d;the time of getting out of bed was(43.29±5.86)d.In the control group,the emergency time was(46.21±6.52)min;the thrombolysis time was(109.84±15.63)h;the length of hospital stay was(41.64±8.63)d;the time of getting out of bed was(56.35±8.35)d.Those in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The ADL score of the observation group was(48.93±7.85)points,which was higher than(37.64±6.87)points of the control group;the NIHSS score of the observation group was(8.71±2.45)points,which was lower than(13.64±2.93)points of the control group;the differences were statistically significant(P<0.05).Conclusion The application of clinical nursing pathways in prehospital emergency care for patients with myocardial infarction has significant effects and is worthy of clinical application.

关 键 词：院前急救 心肌梗死 ADL评分 NIHSS评分 

分 类 号：R473[医药卫生—护理学]