胸痛中心标准化急救护理流程在ST段抬高型心肌梗死患者中的应用效果  

Application effects of standardized emergency nursing process for patients with ST-segment elevation myocardial infarction in chest pain center

作　　者：李飞妮[1] LI Feini(Shenyang Emergency Center,Shenyang 110006 Liaoning,China)

机构地区：[1]沈阳急救中心,辽宁沈阳110006

出　　处：《中国民康医学》2022年第9期156-159,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察胸痛中心标准化急救护理流程在ST段抬高型心肌梗死(STEMI)患者中的应用效果。方法:选取102例STEMI患者为研究对象,按照随机数字表法分为对照组和观察组各51例。对照组实施常规急救护理,观察组实施胸痛中心标准化急救护理流程护理。比较两组急救处置时间指标(抢救时间、心梗三联完成时间、心电图完成时间、发病至溶栓治疗时间、静脉通路建立时间)水平、心肌损伤相关指标[心肌钙蛋白Ⅰ(cTnI)、肌酸激酶同工酶(CK-MB)、Ⅰ型胶原羧基末端肽(ICTP)、缺血修饰白蛋白(IMA)、胱抑制素-C(Cys-C)]水平和护理满意度。结果:观察组抢救时间、心梗三联完成时间、心电图完成时间、发病至溶栓治疗时间和静脉通路建立时间均短于对照组,差异有统计学意义(P<0.05);护理后,两组cTnI、CK-MB、ICTP、IMA、Cys-C水平均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:胸痛中心标准化急救护理流程应用于STEMI患者可缩短急救处置时间,改善心肌损伤相关指标水平,以及提高护理满意度,优于常规急救护理效果。Objective: To observe application effects of standardized emergency nursing process for patients with ST-segment elevation myocardial infarction in chest pain center(STEMI). Methods: 102 patients with STEMI were selected as the research objects and were divided into control group and observation group according to the random number table method, 51 cases in each group. The control group received routine emergency nursing, while the observation group was given the standardized emergency nursing process nursing in the chest pain center. The emergency treatment-related time(rescue time, the time required for the completion of triple therapy of myocardial infarction, the completion time of electrocardiogram, the time from onset to thrombolytic therapy, and the establishment time of venous access), the levels of myocardial injuryrelated indicator levels [cardiac troponin Ⅰ(cTnI), creatine kinase isoenzyme(CK-MB), c-terminal telopeptide of type Ⅰ collagen(ICTP), ischemiamodified albumin(IMA), cystatin-C(Cys-C)] and the nursing satisfaction were compared between the two groups. Results: The rescue time, the time required for the completion of triple therapy of myocardial infarction, the completion time of electrocardiogram, the time from onset to thrombolytic therapy, and the establishment time of venous access in the observation group were shorter than those in the control group, and the differences were statistically significant(P<0.05). After the nursing, the levels of myocardial injury-related indicators such as cTnI, CK-MB, ICTP, IMA, Cys-C in the two groups were lower than those before the nursing;those of the observation group were lower than those of the control group;and the differences were statistically significant(P<0.05). Further, the nursing satisfaction of the observation group was higher than that of the control group, and the difference was statistically significant(P<0.05). Conclusions: The application of the standardized emergency nursing process in the chest pain center for the STEMI patients can

关 键 词：ST段抬高型心肌梗死 胸痛中心 标准化急救护理流程 急救处置 心肌损伤 护理满意度 

分 类 号：R473.5[医药卫生—护理学]