院前急救链式流程与家庭时机理论在急性心肌梗死中的应用  

Application of prehospital first aid chain process+family opportunity theory management in patients with acute myocardial infarction

作　　者：顾炎[1] 张婧婧[1] 胡丹丽[1] Gu Yan;Zhang Jingjing;Hu Danli(Emergency Room,Wuxi Second People's Hospital,Wuxi 214000,China)

机构地区：[1]无锡市第二人民医院急诊科,无锡214000

出　　处：《国际医药卫生导报》2023年第2期292-296,共5页International Medicine and Health Guidance News

基　　金：无锡市卫生健康委科研项目(MS201921)。

摘　　要：目的探究院前急救链式流程与家庭时机理论在急性心肌梗死中的应用效果。方法选取2021年1月至12月无锡市第二人民医院收治的82例急性心肌梗死患者进行随机对照试验,采用随机数字表法分为对照组和观察组,各41例。对照组男28例,女13例,年龄(57.18±4.19)岁;观察组男29例,女12例,年龄(57.23±4.41)岁。对照组采用院前急救链式流程干预,观察组在对照组基础上增加家庭时机理论管理。比较两组急救情况、住院时间、并发症发生率及照顾者压力情况。采用t检验和χ^(2)检验。结果干预后,对照组出诊反应时间、到达现场时间、现场急救时间及院前急救时间比观察组长[(1.88±0.33)min比(1.11±0.22)min、(15.22±2.64)min比(12.44±2.37)min、(5.64±1.40)min比(4.97±1.31)min、(26.20±3.64)min比(24.43±3.21)min],差异均有统计意义(均P<0.05);观察组并发症发生率比对照组低[9.76%(4/41)比29.28%(12/42)],差异有统计意义(χ^(2)=4.970,P=0.026);对照组照顾能力、压力情况及对疾病认知程度评分比观察组高,差异有统计意义(均P<0.05)。结论针对患有急性心肌梗死患者采取院前急救链式流程+家庭时机理论管理可有效提升患者急救情况,减少住院时间和并发症发生率,改善照顾者的压力以及对疾病的认知情况,改善患者预后。Objective To explore effect of prehospital first aid chain process+family opportunity theory management for patients with acute myocardial infarction.Methods Eighty-two patients with acute myocardial infarction treated in Wuxi Second People's Hospital from January to December 2021 were selected for the random control trial.They were divided into a control group and an observation group by the random number table method,with 41 cases in each group.There were 28 males and 13 females in the control group who were(57.18±4.19)years old.There were 29 males and 12 females in the observation group who were(57.23±4.41)years old.The control group took prehospital first aid chain process intervention;in addition,the observation group took family opportunity theory management.The first aid situations,lengths of hospital stay,incidences of complications,and caregiver stress were compared between the two groups.t andχ^(2) test were applied.Results After the intervention,the visiting reaction time,time arriving at the scene,on-site first aid time,and prehospital first aid time in the control group were longer than those in the observation group[(1.88±0.33)min vs.(1.11±0.22)min,(15.22±2.64)minvs.(12.44±2.37)min,(5.64±1.40)min vs.(4.97±1.31)min,and(26.20±3.64)min vs.(24.43±3.21)min],with statistical differences(all P<0.05).The incidence of complications in the observation group was lower than that in the control group[9.76%(4/41)vs.29.28%(12/42)],with a statistical difference(χ^(2)=4.970,P=0.026).The scores of the caregivers'care ability,stress,and disease knowledge of the caregivers in the control group were higher than those in the observation group,with statistical differences(all P<0.05).Conclusion Prehospital first aid chain process+family opportunity theory management for patients with acute myocardial infarction can effectively improve their first aid situation,reduce hospital stay and the incidence of complications,improve the caregivers'stress and disease knowledge and the patients'prognosis.

关 键 词：急性心肌梗死 院前急救链式流程 家庭时机理论 应用效果 

分 类 号：R473.5[医药卫生—护理学]