以患者为本的护理理念联合急诊护理路径在急性心肌梗死患者中的应用  

Application of patient-centered nursing concept combined with emergency nursing pathway in patients with acute myocardial infarction

作　　者：孙丽娟[1] 王青 陈开祥[1] 许美艳 陈小卫 SUN Lijuan;WANG Qing;CHEN Kaixiang;XU Meiyan;CHEN Xiaowei(Department of Emergency,the Second People’s Hospital of Lianyungang,Jiangsu Province,Lianyungang222000,China)

机构地区：[1]江苏省连云港市第二人民医院急诊科,江苏连云港222000

出　　处：《中国医药导报》2023年第14期167-170,共4页China Medical Herald

基　　金：江苏省科技计划项目(BK20190351)。

摘　　要：目的探究以患者为本的护理理念联合急诊护理路径在急性心肌梗死患者中的应用。方法选取2018年10月至2020年10月江苏省连云港市第二人民医院急诊科收治的84例急性心肌梗死患者,采用随机数字表法将其分为参照组及试验组,各42例。参照组行急诊护理路径干预,试验组采用以患者为本的护理理念联合急诊护理路径。比较干预前后两组救治情况、心功能水平及生活质量。结果干预后,试验组各项救治时长均短于参照组,差异有统计学意义(P<0.05);干预后,两组心率、收缩压、左室舒张末期内径均低于干预前,左室射血分数高于干预前,且试验组心率、收缩压、左室舒张末期内径均低于参照组,左室射血分数水平高于参照组,差异有统计学意义(P<0.05);干预后,两组心绞痛生活质量问卷各项评分低于干预前,且试验组低于参照组,差异有统计学意义(P<0.05)。结论以患者为本的护理理念联合急诊护理路径在改善急性心肌梗死患者中具有重要作用,患者的救治效果显著提高,心功能水平及生活质量明显改善。Objective To explore the application of patient-centered nursing concept combined with emergency nursing pathway in patients with acute myocardial infarction.Methods Eighty-four patients with acute myocardial infarction admitted to the Department of Emergency,the Second People’s Hospital of Lianyungang,Jiangsu Province from October 2018 to October 2020 were selected.They were divided into reference group and experimental group by random number table method,with 42 cases in each group.The reference group received emergency nursing pathway intervention,and the experimental group received patient-centered nursing concept combined with emergency nursing pathway.The treatment,cardiac function and quality of life of the two groups were compared before and after intervention.Results After intervention,the treatment duration of experimental group was shorter than that of the reference group,and the differences were statistically significant(P<0.05).After intervention,the heart rate,systolic blood pressure,and left ventricular end diastolic diameter of the two groups were lower than those before intervention,and the left ventricular ejection fraction was higher than before intervention,and the heart rate,systolic blood pressure,and left ventricular end diastolic diameter of the experimental group were lower than the reference group,and the left ventricular ejection fraction was higher than the reference group,the differences were statistically significant(P<0.05);the scores of angina quality of life questionnaire in the two groups were lower than those before intervention,and the experimental group was lower than the reference group,and the differences were statistically significant(P<0.05).Conclusion Patient-oriented nursing concept combined with emergency nursing pathway plays an important role in improving patients with acute myocardial infarction.The treatment effect of patients is significantly improved,and the level of new function and quality of life are significantly improved.

关 键 词：以患者为本 急诊护理路径 急性心肌梗死 救治效果 心功能 生活质量 

分 类 号：R473[医药卫生—护理学]