护士认知行为对ST段抬高型心肌梗死患者院前溶栓的影响  

Effect of Physician Cognitive Behavior on Prehospital Thrombolysis in Patients with ST-segment Elevation Myocardial Infarction

作　　者：袁菲 李强 邵琬 杨常青[2] YUAN Fei;LI Qiang;SHAO Wan;YANG Changqing(Department of Emergency,Luohe Hospital of Traditional Chinese Medicine,Luohe 462000,China;The Third Affiliated Hospital of Luohe Medical College,Luohe 462000,China)

机构地区：[1]漯河市中医院急诊科,河南漯河462000 [2]漯河医学高等专科学校第三附属医院,河南漯河462000

出　　处：《河南医学研究》2023年第18期3433-3436,共4页Henan Medical Research

摘　　要：目的 调查急诊科护士对急性ST段抬高型心肌梗死患者接受溶栓的认知和态度,分析影响院前溶栓效果的相关因素。方法 选择漯河市12个急诊科的244名护士,采取现场调查和发放问卷的方式收集数据,应用SPSS 19.0软件进行统计分析。结果 244名急诊科护士中,65.98%的护士有溶栓经历,70.08%的护士认为院前溶栓利大于弊,80.33%的护士认为院前溶栓治疗是安全的,错过时间窗和担心并发症是目前开展溶栓的主要障碍。多因素logistic回归分析显示,认为溶栓治疗利大于弊、认为溶栓治疗安全及对溶栓治疗知识掌握情况好的护士有较多的溶栓经历,并支持院前溶栓。其中年龄、职称、受教育程度、溶栓经历等是影响溶栓治疗知识的独立因素。结论 护士对溶栓治疗比较认可,但护士的临床决策受知识、经历等影响,需要进一步加强急诊护士溶栓知识的学习,提高护士急救能力。Objective To investigate the cognition and attitude of nurses in emergency department on thrombolytic therapy in patients with acute ST-segment elevation myocardial infarction,and to analyze the related factors affecting pre-hospital thrombolytic therapy.Methods A total of 244 nurses were selected from 12 emergency departments in Luohe,and the data were collected by field investigation and questionnaire.SPSS 19.0 software was used for statistical analysis.Results Among 244 emergency department nurses,65.98%had experienced thrombolytic therapy,70.08%thought that the advantages of thrombolytic therapy before hospital outweighed the disadvantages,80.33%thought that thrombolytic therapy before hospital was safe,and missing the time window and worrying about complications were the main obstacles to carrying out thrombolytic therapy.Multivariate logistic regression analysis showed that nurses who believed that the advantages of thrombolytic therapy outweighed the disadvantages,believed that thrombolytic therapy was safe,and had good knowledge of thrombolytic therapy had more thrombolytic experience,and supported pre-hospital thrombolytic therapy.Among them,age,professional title,educational level and thrombolytic experience were the independent factors affecting thrombolytic treatment knowledge.Conclusion Nurses are more acceptable to thrombolysis therapy,but nurses’clinical decision is affected by knowledge and experience,so it is necessary to further strengthen the knowledge of thrombolysis and improve nurses’first-aid ability.

关 键 词：急性ST段抬高型心肌梗死 溶栓治疗 时间窗 急诊科护士 临床决策 

分 类 号：R473.5[医药卫生—护理学]