基于思维导图的急救护理流程在急性心肌梗死患者的急诊救治中的应用价值  

Application value of emergency nursing process based on mind mapping in emergency treatment of patients with acute myocardial infarction

作　　者：朱红瑾 孙会会[1] 黄素玲[1] 祁彬[1] ZHU Hongjin;SUN Huihui;HUANG Suling;QI Bin(Department of Emergency Internal Medicine,Bozhou People’s Hospital,Anhui Province,Bozhou236804,China)

机构地区：[1]安徽省亳州市人民医院急诊内科,安徽亳州236804

出　　处：《中国医药导报》2024年第14期141-143,175,共4页China Medical Herald

基　　金：安徽省卫生健康科研项目(AHWJ2022c032)。

摘　　要：目的 研究基于思维导图的急救护理流程在急性心肌梗死患者的急诊救治中的应用价值。方法 选取2022年1月至9月安徽省亳州市人民医院救治的急性心肌梗死患者80例作为研究对象,按照随机数字表法将其分为对照组和观察组,各40例。对照组实施常规急救护理流程救治,观察组实施基于思维导图的急救护理流程救治。比较两组救治时效性指标[发病至医院大门(SO-to-D)、从医院大门至球囊扩张(D-to-B)、首次医疗接触至球囊扩张(FMC-to-B)、发病至球囊扩张(SO-to-B)、抢救室滞留、首份心电图及肌钙蛋白时间]、救治前后生命体征指标[收缩压(SBP)、舒张压(DBP)、心率(HR)、呼吸(R)]、院内短期救治效果。结果 观察组SO-to-D、D-to-B、FMC-to-B、SO-to-B、抢救室滞留、首份心电图、肌钙蛋白出结果时间短于对照组(P<0.05)。救治后,两组SBP、DBP、HR、R水平低于救治前,且观察组低于对照组(P<0.05)。观察组救治成功率高于对照组(P<0.05)。观察组救治后的左心室舒张末期内径、左室射血分数水平高于对照组(P<0.05)。结论 基于思维导图的急救护理流程有助于缩短诊疗时间,促进患者生命体征恢复,提高急性心肌梗死患者院内救治成功率,改善患者心功能。Objective To study the application value of emergency nursing process based on mind mapping in emergency treatment of patients with acute myocardial infarction.Methods A total of 80 patients with acute myocardial infarction treated in Bozhou People’s Hospital,Anhui Province from January to September 2022 were selected as the research objects.They were divided into control group and observation group according to random number table method,with 40 cases in each group.The control group was treated with routine emergency nursing process,while the observation group was treated with mind mapping emergency nursing process.The treatment timeliness indexes(the time of symptom onset to door time[SO-to-D],door to balloon[D-to-B],first medical contact to balloon[FMC-to-B],symptom onset to balloon[SO-to-B],emergency room retention,first electrocardiogram,and troponin),the vital signs indexes before and after treatment(systolic blood pressure[SBP],diastolic blood pressure[DBP],heart rate[HR],and respiration[R]),and the short-term treatment effect in hospital were compared between the two groups.Results The time of SO-to-D,D-to-B,FMC-to-B,SO-to-B,emergency room retention,first electrocardiogram,and troponin result time in the observation group were shorter than those in the control group(P<0.05).After treatment,SBP,DBP,HR,and R levels in both groups were lower than those before treatment,and those in the observation group were lower than those in the control group(P<0.05).The success rate of treatment in the observation group was higher than that in the control group(P<0.05),and the left ventricular end-diastolic dimension and left ventricular ejection fraction levels two weeks after treatment in the observation group were higher than those in the control group(P<0.05).Conclusion The emergency nursing process based on mind mapping helps to shorten the consultation time,promote the recovery of patients’vital signs,improve the success rate of in-hospital treatment for patients with acute myocardial infarction,and improve pat

关 键 词：思维导图 急救护理流程 急性心肌梗死 救治效果 

分 类 号：R473[医药卫生—护理学]