胸痛中心优化护理流程对急性ST段抬高型心肌梗死患者救治效果的影响  

Impact of Optimized Nursing Process in Chest Pain Center on the Effect of Rescue Treatment for Patients with Acute ST-segment Elevation Myocardial Infarction

作　　者：王琴 江希 Wang Qin;Jiang Xi(Department of Cardiology,Chengdu Third People's Hospital,Chengdu 610000,Sichuan Province,China)

机构地区：[1]成都市第三人民医院心内科,四川成都610000

出　　处：《中外医药研究》2024年第21期112-114,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探讨胸痛中心优化护理流程对急性ST段抬高型心肌梗死(STEMI)患者救治效果的影响。方法:选取2022年1月—2024年1月成都市第三人民医院收治的STEMI患者90例作为研究对象,根据随机数字表法分为对照组(常规护理)和观察组(胸痛中心优化护理流程),各45例。比较两组护理效果。结果:观察组分诊评估时间、静脉通道建立时间、导管室激活时间、抢救时间、住院时间短于对照组,差异有统计学意义(P<0.001);观察组抢救成功率高于对照组,差异有统计学意义(P=0.026);护理后,两组纽约心脏病学会分级低于护理前,观察组低于对照组,差异有统计学意义(P<0.05);护理后,两组各项生活质量评分高于护理前,观察组高于对照组,差异有统计学意义(P<0.05);观察组护理有效性、护理即时性、工作态度、护理水平评分高于对照组,差异有统计学意义(P<0.001)。结论:STEMI患者救治中开展胸痛中心优化护理流程干预,可缩短各类时间指标,提高抢救成功率,改善患者的心功能,提高生活质量,患者满意度较高。Objective:To explore the impact of optimized nursing process in chest pain center on the treatment effect of patients with acute ST-segment elevation myocardial infarction(STEMI).Methods:Ninety cases of STEMI patients admitted to Chengdu Third People's Hospital from January 2022 to January 2024 were selected as the study subjects,and were divided into a control group(conventional care)and an observation group(optimized nursing process of chest pain center)according to the method of randomized numerical table,each of which was forty-five cases.Compare the nursing effect of the two groups.Results:The observation group's diagnosis and assessment time,intravenous access establishment time,catheterization room activation time,resuscitation time,and hospitalization time were shorter than that of the control group,and the difference was statistically significant(P<0.001);the resuscitation success rate of the observation group was higher than that of the control group,and the difference was statistically significant(P=0.026);after care,the New York Society of Cardiology grading of the two groups was lower than that before care,and the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05);after care,the quality of life scores of the two groups were higher than that before care,and the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05);the scores of nursing effectiveness,nursing immediacy,work attitude and nursing level of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.001).Conclusion:Optimized nursing process intervention of chest pain center in STEMI patients'rescue treatment can shorten all kinds of time indexes,improve the success rate of resuscitation,improve the patients'cardiac function,improve the quality of life,and the patients'satisfaction is high.

关 键 词：急性ST段抬高 心肌梗死 胸痛中心优化护理流程 心功能 

分 类 号：R473.5[医药卫生—护理学]