预见性思维结合急救流程再造对急性心肌梗死患者抢救效率及预后的影响  

Effects of predictive thinking combined with emergency process reengineering on rescue efficiency and prognosis of patients with acute myocardial infarction

作　　者：丁宝霞 谢昕 DING Baoxia;XIE Xin(Xianyang Hospital of Yan'an University,Xianyang 712000,China)

机构地区：[1]延安大学咸阳医院,陕西咸阳712000

出　　处：《临床医学研究与实践》2025年第6期150-153,共4页Clinical Research and Practice

摘　　要：目的 探究预见性思维结合急救流程再造对急性心肌梗死患者抢救效率及预后的影响。方法 选择2021年2月至2023年3月我院收治的90例急性心肌梗死患者为研究对象,以患者入院时间将其分为对照组和观察组,每组45例。对照组给予常规急救护理干预,观察组在对照组护理方案基础上增加预见性思维结合急救流程再造护理。比较两组的干预效果。结果 观察组的分诊时间、就诊至静脉采血时间、就诊至球囊扩张时间、住院时间短于对照组,差异具有统计学意义(P<0.05)。出急救室时,观察组的N-末端脑钠肽前体(NT-proBNP)、心肌肌钙蛋白Ⅰ(c TnⅠ)水平低于对照组,差异具有统计学意义(P<0.05)。观察组的不良事件总发生率为6.67%,显著低于对照组的22.22%,差异具有统计学意义(P<0.05)。结论 预见性思维结合急救流程再造用于急性心肌梗死患者急救护理中,不仅可提高抢救效率,缓解心肌损伤,还能降低不良事件发生,值得推广。Objective To explore the effects of predictive thinking combined with emergency process reengineering on rescue efficiency and prognosis of patients with acute myocardial infarction.Methods A total of 90 patients with acute myocardial infarction admitted in our hospital from February 2021 to March 2023 were selected as the research objects.The patients were divided into control group and observation group according to the time of admission,with 45 cases in each group.The control group was given routine emergency nursing intervention,and the observation group was given predictive thinking combined with emergency process reengineering nursing on the basis of the nursing plan of the control group.The intervention effects of the two groups were compared.Results The triage time,time from visit to venous blood collection,time from visit to balloon dilatation and hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).When leaving the emergency room,the levels of N-terminal probrain natriuretic peptide(NT-proBNP)and cardiac troponin I(cTnI)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of adverse events in the observation group was 6.67%,which was significantly lower than 22.22%in the control group,and the difference was statistically significant(P<0.05).Conclusion Predictive thinking combined with emergency process reengineering in emergency nursing of patients with acute myocardial infarction can not only improve the rescue efficiency,alleviate myocardial injury,but also reduce the occurrence of adverse events,which is worthy of promotion.

关 键 词：预见性思维 急救流程再造 急性心肌梗死 抢救效率 心肌损伤 

分 类 号：R473[医药卫生—护理学]