摘要
目的探讨老年不典型急性心肌梗死的分诊分析与护理。方法按随机数字表法将2016年4月—2017年6月90例老年不典型急性心肌梗死患者分组,对照组进行传统的护理干预,实验组开展快速分诊和针对性护理干预。比较两组老年不典型急性心肌梗死患者抢救成功率;从入院到开始救治的时间、出院时间;护理前后患者焦虑程度水平、抑郁程度水平;对护理工作的满意度。结果实验组老年不典型急性心肌梗死患者抢救成功率45例(100.00%)高于对照组救37例(82.22%)(χ~2=10.156,P<0.05);实验组从入院到开始救治的时间、出院时间(24.24±1.41)min、(10.56±3.61)d优于对照组(45.45±2.17)min、(14.41±3.57)d(t=8.277、9.113,P<0.05);护理后实验组焦虑程度水平、抑郁程度水平(23.24±0.32)分、(35.67±0.17)分优于对照组(44.93±0.69)分、(43.67±0.21)分(t=8.292、9.101,P<0.05)。实验组对护理工作的满意度100.00%高于对照组80.00%(χ~2=10.00,P<0.05)。结论快速分诊和针对性护理干预在老年不典型急性心肌梗死护理中的应用效果确切,可缩短抢救的时间和提高抢救成功率,减轻患者焦虑抑郁程度,提高其满意度。
Objective To study the analysis and nursing of triage of senile atypical acute myocardial infarction. Methods 90 cases of senile patients with atypical acute myocardial infarction admitted and treated in our hospital from April2016 to June 2017 were randomly divided into two groups, the control group used the traditional nursing intervention,while the experimental group used the rapid triage and targeted nursing intervention, and the rescue successful rate,time from admission to beginning, discharge time, anxiety degree level of patients before and after nursing, depression degree level and satisfactory degree to the nursing work were compared between the two groups. Results The rescue successful rate in the experimental group was higher than that in the control group [45 cases（100.00%） vs 37 cases（82.22%）,χ^2=10.156,P 〈0.05）], and the emergency time from admission to beginning and discharge time in the experimental group were better than those in the control group [（24.24±1.41）min,（10.56±3.61）d vs（45.45±2.17）min,（14.41±3.57）d,（t=8.277, 9.113,P 〈0.05）]; after nursing, the anxiety degree level and depression degree level in the experimental group were better than those in the control group [（23.24±0.32）marks,（35.67±0.17）marks vs（44.93±0.69）marks,（43.67±0.21）marks,（t =8.292, 9.101,P 〈0.05）], and the satisfactory degree of patients in the experimental group to the nursing work was higher than that in the control group（100.00% vs 80.00%）, the difference was statistically significant（χ^2=10.00,P 〈0.05）]. Conclusion The application effect of rapid triage and targeted nursing intervention in the nursing of senile atypical acute myocardial infarction is definite, which can shorten the rescue time, improve the rescue successful rate, relieve the anxiety and depression degrees and improve the satisfactory degree.
作者
叶丽
朱黎
谢青亲
YE Li;ZHU Li;XIE Qing-qin(Department of Outpatient,Kaizhou District People＇s Hospital,Chongqing,405400 China)
出处
《系统医学》
2018年第13期184-186,共3页
Systems Medicine
关键词
老年不典型急性心肌梗死
分诊分析
护理
Senile atypical acute myocardial infarc-tion
Triage analysis
Nursing
