摘要
目的探讨一线护士异常心电图(ECG)波形培训在急性心肌梗死(AMI)患者中的应用。方法选择2017年12月~2019年7月我院收治的80例AMI患者为研究对象,按照随机数字表法分为观察组(n=40)和对照组(n=40)。对照组实施常规护理,观察组对护理人员重点实施异常(ECG)波形培训,比较两组识别心律失常时间及发病后住院时间,统计两组治疗期发现心律失常率,分析两组救治成功率。结果观察组识别心律失常时间和发病后住院时间短于对照组,差异有统计学意义(P<0.05);观察组室颤、室性心动过速、房室传导阻滞发现率高于对照组,差异有统计学意义(P<0.05);观察组救治成功率高于对照组,差异有统计学意义(P<0.05)。结论对于AMI后心律失常,提高护理人员识别率,能有效的缩短住院时间,提高对心律失常的发现率,而提高临床救治成功率。
Objective To explore the application of abnormal electrocardiogram(ECG) waveform training in first-line nurses in patients with acute myocardial infarction(AMI). Methods Eighty patients with AMI admitted to our hospital from December 2017 to July 2019 were enrolled in the study. They were divided into observation group(n=40) and control group(n =40) according to the random number table method. In the control group, routine nursing was performed. The observation group focused on the implementation of abnormal ECG waveform training for the nursing staff.The time of arrhythmia and the hospitalization time after the onset were compared. The detection of arrhythmia during treatment and the successful treatment of the two groups were statistically analyzed. Results The time of recognition of arrhythmia and the hospital stay after onset were shorter in the observation group than those in the control group, with significant differences(P<0.05). The detection rate of incidence of ventricular fibrillation, ventricular tachycardia and atrioventricular block in the observation group were higher than those in the control group, with significant differences(P<0.05). The success rescuing rate of the observation group was higher than that of the control group, with significant difference(P<0.05). Conclusion For arrhythmia after AMI, improving the recognition of nursing staff can effectively shorten the hospital stay, increase the discovery rate of arrhythmia, as well as the success rate of clinical treatment.
作者
白艳梅
BAI Yan-mei(Department of Cardiology,the First People′s Hospital of Shenyang City,Liaoning Province,Shenyang110041,China)
出处
《中国当代医药》
2020年第10期240-242,共3页
China Modern Medicine
关键词
一线护士
心肌梗死
心电监护
异常波形
识别能力
First-line nurse
Myocardial infarction
Electrocardiogram monitoring
Abnormal waveform
Recognition ability
