摘要
目的探究急性心肌梗死患者院前急诊护理中行个性化护理的护理效果.方法收集巨野县北城医院2019年12月至2020年12月收治的行溶栓和经皮冠状动脉介入治疗(Percutaneous Coronary Intervention,PCI)的急性心肌梗死患者80例为研究对象,按档案记录单双数进行分组,单数患者为对照组,双数患者为研究组,每组患者40例.对照组进行常规院前急诊护理,研究组在常规院前急诊护理基础上行个性化护理.统计对比两组患者院前急诊护理期间的急救情况,包括不良事件发生情况、急救时间、转运入院时间,调查对比两组患者护理后左心室射血分数和肌酸激酶同工酶改善情况,并对比两组患者护理满意度.结果研究组的急救时间为(18.74±3.19)min,入院时间为(47.38±6.48)min,对照组两项时间分别为(40.74±7.53)min和(67.29±5.17)min,研究组两项时间指标均明显短于对照组,差异有统计学意义(P<0.05).两组患者护理后左心室射血分数和肌酸激酶同工酶均有良好改善,研究组改善程度明显优于对照组,差异有统计学意义(P<0.05).护理满意度方面,研究组和对照组的护理满意度分别为97.5%和82.5%,研究组明显高于对照组,差异有统计学意义(P<0.05).结论急性心肌梗死患者院前急诊护理阶段行个性化护理可有效缩短患者急救时间和入院时间,改善患者心功能,提高患者满意度,具有较高的临床应用价值.
Objective To explore the nursing effect of personalized nursing in pre-hospital emergency nurs-ing for patients with acute myocardial infarction.Methods A total of 80 patients with acute myocardial infarction who underwent thrombolysis and PCI treatment in our hospital from December 2019 to December 2020 wereselected as the research objects and grouped according to the odd-even number of archival records.The odd-numbered patients were the control group,and the even-numbered patients were the studygroup,with 40 patients in each group.The control group received routine pre-hospital emergency care,and the study group received personalized care on the basis of routine pre-hospital emergency care.Thefirst aid of the two groups during pre-hospital emergency care was statistically compared,including the occurrence of adverse events,first aid time,and transport time.The improve-ment of left ventricular ejection fraction and creatine kinase isoenzyme after nursing was investigated and compared between the two groups,and the nursing satisfaction of the two groups was also compared.Results The first aid time of the study group was(18.74±3.19)min and the admission time was(47.38±6.48)min,while the two items of the control group were(40.74±7.53)min and(67.29±5.17)min,respectively.The two indexes of the study group were significantly shorter than those of the control group.The difference was statistically significant(P<0.05).Left ventricular ejection fraction and cre-atine kinase isoenzyme were improved in both groups after nursing,but the improvement degree of the study group was significantly better than that of the control group,and the difference was statistically significant(P<0.05).In terms of nursing satisfaction,the nursing satis-faction of the study group and the control group was 97.5%and 82.5%,respectively,and the study group was signif-icantly higher than the control group,the difference was statistically significant(P<0.05).Conclusion Person-alized nursing in pre-hospital emergency nursing of patients with acute myocardial infarction can effectively shorten the emergency time and admission time,improve the cardiac function of patients,and increase patient satisfaction,which has high clinical application value.
作者
孙苗苗
SUN Miaomiao(Department of Emergency,Juye Beicheng Hospital,Juye 274900,China)
出处
《中华灾害救援医学》
2024年第1期91-94,共4页
Chinese Journal of Disaster Medicine
关键词
心肌梗死
病人医疗护理
不良反应
急诊处理
myocardial infarction
patient care,adverse effects
emergency treatment
