摘要
通过分析68例急性心肌梗塞患者静脉溶栓治疗前的时间延误,调查50名护士对急性肌梗塞治疗的认识程度,探讨溶栓治疗前延误的护理因素。结果显示,溶栓治疗院外延误2.0h,院内延误3.1h,院内延误显著长于院外延误(P<0.01)。其中急诊室延误的延长,冠脉再通率下降;急诊科护士对溶栓治疗适应证、禁忌症等认识程度低于心血管内科护士;护士在急性心肌梗塞治疗中缺少主动性。认为护士能够缩短溶栓前院内延误。提出对全体护士应加强急性心肌梗塞溶栓治疗的教育和培养训练,使其认识到缩短溶栓治疗前时间的意义,提高护士的主观能动性。
An investigation was made in 68 consecutive patients with intravenous thrombolysis to determine the time delay preceding thrombolysis of acute myocardial infartion (AMI)and to assess the nurse's knowledge of thrombolysis. The result showed that in-hospital and 1. 4h in CCU)was significantly longer than out-hospital time delay (average 2. 0h)(P<0. 01) ; The reopen rate of occluded coronary artery was lower, when the time delays preceding thrombolysis was longer. The knowledge of Thrombolysis of the nurses in emergency department was inferior to that of the nurses in cardiologic department. In General, the nurses lack inifiative in treatment of AMI, We believe that the nurse can minimize the time delay preceding thrombolysis in AMI patients if they have received extensive education and training in thrombolysis for AMI.
出处
《解放军护理杂志》
1998年第1期35-37,共3页
Nursing Journal of Chinese People's Liberation Army
