摘要
目的:探讨无缝链接式护理干预在急性心肌梗死患者救治中的应用。方法:回顾性分析2013年1月至2017年1月我院收治的438例急性心肌梗死患者临床资料,按无缝链接式护理模式实行时间分为试验组和对照组,对照组患者给予急诊绿色通道常规护理,试验组在急诊绿色通道常规护理的基础上,实行无缝链接式护理。比较2组患者的一般资料、救治时间、护士工作效率、预后以及住院指标等。结果:试验组的首次医疗接触至球囊扩张时间、到达医院至球囊扩张开通血管时间、转诊时间、获得知情同意时间、护士到位时间、术前准备时间均低于对照组,差异均有统计学意义(P<0.01)。试验组的病死率低于对照组,左心室射血分数高于对照组,左心室舒张末期内径低于对照组,差异均有统计学意义。试验组的住院费用、住院时间均低于对照组,差异均有统计学意义(P<0.01)。结论:在急性心肌梗死患者救治中实行无缝链接式护理干预可提高护士工作效率、绿色通道的转运速度和抢救效率,进一步提高急性心肌梗死的治愈率及患者的满意度。
Objective:To investigate the feasibility and effects of seamless nursing intervention on the treatment of patients with acute myocardial infarction. Methods:The clinical data of 438 patients with acute myocardial infarction from Jan 2013 to Jan 2017 were retrospectively analyzed. According to the implement time of seamless nursing intervention,all the patients were divided into experimental group and control group. All the patients in both groups were received emergency green channel routine care. Based on this nursing,the experimental group also received seamless nursing intervention. The general information,treatment time,working efficiency of nurses,prognosis and hospital indicators were compared between the two groups. Results:First medical contact to balloon dilatation time,the door to balloon dilatation time,referral time,informed consent time,nurses in place time and preoperative preparation in the experimental group were all lower than those in the control group(P<0.01). The mortality rate and the left ventricular diastolic internal diameter in the experimental group were lower than those in the control group(P<0.05). The left ventricular ejection fraction in the experimental group was higher than that in the control group(P<0.05). The hospitalization cost of and the hospitalization time in the experimental group were both lower than those in the control group(P<0.01). Conclusions:The application of seamless nursing intervention in the treatment of patients with acute myocardial infarction can effectively improve the working efficiency of nurses,and increase the transport speed of green channel and the rescue efficiency. Furthermore,it can improve the cure rate and patient satisfaction.
出处
《沈阳医学院学报》
2017年第6期511-513,共3页
Journal of Shenyang Medical College
关键词
无缝链接
急性心肌梗死
护理
seamlesslink
acute myocardial infarction
nursing
