摘要
目的探讨对急性心肌梗死患者采用程序化急诊急救护理对提高急性心肌梗死患者急救效率的作用及对临床转归的影响。方法方便选择该院2020年1—12月收治急性心肌梗死患者90例,按照随机数表法分为常规急救护理对照组(n=45)与采用程序化急诊急救护理研究组(n=45),比较两组急救效率,评估两组抢救成功率以及不良心脏事件(MACE)发生率,并采用汉密尔顿焦虑(HAMA)、抑郁(HAMD)量表评估患者干预后的负性情绪状态,另采用自制满意度调查问卷评估患者或家属对护理服务的满意度。结果研究组总体抢救时间、急诊球囊扩张时间、住院时间分别为(42.29±13.20)min、(79.65±15.35)min、(11.18±1.95)d,均短于对照组,差异有统计学意义(t=4.123、10.065、3.394,P<0.05)。研究组抢救成功率为97.78%,高于对照组82.22%;MACE发生率6.67%,低于对照组22.22%;护理满意度为95.56%,高于对照组75.56%,差异有统计学意义(χ^(2)=4.444、4.406、7.283,P<0.05)。干预后研究组HAMA、HAMD评分分别为(14.20±1.94)分、(11.54±1.77)分,均小于对照组,差异有统计学意义(t=7.143、6.842,P<0.05)。结论对急性心肌梗死患者采用程序化急诊急救护理能够有效提高急救效率,缩短患者住院时间,可提高抢救成功率,降低不良心脏事件发生风险,且能够减轻患者的负性情绪,并能够改善患者护理服务体验。
Objective To explore the effect of using programmed emergency nursing care on patients with acute myocardial infarction to improve the emergency efficiency of patients with acute myocardial infarction and its impact on clinical outcomes.Methods A total of 90 patients with acute myocardial infarction admitted to the hospital from January to December 2020 were conveniently selected and divided into the routine emergency nursing control group(n=45)and the routine emergency emergency nursing study group(n=45)according to the random number table method.The rescue efficiency of the two groups was compared,the rescue success rate and the incidence of adverse cardiac events(MACE)were evaluated,and the hamilton anxiety(HAMA)and depression(HAMD)scales were used to evaluate the patients'negative emotional state after intervention.In addition,a self-made satisfaction questionnaire was used to evaluate patients'or their families'satisfaction with nursing services.Results The overall rescue time,emergency balloon dilation time,and hospitalization time of the study group were(42.29±13.20)min,(79.65±15.35)min,and(11.18±1.95)d,respectively,which were all shorter than those of the control group,and the difference was statistically significant(t=4.123,10.065,3.394,P<0.05).The rescue success rate of the study group was 97.78%,which was higher than that of the control group,which was 82.22%;the incidence of MACE was 6.67%,which was lower than 22.22%in the control group;the nursing satisfaction was 95.56%,which was 75.56%higher than that of the control group,and the difference was statistically significant(χ^(2)=4.444,4.406,7.283,P<0.05).After the intervention,the HAMA and HAMD scores of the study group were(14.20±1.94)points and(11.54±1.77)points,respectively,which were lower than those of the control group,and the difference was statistically significant(t=7.143,6.842,P<0.05).Conclusion The use of programmed emergency care for patients with acute myocardial infarction can effectively improve the efficiency of emergency care,shorten the hospitalization time of patients,improve the success rate of rescue,reduce the risk of adverse cardiac events,reduce the negative emotions of patients,and improve patient care.
作者
杨美香
YANG Meixiang(Emergency Department,Jinxiang County People's Hospital,Jining,Shandong Province,272200 China)
出处
《中外医疗》
2022年第9期158-162,共5页
China & Foreign Medical Treatment
关键词
急性心肌梗死
程序化急诊急救护理
急救效率
临床转归
不良心脏事件
负性情绪
Acute myocardial infarction
Programmed emergency care
Emergency efficiency
Clinical outcome
Adverse cardiac events
Negative emotions
