摘要
目的分析综合性护理干预在急性心肌梗死患者急诊中的应用价值。方法在江门市人民医院2017年3月-2018年3月收治的急性心肌梗死患者中,随机抽取55例作为本次研究的对照组,同时在2018年4月-2019年4月收治的急性心肌梗死患者中,随机抽取55例作为本次研究的实验组,对照组均安排常规急诊护理,实验组均安排综合性护理干预,比较两组患者护理后的救治情况、心功能指标、并发症发生率、致残率以及病死率差异。结果救治情况:组间分诊时间、急诊停留时间、急诊抢救时间以及住院时间比较,对照组时间均显著较实验组长,组间数据差异有统计学意义(P<0.05)。心功能指标:组间护理后的心功能指标比较,对照组LVED指标显著较实验组高,同时LVEF指标显著较实验组低,组间数据差异有统计学意义(P<0.05)。并发症:组间护理期间的并发症发生情况比较,对照组并发症发生率显著较实验组高,组间数据差异有统计学意义(P<0.05)。致残率和病死率:组间致残率和病死率比较,对照组显著较实验组高,组间数据差异有统计学意义(P<0.05)。结论对于急性心肌梗死患者,在其急诊抢救过程中开展综合性护理干预有利于进一步提高其抢救效果,不仅可以显著缩短救治时间,同时还可以进一步改善其心功能及预后,减少并发症的发生。
Objective To analyze the application value of comprehensive nursing intervention in the emergency department of patients with acute myocardial infarction.Methods Among the patients with acute myocardial infarction admitted from March 2017 to March 2018 in our hospital,55 patients were randomly selected as the control group of this study,and the acute myocardial patients admitted from April 2018 to April 2019 Among the patients with infarction,55 cases were randomly selected as the experimental group of this study.The control group was arranged with routine emergency care,and the experimental group was arranged with comprehensive nursing intervention.The treatment status,cardiac function indexes,and complications of the two groups after nursing were compared.Rate,disability rate and case fatality rate difference.Results Treatment status:Comparing triage time,emergency stay time,emergency rescue time and hospitalization time between groups,the control group time was significantly longer than the experimental group,and the data difference between the groups was statistically significant(P<0.05).Cardiac function indexes:comparison of cardiac function indexes after nursing between groups,the LVED index of the control group was significantly higher than that of the experimental group,while the LVEF index was significantly lower than that of the experimental group,and the data difference between the groups was statistically significant(P<0.05).Complications:Comparing the incidence of complications during nursing between groups,the incidence of complications in the control group was significantly higher than that in the experimental group,and the difference in data between the groups was statistically significant(P<0.05).Disability rate and fatality rate:Comparing the disability rate and fatality rate between groups,the control group was significantly higher than the experimental group,and the data difference between the groups was statistically significant(P<0.05).Conclusion For patients with acute myocardial infarction,comprehensive nursing intervention during emergency rescue is helpful to further improve the rescue effect.It can not only significantly shorten the treatment time,but also further improve their cardiac function and prognosis,and reduce the occurrence of complicati ons.
作者
李共甜
谭春兴
余叶嫦
唐志均
马静静
LI Gongtian;TAN Chunxing;YU Yechang;TANG Zhijun;MA Jingjing(Emergency Department,Jiangmen People's Hospital,Jiangmen,Guangdong,529000)
出处
《智慧健康》
2022年第16期197-200,共4页
Smart Healthcare
关键词
急性心肌梗死
急诊抢救
综合性护理干预
抢救效果
心功能
并发症
Acute myocardial infarction
Emergency rescue
Comprehensive nursing intervention
Rescue effect
Cardiac function
Complications
