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Open Access Article

International Journal of Nursing Research. 2022; 4: (8) ; 16-18 ; DOI: 10.12208/j.ijnr.20220363.

Application of emergency nursing in patients with acute myocardial infarction
急诊护理在急性心肌梗死患者中的应用

作者: 邓钰 *, 黄正容

西南医科大学附属中医医院 四川泸州

*通讯作者: 邓钰,单位:西南医科大学附属中医医院 四川泸州;

发布时间: 2022-12-31 总浏览量: 311

摘要

目的 分析急性心肌梗死患者急诊治疗中急诊护理流程的应用效果。方法 选择2021年1月至12月在我院急诊科的84例急性心肌梗死患者,给予2021年1月至6月的41例患者实施常规护理管理,设为对照组;给予2021年7月至12月的43例患者实施优化急诊护理流程,设为观察组。对比两组患者的治疗效果、不良反应率和护理满意度。结果 对比两组的进出急诊室的时间、等待辅助检查时间、住院时间,观察组均低于对照组(P<0.05)。对比两组心绞痛、心律失常、心力衰竭、复发性心肌梗死、休克等不良事件发生率,观察组均明显低于对照组(P<0.05)。对比两组的护理服务满意度,观察组明显高于对照组(P<0.05)。结论 将优化急诊护理流程管理用于急性心肌梗死患者,提升了治疗效果,减少了并发症率,促进了预后。

关键词: 优化急诊护理流程;急诊护理管理;急性心肌梗死;急诊急救

Abstract

Objective: To analyze the application effect of emergency nursing process in emergency treatment of patients with acute myocardial infarction.
Methods: 84 patients with acute myocardial infarction in the emergency department of our hospital from January 2021 to December 2021 were selected, and 41 patients from January 2021 to June 2021 were given routine nursing management as the control group; 43 patients from July to December 2021 were assigned to the observation group to optimize the emergency nursing process. The treatment effect, adverse reaction rate and nursing satisfaction of the two groups were compared.
Results: By comparing the time of entering and leaving the emergency room, waiting for auxiliary examination and hospitalization between the two groups, the observation group was lower than the control group (P<0.05). The incidence of adverse events such as angina, arrhythmia, heart failure, recurrent myocardial infarction and shock in the observation group was significantly lower than that in the control group (P<0.05). The satisfaction of nursing service in the observation group was significantly higher than that in the control group (P<0.05).
Conclusion  : Applying the optimized emergency nursing process management to patients with acute myocardial infarction can improve the therapeutic effect, reduce the complication rate and promote the prognosis.

Key words: Optimizing emergency nursing process; Emergency nursing management; Acute myocardial infarction; Emergency first aid

参考文献 References

[1] Arslan F, Bongartz L, Ten Berg JM, et al. 2017 ESC guidelines or the management of acute myocardial infarction in patients presenting with ST-segment elevation: comments from the Dutch ACSworking group[J]. Neth Heart J, 2018,26(9):417-421.

[2] 刘超. 急性心肌梗死伴心源性休克的急诊治疗措施探讨[J]. 山西医药杂志, 2020, 49(8):1008-1010.

[3] 葛葛均波,徐永健,王辰.内科学(第九版)[M].北京:人民卫生出版社,2018: 213.

[4] Chapman AR, Anand A, Boeddinghaus J, et al. Comparison of the Efficacy and Safety of Early Rule-Out Pathways for Acute Myocardial Infarction[J]. Circulation, 2017, 135(17):1586.

[5] Reynolds K, Go AS, Leong TK, et al.Trends in Incidence of Hospitalized Acute Myocardial Infarction in the Cardiovascular Research Network(CVRN)[J].Am J Med, 2017, 130(3):317-327.

[6] 权红梅, 王敏燕, 谭彩娥,等. 急性心肌梗死患者抢救中优质急诊护理的应用研究[J]. 中国药物与临床, 2020, 20(14):2462-2463.

[7] 唐绍辉, 易婷, 陈煌,等. 全程优化急诊护理对急性心肌梗死患者临床效果,负性情绪和预后质量的影响[J]. 广东医学, 2021, 42(10):1259-1263.

[8] 高亮, 王莹. 以结局为导向的一体化零缺陷护理模式在急性心肌梗死急诊救治中的实践研究[J]. 中国医药导报, 2021, 18(30):168-171.

引用本文

邓钰, 黄正容, 急诊护理在急性心肌梗死患者中的应用[J]. 国际护理学研究, 2022; 4: (8) : 16-18.