The impact of high-quality nursing service activities on the quality of basic nursing care for emergency elderly patients with acute myocardial infarction
优质护理服务活动对急诊老年急性心肌梗死基础护理质量的影响

摘要

目的 为了探究老年急性心肌梗死中优质护理的应用影响。方法 选取院内2019年1月到2022年1月间收治的66例心肌梗死老年患者，根据数字表法分成两组，每组33名。对照组实施常规护理，研究组实施优质护理，对比两组的护理质量、病情改善效果、满意度。结果 经过护理干预后，在护理质量方面，研究组的住院时间、卧床时间、抢救时间均短于对照组，认知评分高于对照组，两组差异显著，P＜0.05；在病情改善效果方面，干预前两组的BI指数与NIHSS评分无明显差异，P＞0.05；经过干预后，研究组的BI指数高于对照组，NIHSS评分低于对照组，差异显著，P＜0.05；在满意度方面，研究组的总满意度为96.97%，高于对照组的75.76%，二者差异显著，P＜0.05。结论 在老年急性心肌梗死护理中，优质护理可渗透到急诊前、抢救中、诊疗后的全过程，可提高抢救成功率，改善临床指标，对基础护理质量提升具有重要影响。

Abstract

Objective: The purpose is to explore the application impact of high-quality nursing care in elderly patients with acute myocardial infarction. Method: 66 elderly patients with myocardial infarction admitted to the hospital between January 2019 and January 2022 were selected and divided into two groups based on the number table method, with 33 patients in each group. The control group received routine care, while the research group received high-quality care. The nursing quality, improvement effect, and satisfaction of the two groups were compared. After nursing intervention, in terms of nursing quality, the hospitalization time, bed rest time, and rescue time of the study group were shorter than those of the control group, and the cognitive score was higher than that of the control group, with a significant difference between the two groups (P<0.05); In terms of the improvement effect of the condition, there was no significant difference in the BI index and NIHSS score between the two groups before the intervention, P>0.05; After intervention, the BI index of the study group was higher than that of the control group, and the NIHSS score was lower than that of the control group, with a significant difference (P<0.05); In terms of satisfaction, the total satisfaction rate of the research group was 96.97%, higher than the control group's 75.76%, with a significant difference (P<0.05).
Conclusion  : In the nursing of elderly acute myocardial infarction, high-quality care can permeate the entire process of pre emergency, rescue, and diagnosis and treatment, improve the success rate of rescue, clinical indicators, and have an important impact on the improvement of basic nursing quality.