李兆燕,寿宇雁.急救护理路径在急性心肌梗死患者抢救中的应用效果观察[J].上海护理,2018,18(S1):
急救护理路径在急性心肌梗死患者抢救中的应用效果观察
DOI:
中文关键词:  急性心肌梗死  急救护理路径  抢救效果  护理
英文关键词:Acute myocardial infarction  Emergency care path  Rescue effect  Nursing
基金项目:
作者单位E-mail
李兆燕 上海第九人民医院 229741695@qq.com 
寿宇雁* 上海第九人民医院 yuyan-shou@sohu.com 
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中文摘要:
      【】目的:探讨急救护理路径在急性心肌梗死患者抢救中的应用效果。方法:选择2015年12月~2017年2月间到我院急诊科就诊的急性心肌梗死的患者共112例,所有患者均行经皮冠状动脉介入治疗(PCI),按照随机原则分为两组,对照组56例患者采取常规护理干预,观察组56例患者按照急救护理路径进行护理,比较两组患者抢救效果。结果:观察组患者分诊评估时间、静脉通道构建时间、进出急诊室时间、球囊扩张时间、住院时间均明显短于对照组患者(P<0.05),急性心肌梗死复发率、再行PCI手术率、死亡率均明显低于对照组患者(P<0.05),护理总满意度明显高于对照组患者(P<0.05)。结论:急性心肌梗死患者抢救过程中应用急救护理路径能够有效缩短各急救环节时间,提高抢救成功率,提高患者护理满意度,建议临床推广应用。
英文摘要:
      Objective: To investigate the effect of emergency care path in rescuing patients with acute myocardial infarction. Methods: 112 patients diagnosed with acute myocardial infarction in emergency department of our hospital from December 2015 to February 2017 were selected in this research. They were all treated with percutaneous coronary intervention (PCI) and randomly divided into two groups. 56 patients in control group received routine nursing, while 56 patients in observation group received emergency care path. Rescue effects were assessed respectively in two groups. Results: Times of triage assessment, intravenous build, entering-discharged from emergency department, door-to-balloon and hospital stays in observation group were obviously shorter than those in control group (P<0.05). Rates of recurrence, re-performance of PCI and mortality were significantly lower,compared to control group (P<0.05). Nursing satisfaction was obviously higher than that in control group (P<0.05). Conclusion: The application of emergency care path in patients with acute myocardial infarction can significantly shorten the length of rescue time, enhance the rescue rate, improve patient nursing satisfaction, and recommend clinical popularization and application.
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