急救护理流程再造在急性心肌梗死急诊介入治疗中的作用观察(1)
摘 要：目的 观察急救护理流程再造在急性心肌梗死急诊介入治疗中的作用。方法 选取我院2017年2月～2018年5月收治的60例急性心肌梗死急诊介入治疗患者，以随机平行方式分为观察组与对照组每组30例。观察组实行急救护理流程再造，对照组实行常规护理流程，对比两组患者的护理满意度、抢救成功率、首次医疗接触时间到心电图(ECG)时间、ECG到激活导管室时间、急诊就诊到球囊扩张时间。结果 观察组护理满意度(93.33%)，高于对照组(73.33%)，差异有统计学意义(P<0.05)。观察组首次医疗接触-ECG时间、ECG-激活导管室时间、急诊-球囊扩张时间分别为：(5.11±1.19)min、(22.29±2.62)min、(65.11±9.98)min，高于对照组的(10.37±1.56)min、(46.32±4.84)min、(92.04±5.03)min，差异有统计学的意义(P<0.05)。结论 急性心肌梗死急诊介入治疗中，实行急救护理流程再造，可提高急性心肌梗死患者的护理满意度和抢救成功率，减少首次医疗接触-ECG、ECG-激活导管室、急诊-球囊扩张的时间。
, 百拇医药
关键词：急救护理流程再造；急性心肌梗死；急诊介入治疗；ECG
中图分类号：R473.5 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.23.049
文章编号：1006-1959(2018)23-0168-03
Abstract：Objective To observe the effect of emergency nursing process reengineering in emergency interventional treatment of acute myocardial infarction. Methods 60 patients with acute myocardial infarction who received emergency interventional therapy in our hospital from February 2017 to May 2018 were randomly divided into observation group (n=30) and control group (n=30) according to their visiting time. The observation group was given emergency nursing process reengineering， while the control group was given routine nursing process. The nursing satisfaction， rescue success rate， first medical contact to electrocardiogram (ECG) time， electrocardiogram (ECG)to activation catheter room time， emergency to balloon dilatation time were compared between the two groups. Results The nursing satisfaction of the observation group (93.33%) was higher than that of the control group (73.33%)，the difference was statistically significant(P<0.05). The first medical contact in the observation group-ECG time， ECG-activated catheter room time， emergency-balloon dilation time were：(5.11±1.19) min，(22.29±2.62) min，(65.11±9.98) min， higher than the control group(10.37±1.56) min，(46.32±4.84) min，(92.04±5.03) min， the difference was statistically significant(P<0.05). Conclusion Emergency interventional therapy for acute myocardial infarction can improve the nursing satisfaction and rescue success rate of patients with acute myocardial infarction， and reduce the time of first medical contact-ECG， ECG-activated catheterization room and emergency-balloon expansion.
, 百拇医药
Key words：Emergency care process reengineering；Acute myocardial infarction；Emergency interventional therapy；ECG
急性心肌梗死(acute myocardial infarction，AMI)屬于冠状动脉急性、持续性缺血缺氧所致心肌坏死，主要特征：剧烈且持久的胸骨后疼痛。该病易于合并心律失常、休克、心力衰竭等，会对患者的生存质量，构成严重的威胁。发病原因为过度劳累、情绪激动、暴饮暴食、便秘等[1]。临床症状：发热、突发胸骨后/心前区压榨性疼痛、心力衰竭、心律失常、腹胀等。为提高患者的抢救成功率，本次研究研究选取近年来收治的60例急性心肌梗死患者作为研究对象，以急救护理流程再造作为基础，以常规护理流程作为参照，对比两者间的应用效果。, http://www.100md.com(陈笑玲)
, 百拇医药
关键词：急救护理流程再造；急性心肌梗死；急诊介入治疗；ECG
中图分类号：R473.5 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.23.049
文章编号：1006-1959(2018)23-0168-03
Abstract：Objective To observe the effect of emergency nursing process reengineering in emergency interventional treatment of acute myocardial infarction. Methods 60 patients with acute myocardial infarction who received emergency interventional therapy in our hospital from February 2017 to May 2018 were randomly divided into observation group (n=30) and control group (n=30) according to their visiting time. The observation group was given emergency nursing process reengineering， while the control group was given routine nursing process. The nursing satisfaction， rescue success rate， first medical contact to electrocardiogram (ECG) time， electrocardiogram (ECG)to activation catheter room time， emergency to balloon dilatation time were compared between the two groups. Results The nursing satisfaction of the observation group (93.33%) was higher than that of the control group (73.33%)，the difference was statistically significant(P<0.05). The first medical contact in the observation group-ECG time， ECG-activated catheter room time， emergency-balloon dilation time were：(5.11±1.19) min，(22.29±2.62) min，(65.11±9.98) min， higher than the control group(10.37±1.56) min，(46.32±4.84) min，(92.04±5.03) min， the difference was statistically significant(P<0.05). Conclusion Emergency interventional therapy for acute myocardial infarction can improve the nursing satisfaction and rescue success rate of patients with acute myocardial infarction， and reduce the time of first medical contact-ECG， ECG-activated catheterization room and emergency-balloon expansion.
, 百拇医药
Key words：Emergency care process reengineering；Acute myocardial infarction；Emergency interventional therapy；ECG
急性心肌梗死(acute myocardial infarction，AMI)屬于冠状动脉急性、持续性缺血缺氧所致心肌坏死，主要特征：剧烈且持久的胸骨后疼痛。该病易于合并心律失常、休克、心力衰竭等，会对患者的生存质量，构成严重的威胁。发病原因为过度劳累、情绪激动、暴饮暴食、便秘等[1]。临床症状：发热、突发胸骨后/心前区压榨性疼痛、心力衰竭、心律失常、腹胀等。为提高患者的抢救成功率，本次研究研究选取近年来收治的60例急性心肌梗死患者作为研究对象，以急救护理流程再造作为基础，以常规护理流程作为参照，对比两者间的应用效果。, http://www.100md.com(陈笑玲)