优化急诊护理流程在急性心肌梗死患者中的应用效果分析(1)
[摘要] 目的 探讨急诊优化护理流程在急性心肌梗死患者中的应用效果。 方法 选取2013年4月～2014年4月我院80例急性心肌梗死患者，根据不同护理方法将其分为对照组和实验组，对照组采用常规流程护理，实验组实施优化后的护理流程，比较两组护理效果。 结果 实验组护理效果的有效率达95.0%，高于对照组(85.0%)，差异有统计学意义(P<0.05)；实验组护理满意度达95.0%，显著高于对照组(65.0%)，差异有统计学意义(P<0.05)；实验组分诊评估时间为(0.6±0.1)min、急诊停留时间为(9.5±2.3)min、急救时间为(40.7±8.5)min，分别短于对照组(P<0.05)；实验组护理后并发症发生率为7.5%，低于对照组并发症发生率(17.5%)(χ2=4.83，P<0.05)。 结论 急性心肌梗死发病率较高，患者治疗过程中实施急诊护理流程效果理想，能够提高患者抢救效率，改善患者满意度，值得推广使用。
[关键词] 优化急诊护理流程；急性心肌梗死；护理效果；急救时间；并发症
[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701(2015)25-0155-03
The effectiveness of optimize emergency care process in patients with acute myocardial infarction
LIU Hongmei
Department of Emergency，Zibo Mining Group co.，LTD. Central Hospital，Zibo 255120，China
[Abstract] Objective To study the effectiveness of optimize emergency care process in patients with acute myocardial infarction. Methods A total of 80 cases of patients with acute myocardial infarction according to the different nursing methods were divided into control group and experimental group，the control group was treated with conventional process nursing， the experimental group was treated with the optimized nursing process， the nursing effect were compared between two groups. Results The total effect rate of nursing in experimental group was 95.0%，was higher than the control group(85.0%)(P<0.05)； The nursing satisfaction in the experimental was 95.0%，was higher than the control group(65.0%) (P<0.05)； For experimental triage assessment was(0.6±0.1) min， emergency stop time was(9.5±2.3) min，emergency time was(40.7±8.5) min， was shorter than the control group(P<0.05)； The complication rate of experimental group after nursing was 7.5%，was lower than the control group(17.5%)(χ2=4.83， P<0.05). Conclusion The optimize emergency care process in patients with acute myocardial infarction have good effect， can improve the efficiency of rescue patients， improve patient satisfaction， worthy of promotion of use.
[Key words] Optimize emergency care process； Acute myocardial infarction； Nursing effect； Emergency time； Complication
急性心肌梗死(AMI)是临床的常见病、多发病，发病率及病死率较高。近年来随着人们生活水平的提高，其发病率逐年增加且日趋年轻化。与其他疾病相比，急性心肌梗死病情变化快、并发症多、病死率高，患者发病后主要出现胸前区的疼痛、神智障碍、全身症状等[1]。目前，对于急性心肌梗死除了积极对症治疗外，且在治疗过程中为了提高治疗效果，护理干预也发挥了具有重要作用。近年来，优化急诊护理流程对提高急性心肌梗死患者抢救成功的效果具有重要指导意义[2]。2013年4月～2014年4月我院对40例急性心肌梗死患者在积极治疗的同时优化急诊护理流程，取得了较好的效果，现报道如下。
1 资料与方法
1.1 一般资料
选取2013年4月～2014年4月我院80例急性心肌梗死患者，根据不同护理方法将其分为对照组和实验组，各40例。实验组中男27例，女13例，年龄37～73岁，平均(54.5±2.8)岁，发病到入院时间为0，5～11.5 h，平均(3.5±1.4)h；对照组中男24例，女16例，年龄(38～76)岁，平均(55.7±2.1)岁，发病到入院时时间为0.6～10.5 h，平均(4.2±1.1)h。两组患者的基本资料比较差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(刘红美)
[关键词] 优化急诊护理流程；急性心肌梗死；护理效果；急救时间；并发症
[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701(2015)25-0155-03
The effectiveness of optimize emergency care process in patients with acute myocardial infarction
LIU Hongmei
Department of Emergency，Zibo Mining Group co.，LTD. Central Hospital，Zibo 255120，China
[Abstract] Objective To study the effectiveness of optimize emergency care process in patients with acute myocardial infarction. Methods A total of 80 cases of patients with acute myocardial infarction according to the different nursing methods were divided into control group and experimental group，the control group was treated with conventional process nursing， the experimental group was treated with the optimized nursing process， the nursing effect were compared between two groups. Results The total effect rate of nursing in experimental group was 95.0%，was higher than the control group(85.0%)(P<0.05)； The nursing satisfaction in the experimental was 95.0%，was higher than the control group(65.0%) (P<0.05)； For experimental triage assessment was(0.6±0.1) min， emergency stop time was(9.5±2.3) min，emergency time was(40.7±8.5) min， was shorter than the control group(P<0.05)； The complication rate of experimental group after nursing was 7.5%，was lower than the control group(17.5%)(χ2=4.83， P<0.05). Conclusion The optimize emergency care process in patients with acute myocardial infarction have good effect， can improve the efficiency of rescue patients， improve patient satisfaction， worthy of promotion of use.
[Key words] Optimize emergency care process； Acute myocardial infarction； Nursing effect； Emergency time； Complication
急性心肌梗死(AMI)是临床的常见病、多发病，发病率及病死率较高。近年来随着人们生活水平的提高，其发病率逐年增加且日趋年轻化。与其他疾病相比，急性心肌梗死病情变化快、并发症多、病死率高，患者发病后主要出现胸前区的疼痛、神智障碍、全身症状等[1]。目前，对于急性心肌梗死除了积极对症治疗外，且在治疗过程中为了提高治疗效果，护理干预也发挥了具有重要作用。近年来，优化急诊护理流程对提高急性心肌梗死患者抢救成功的效果具有重要指导意义[2]。2013年4月～2014年4月我院对40例急性心肌梗死患者在积极治疗的同时优化急诊护理流程，取得了较好的效果，现报道如下。
1 资料与方法
1.1 一般资料
选取2013年4月～2014年4月我院80例急性心肌梗死患者，根据不同护理方法将其分为对照组和实验组，各40例。实验组中男27例，女13例，年龄37～73岁，平均(54.5±2.8)岁，发病到入院时间为0，5～11.5 h，平均(3.5±1.4)h；对照组中男24例，女16例，年龄(38～76)岁，平均(55.7±2.1)岁，发病到入院时时间为0.6～10.5 h，平均(4.2±1.1)h。两组患者的基本资料比较差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(刘红美)