临床护理路径在急性心肌梗死患者抢救中的应用研究(1)
【摘要】 目的：观察临床护理路径在急性心肌梗死患者抢救中的护理效果。方法：选取2015年
4月-2016年8月本院收治的急性心肌梗死患者90例，采用随机数字法分为对照组和观察组，每组各45例。对照组采用常规方法护理，观察组在对照组基础上联合临床护理路径，比较两组护理效果。结果：观察组护理后进-出急诊科时间、急诊-球囊扩张时间、住院时间均短于对照组，比较差异有统计学意义(P<0.05)。两组护理前SAS及SDS评分比较差异无统计学意义(P>0.05)，护理后观察组低于对照组(P<0.05)。观察组护理满意度为95.56%，对照组为77.78%两组比较差异有统计学意义(P<0.05)。观察组护理后并发症发生率为8.89%，对照组为17.78%，比较差异均有统计学意义(P<0.05)。结论：急性心肌梗死患者抢救过程中在常规护理基础上联合临床护理路径护理效果理想，值得推广应用。
【关键词】 临床护理路径； 急性心肌梗死； 常规护理； 护理效果
【Abstract】 Objective：To observe the nursing effect of clinical nursing pathway in patients with acute myocardial infarction(AMI).Method：90 patients with acute myocardial infarction in our hospital from April 2015 to August 2016 were randomly divided into control group and observation group，45 cases in each group.The control group received routine nursing，while the observation group was combined with clinical nursing pathway on the basis of the control group，the nursing effects of two groups were compared.Result：After nursing，the time of admission and discharge to emergency，door-to-balloon and hospital stays in observation group were all shorter than that of the control group，the differences were statistically significant(P<0.05).Before nursing there were no significant differences between the two groups in the score of SAS and SDS(P>0.05)，after nursing these of observation group were lower than control group.(P<0.05).the nursing satisfaction of observation group was 95.56% higher than that of control group 77.78%，the difference was statistically significant(P<0.05).After nursing the incidence rate of observation group was 8.89% higher than that of the control group 17.78%，the differences were statistically significant(P<0.05).Conclusion：The effect of clinical nursing pathway on the basis of routine nursing care in patients with acute myocardial infarction is satisfactory，which is worthy of popularization and application.
【Key words】 Clinical nursing pathways； Acute myocardial infarction； Routine care； Nursing effect
First-author’s address：The People’s Hospital of Luoding City，Luoding 527200，China
doi：10.3969/j.issn.1674-4985.2017.13.026
急性心機梗死(AMI)是冠状动脉急性闭塞导致血流急救减少或中断，从而引起局部供血发生心肌细胞坏死的疾病[1]。患者发病早期如果得不到及时有效地治疗，将会引起心脏骤停、心室颤动、猝死等，威胁患者生命。文献[2-3]显示，约50.0%的急性心肌梗死患者发病后1 h内发生猝死，且多数猝死患者死于能救治的心律失常。因此，急性心肌梗死患者治疗过程中应该加强患者护理，密切观察患者病情变化，降低并发症发生率，从而改善患者预后。文献[4-5]报道显示，急性心肌梗死患者抢救过程中实施临床护理路径效果理想，该护理模式是根据标准化的护理计划，为特殊患者设定的住院护理流程图，通过图的形式为患者提供有时间、有序、有效的照顾方法，是一种新型护理模式，但其临床护理效果缺乏报道[6]。为探讨临床护理路径在急性心肌梗死患者抢救中的护理效果，选取2015年4月-2016年8月本院收治的急性心肌梗死患者90例为对象，研究临床护理路径在急性心肌梗死患者抢救中的应用，现报道如下。, 百拇医药(陈美芬 梁艺敏 黄丽君)
4月-2016年8月本院收治的急性心肌梗死患者90例，采用随机数字法分为对照组和观察组，每组各45例。对照组采用常规方法护理，观察组在对照组基础上联合临床护理路径，比较两组护理效果。结果：观察组护理后进-出急诊科时间、急诊-球囊扩张时间、住院时间均短于对照组，比较差异有统计学意义(P<0.05)。两组护理前SAS及SDS评分比较差异无统计学意义(P>0.05)，护理后观察组低于对照组(P<0.05)。观察组护理满意度为95.56%，对照组为77.78%两组比较差异有统计学意义(P<0.05)。观察组护理后并发症发生率为8.89%，对照组为17.78%，比较差异均有统计学意义(P<0.05)。结论：急性心肌梗死患者抢救过程中在常规护理基础上联合临床护理路径护理效果理想，值得推广应用。
【关键词】 临床护理路径； 急性心肌梗死； 常规护理； 护理效果
【Abstract】 Objective：To observe the nursing effect of clinical nursing pathway in patients with acute myocardial infarction(AMI).Method：90 patients with acute myocardial infarction in our hospital from April 2015 to August 2016 were randomly divided into control group and observation group，45 cases in each group.The control group received routine nursing，while the observation group was combined with clinical nursing pathway on the basis of the control group，the nursing effects of two groups were compared.Result：After nursing，the time of admission and discharge to emergency，door-to-balloon and hospital stays in observation group were all shorter than that of the control group，the differences were statistically significant(P<0.05).Before nursing there were no significant differences between the two groups in the score of SAS and SDS(P>0.05)，after nursing these of observation group were lower than control group.(P<0.05).the nursing satisfaction of observation group was 95.56% higher than that of control group 77.78%，the difference was statistically significant(P<0.05).After nursing the incidence rate of observation group was 8.89% higher than that of the control group 17.78%，the differences were statistically significant(P<0.05).Conclusion：The effect of clinical nursing pathway on the basis of routine nursing care in patients with acute myocardial infarction is satisfactory，which is worthy of popularization and application.
【Key words】 Clinical nursing pathways； Acute myocardial infarction； Routine care； Nursing effect
First-author’s address：The People’s Hospital of Luoding City，Luoding 527200，China
doi：10.3969/j.issn.1674-4985.2017.13.026
急性心機梗死(AMI)是冠状动脉急性闭塞导致血流急救减少或中断，从而引起局部供血发生心肌细胞坏死的疾病[1]。患者发病早期如果得不到及时有效地治疗，将会引起心脏骤停、心室颤动、猝死等，威胁患者生命。文献[2-3]显示，约50.0%的急性心肌梗死患者发病后1 h内发生猝死，且多数猝死患者死于能救治的心律失常。因此，急性心肌梗死患者治疗过程中应该加强患者护理，密切观察患者病情变化，降低并发症发生率，从而改善患者预后。文献[4-5]报道显示，急性心肌梗死患者抢救过程中实施临床护理路径效果理想，该护理模式是根据标准化的护理计划，为特殊患者设定的住院护理流程图，通过图的形式为患者提供有时间、有序、有效的照顾方法，是一种新型护理模式，但其临床护理效果缺乏报道[6]。为探讨临床护理路径在急性心肌梗死患者抢救中的护理效果，选取2015年4月-2016年8月本院收治的急性心肌梗死患者90例为对象，研究临床护理路径在急性心肌梗死患者抢救中的应用，现报道如下。, 百拇医药(陈美芬 梁艺敏 黄丽君)