急诊护理路径在急性心肌梗死抢救过程中的应用效果及护理干预评价

发布时间：2018-01-19 20:00

本文关键词： 急性心肌梗死临床护理路径护理疗效　出处：《河北医药》2016年08期 　论文类型：期刊论文

【摘要】：目的研究探讨急诊护理路径在急性心肌梗死抢救过程中的临床效果,并总结护理体会。方法随机入选明确诊断的急性心肌梗死患者140例,分别接受常规急诊护理和急诊护理路径,通过治疗和护理,观察比较2组患者的住院时间、健康知识知晓率、医疗费用、满意度以及2组并发症情况。结果急诊护理路径组的分诊时间、球囊扩张时间、急诊抢救时间、住院时间、卧床时间、住院费用等指标均明显低于对照组(P0.05),急诊护理路径组的健康知识得分和满意度评分更高;经Ridit检验,急诊护理路径组满意度等级和总体疗效等级均明显优于对照组(P0.05);2组并发症发生率差异无统计学意义(P0.05)。结论临床护理路径应用于急性梗死患者的抢救,可以明显缩短抢救时间,提高抢救效率,提高患者的满意度,可在临床进一步推广。
[Abstract]:Objective to investigate the clinical effect of emergency nursing pathway in the rescue of acute myocardial infarction (AMI), and summarize the nursing experience. Methods 140 patients with AMI were randomly selected. The patients were treated with routine emergency nursing and emergency nursing respectively. Through treatment and nursing, the hospitalization time, health knowledge awareness rate and medical expenses were observed and compared between the two groups. Results in the emergency nursing path group, the time of sequestration, balloon dilation, emergency rescue, hospital stay, bed rest time. The cost of hospitalization was significantly lower than that of the control group (P 0.05), and the scores of health knowledge and satisfaction were higher in the emergency nursing path group. Ridit test showed that the grade of satisfaction and the overall curative effect of the emergency nursing path group were significantly better than those of the control group (P 0.05). There was no significant difference in the incidence of complications between the two groups (P 0.05). Conclusion the application of clinical nursing pathway to the rescue of patients with acute infarction can significantly shorten the rescue time and improve the rescue efficiency. The improvement of patients' satisfaction can be further popularized in clinical practice.
【作者单位】：四川省绵阳市中心医院;
【分类号】：R473.5
【正文快照】： 作者单位:621000四川省绵阳市中心医院急性心肌梗死(AMI)是指因持久而严重的心肌缺血所致的部分心肌急性坏死,是一种十分常见的心血管疾病。AMI的发生和发展与冠状动脉粥样硬化具有密切的关联[1]。AMI一般具有如下临床表现:严重胸痛、急性循环功能障碍、心电图改变、心律失常

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