摘要
目的:探讨急性心肌梗死(AMI)患者院前急救中实施个性化护理的作用。方法:选择2014年5月~2015年6月接诊的49例AMI患者为常规护理组(接受常规院前急诊护理),选择2015年7月~2016年8月接诊的49例AMI患者为个性化护理组(在院前急诊护理中接受个性化护理)。观察比较两组急救效率、心血管事件发生情况、死亡率及护理满意率。结果:与常规护理组比较,个性化护理组出诊反应时间[(69.53±8.36)s比(53.92±7.84)s]、院前急救时间[(32.71±4.20)min比(17.85±2.74)min]和入院时间[(2.59±0.78)h比(1.92±0.46)h]均显著缩短,总心血管事件发生率(16.33%比4.08%)显著降低,P<0.05或<0.01。两组死亡率无显著差异,P=0.065。存活患者中,个性化护理组的总护理满意率显著高于常规护理组(93.75%比78.57%),P=0.035。结论:在急性心肌梗死患者院前急诊护理中,实施个性化护理可显著提高急救效率,降低并发症发生风险,改善护患关系,值得推广。
Objective:To explore effect of individualized nursing care in pre-hospital first aid on patients with acute myocardial infarction(AMI).Methods:A total of 49 AMI patients treated from May 2014 to Jun 2015 were regarded as routine nursing group(received routine pre-hospital emergency nursing),and 49 AMI patients treated from Jul 2015 to Aug 2016 were enrolled as individualized nursing group(received individualized nursing in pre-hospital emergency nursing).First aid efficiency,incidence of cardiovascular events,mortality and nursing satisfaction were observed and compared between two groups.Results:Compared with routine nursing group,there were significant reductions in visiting reaction time[(69.53±8.36)s vs.(53.92±7.84)s],pre-hospital first aid time[(32.71±4.20)min vs.(17.85±2.74)min],admission time[(2.59±0.78)h vs.(1.92±0.46)h]and total incidence rate of cardiovascular events(16.33%vs.4.08%)in individualized nursing group,P<0.05 or<0.01.There was no significant difference in mortality between two groups,P=0.065.Among survivors,total satisfaction for nursing in individualized nursing group was significantly higher than that of routine nursing group(93.75%vs.78.57%),P=0.035.Conclusion:In pre-hospital first aid nursing of AMI patients,individualized nursing can significantly improve first aid efficiency,reduce risk of complications and improve the relationship between nurses and patients,which is worth extending.
作者
胡利群
HU Li-qun(Department of Emergency,Central Hospital of Longhua New District,Shenzhen,Guangdong,518110,China)
出处
《心血管康复医学杂志》
CAS
2018年第2期213-216,共4页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
心肌梗死
急救医疗服务
护理
Myocardial infarction
Emergency medical services
Nursing care
