急性冠状动脉综合征实施程序化急救护理的临床方法与效果*

刘丽董兰宋丹红

(第二军医大学长征医院急诊科， 上海 200003)

【摘要】目的探讨急性冠状动脉综合征(acute coronary syndrome,ACS)在急诊中应用程序化急救护理方法与临床效果。方法选择住院治疗的ACS病患173例，以数字法随机分为观察组87例和对照组86例。其中观察组应用程序化急救护理方式，对照组应用常规护理方式。观察两组病患治疗时间、费用以及并发症，并就护理进行满意度问卷调查。结果观察组满意度95.40%(83/87)高于对照组77.91%(67/86)，住院时间及经费均低于对照组。观察组术后出现疼痛、出血等不适症状的比例也明显少于对照组，差异均有统计学意义(P<0.05)。结论程序化急救措施能有效缓解病患不良情绪，给治疗提供良好的基础。此外，住院时间和费用等更少，可减轻患者的生活压力。

【关键词】急性冠状动脉综合征； 急诊； 程序化急救护理； 并发症

【中图分类号】R 473.54

【文献标志码】A

doi：10.3969/j.issn.1672-3511.2015.10.045

Abstract【】ObjectiveTo study the methods and effect of sequencing first aid nursing on acute coronary syndrome. Methods173 patients were randomly divided into the observation group (87 cases) and control group (86 cases). The observation group was treated with emergency nursing mode. The control group was treated with routine nursing mode. The treatment time, cost and complications, and satisfaction questionnaire of nursing were observed. ResultsThe satisfaction rate of observation group (95.40%) was higher than that in control group (77.91%). The hospitalization time and cost of observation group were lower than that of control group. The postoperative pain, bleeding and other symptoms scale of observation group were significantly less than that of the control group. ConclusionThe procedure of emergency measures can effectively relieve patients negative emotions, provide a good basis for treatment and reduce hospitalization time and cost.

基金项目：上海市科委重大科技攻关基金项目(DZ04l9506)

收稿日期：( 2014-09-24； 编辑： 陈舟贵)

MethodsandeffectofsequencingfirstaidnursingonacutecoronarysyndromeLIULi,DONGLan,SONGDanhong

(Department of Emergency, Changzheng Hospital, Shanghai 200003, China)

【Keywords】Acutecoronaryarterysyndrome;Emergency;Emergencynursingprocedure;Complication

急性冠状动脉综合征(acutecoronarysyndrome,ACS)是包含不稳定型心绞痛、心肌梗死以及心律失常等冠心病急症的总称，临床治疗中死亡率较高[1]。由于冠状动脉内的斑块不稳定导致血管破裂，病发后若未得到及时的救治可能会危及病患生命[2]。研究表明如及时采取恰当的治疗方式，则可大大降低患者病死率，减少并发症，改善患者预后[3]。程序化急救护理模式是按照工作的内在逻辑关系而确定的一系列关联活动的护理方式，对提高护理工作质量和工作效率有积极意义。目前国外已有大量报道应用程序化急救护理可以改善急性心脑血管疾病的预后，提高救治效果。……